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Aydin D, Allach Y, Brugts JJ. Implications of Sex Differences on the Treatment Effectiveness in Heart Failure with Reduced Ejection Fraction Related to Clinical Endpoints and Quality of Life. Curr Heart Fail Rep 2024; 21:43-52. [PMID: 38060192 PMCID: PMC10827832 DOI: 10.1007/s11897-023-00638-6] [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] [Accepted: 11/17/2023] [Indexed: 12/08/2023]
Abstract
PURPOSE OF THE REVIEW This narrative review will emphasize the necessity for more female enrollment in heart failure (HF) trials and proposes future investigations regarding optimal dosages. Ultimately, a deeper understanding of the unique pathophysiology and medication responses in both men and women is crucial for effective HF management and may improve the quality of life in women. RECENT FINDINGS An analysis of 740 cardiovascular studies reveals that women make up only 38.2% of participants on average. Regarding to trials testing the effectiveness of HF medications, women's involvement are as low as 23.1%. While current guidelines lack sex-specific treatment recommendations, emerging research suggests differential medication dosages could be beneficial. Studies indicate that women may achieve comparable outcomes with lower doses of certain medications (angiotensin-receptor blockers) compared to men, signaling potential for more tailored dosing approaches. We advocate that the next step in HF research should prioritize the importance of tailoring treatment for HF patients by taking into account the variations in drug absorption and distribution among women.
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Affiliation(s)
- D Aydin
- Department of Cardiology, Erasmus University Medical Centre, 3015, Rotterdam, The Netherlands.
| | - Y Allach
- Department of Cardiology, Erasmus University Medical Centre, 3015, Rotterdam, The Netherlands
| | - J J Brugts
- Department of Cardiology, Erasmus University Medical Centre, 3015, Rotterdam, The Netherlands
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Kühnl R, Aydin D, Horn S, Olderbak S, Verthein U, Kraus L. Taking the cat-and-mouse game to the next level: different perspectives on the introduction of the German New Psychoactive Substances Act. Harm Reduct J 2022; 19:122. [PMID: 36329471 PMCID: PMC9632031 DOI: 10.1186/s12954-022-00704-7] [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: 03/25/2022] [Accepted: 09/13/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND To counteract the spread of new psychoactive substances (NPS) and to prevent the emergence of novel substances, specifically designed as a response to the legal control of individual substances, a new law was introduced in Germany in 2016: the New Psychoactive Substances Act (NpSG). The NpSG combines a generic approach with the waiver of criminal liability for the acquisition and possession of NPS for personal use, which is a novelty in German narcotics law. The present study aimed at exploring the impact of the introduction of the NpSG from three different perspectives-NPS users, staff of addiction care facilities, and members of law enforcement authorities-to better understand the dynamics surrounding such a change in legislation and to contribute to the body of international experience in dealing with NPS. METHODS Semi-structured narrative interviews were conducted with a total of 193 representatives of the three different groups affected by the law. These interviews included questions on perceived changes associated with the introduction of the NpSG as well as questions on opinions regarding legal and criminal policy issues. The analysis was carried out using qualitative content analysis according to Mayring. RESULTS Most interviewees welcomed the non-criminalisation approach of the NpSG but also noticed that, in practice, not much has changed for users. Nevertheless, the changes in legislation have had an impact on the market. For example, novel substances have emerged circumventing the new legislation. According to users, this has led some to reduce NPS use and others to adopt more hazardous consumption patterns. Overall, most respondents did not expect the introduction of the NpSG to bring any significant changes. CONCLUSIONS Although the idea of non-criminalisation inherent to the NpSG is appreciated and the generic approach has been well implemented in the law, thus covering a wide range of substances, the introduction of the law-perhaps for that very reason-has also had unintended and negative consequences, taking the cat-and-mouse game to the next level. To end the game, or at least to defuse the game situation, a combination of different strategies will be necessary, with legislation always playing a key role.
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Affiliation(s)
- Regina Kühnl
- IFT Institut für Therapieforschung, Leopoldstraße 175, 80804, Munich, Germany.,Institute of Psychology and Education, Ulm University, Albert-Einstein-Allee 47, 89069, Ulm, Germany
| | - Darya Aydin
- IFT Institut für Therapieforschung, Leopoldstraße 175, 80804, Munich, Germany
| | - Sabine Horn
- Unit III.5 Criminal Law, Criminal Procedural Law and Criminal Politics, German Police University, Zum Roten Berge 18-24, 48165, Muenster, Germany
| | - Sally Olderbak
- IFT Institut für Therapieforschung, Leopoldstraße 175, 80804, Munich, Germany.,Psychology Department, University of Arizona, 1503 E University Blvd., Tucson, AZ, 85721, USA
| | - Uwe Verthein
- Department of Psychiatry and Psychotherapy, Centre of Interdisciplinary Addiction Research, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany
| | - Ludwig Kraus
- IFT Institut für Therapieforschung, Leopoldstraße 175, 80804, Munich, Germany. .,Department of Public Health Sciences, Centre for Social Research on Alcohol and Drugs, Stockholm University, 106 91, Stockholm, Sweden. .,Institute of Psychology, ELTE Eötvös Loránd University, Egyetem tér 1-3, 1053, Budapest, Hungary.
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Rabenstein A, Aydin D, Lochbühler K. [Smoking cessation interventions in clinical practice]. MMW Fortschr Med 2021; 163:32-34. [PMID: 34478087 PMCID: PMC8413689 DOI: 10.1007/s15006-021-0177-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Affiliation(s)
- Andrea Rabenstein
- Klinik für Psychiatrie und Psychotherapie, Tabakambulanz, Klinikums der Universität München-LMU, Nußbaumstraße 7, 80336, München, Germany.
| | - Darya Aydin
- IFT-Gesundheitsförderung GmbH, München, Germany
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Kraus LN, Kühnl RM, Aydin D, Schiemann A, Verthein U, Mühlig S, Koller G, Auwärter V, Hermanns-Clausen M, Patzak J. Das Neue-psychoaktive-Stoffe-Gesetz. SUCHTTHERAPIE 2019. [DOI: 10.1055/s-0039-1696210] [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] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- LN Kraus
- IFT Institut für Therapieforschung
| | - RM Kühnl
- IFT Institut für Therapieforschung
| | - D Aydin
- IFT Institut für Therapieforschung
| | | | - U Verthein
- Zentrum für Interdisziplinäre Suchtforschung der Universität Hamburg (ZIS)
| | | | - G Koller
- Klinikum der Universität München (LMU)
| | - V Auwärter
- Uniklinik Freiburg, Institut für Rechtsmedizin (UKF)
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Gevrek F, Aydin D, Ozsoy S, Aygun H, Bicer C. Inhibition by Egb761 of the effect of cellphone radiation on the male reproductive system. ACTA ACUST UNITED AC 2017; 118:676-683. [PMID: 29216724 DOI: 10.4149/bll_2017_128] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVES To determine the effects of Egb761 on testicular tissues and semen parameters in rats exposed to cellphone waves. BACKGROUND EGb761 has antioxidant properties as a free-radical scavenger. Cellphone electromagnetic radiation (EMR) induces oxidative stress in cells. METHODS Twenty-one Wistar albino male adult rats were divided into three groups (control, experimental, treatment), including seven rats in each. The experimental and treatment groups were exposed to cellphone EMR (0.96 W/kg) for six weeks (4 hrs/day). Egb761 (100 mg/kg/day) was also added to the treatment. Testes, epididymal semen and blood plasma were used for analysis. RESULTS Exposure to cellular phone radiation resulted in a significant impairment in testicular morphometry and histological structure, reduction of total and motile sperm numbers and plasma testosterone level. Egb761 administration improved testicular damage and led to a marked increase in plasma testosterone levels and total and motile sperm numbers. CONCLUSION Male reproductive system is susceptible to cellphone radiation. Cellphone waves induce toxic effects in testicular tissues, impair spermatogenesis and cause an imbalance in testosterone hormone levels. Egb761 ameliorated these toxic effects by reversing testicular tissue damage, restoring normal spermatogenesis and hormone levels. This suggests that Egb761 is a potential therapeutic agent against EMR-induced male reproductive toxicity (Tab. 3, Fig. 6, Ref. 45).
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Kaplan MA, Odabasi H, Ozdemir N, Harputluoglu H, Aliustaoglu M, Berk V, Gunaydin Y, Uncu D, Elkiran T, Aydin D, Isikdogan A. Abstract P3-01-21: Is lymph node ratio (LNR) having additional contribution for predict prognosis on pathologic lymph node staging in node-positive breast cancer patients? Cancer Res 2016. [DOI: 10.1158/1538-7445.sabcs15-p3-01-21] [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: 11/16/2022]
Abstract
Abstract
PURPOSE:
The aim of the study was to determine whether LNR have additional contribution on pathologic lymph node staging.
METHODS:
To examine the prognostic value of LNR examined the original histopathological reports of 2049 node-positive breast cancer patients treated in the references centers of the Turkey. The LNR was defined as the number of positive lymph nodes (LNs) over the total number of LNs removed. The LNR cutoffs were defined as low-risk, 0.01-0.20; intermediate-risk, 0.21- 0.65; and high-risk, LNR >0.65.
RESULTS:
The median follow-up was 11.8 years. Median Disease free survival (DFS) was 191.8, 110.6 and 78.2 months in patients with pN1, pN2 and pN3 tumor, respectively (p<0.001). Median DFS was 191.9, 106.4 and 78.1 months in patients with LNR low, intermediate and high risk tumor, respectively (p<0.001). Median DFS was not reached and 200.1 months in patients with pN2 and LNR low risk patients, pN1 and LNR high risk patients, respectively (p=0.254).
CONCLUSIONS:
LNR is an important prognostic parameter for DFS and might provide potentially more information than pN-stage in patients with pN1/LNR high risk and pN2/LNR low risk.
Citation Format: Kaplan MA, Odabasi H, Ozdemir N, Harputluoglu H, Aliustaoglu M, Berk V, Gunaydin Y, Uncu D, Elkiran T, Aydin D, Isikdogan A. Is lymph node ratio (LNR) having additional contribution for predict prognosis on pathologic lymph node staging in node-positive breast cancer patients?. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P3-01-21.
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Affiliation(s)
- MA Kaplan
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - H Odabasi
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - N Ozdemir
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - H Harputluoglu
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - M Aliustaoglu
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - V Berk
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - Y Gunaydin
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - D Uncu
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - T Elkiran
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - D Aydin
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
| | - A Isikdogan
- Dicle University, Diyarbakir, Turkey; Kartal Research and Education Hospital, Istanbul, Turkey; Numune Research and Education Hospital, Ankara, Turkey; Inonu University, Malatya, Turkey; Erciyes University, Kayseri, Turkey; Gazi University, Ankara, Turkey
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Aydin D, Bilici A, Kayahan S, Yavuzer D, Basar M, Aliustaoglu M. Prognostic importance of RASSF2 expression in patients with gastric cancer who had undergone radical gastrectomy. Clin Transl Oncol 2015; 18:608-16. [PMID: 26459248 DOI: 10.1007/s12094-015-1405-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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: 07/31/2015] [Accepted: 09/03/2015] [Indexed: 12/12/2022]
Abstract
BACKGROUND Although Ras-association domain family of gene 2 (RASSF2) has been shown to undergo promoter methylation at high frequency in some cancer types and in brain metastases, its clinical utility as a useful prognostic molecular marker remains unclear in gastric cancer. METHODS Prognostic significance of RASSF2 expression was retrospectively analysed by immunohistochemically in 105 patients with gastric cancer who underwent curative gastrectomy. RESULTS Low RASSF2 expression was detected in 58 (55 %) patients, whereas 47 patients (45 %) had high RASSF2 expression. Lymph node involvement, pT stage, TNM stage, vascular invasion, perineural invasion and the presence of recurrence were found to be significantly related to RASSF2 expression levels. Low PRL-3 expression was closely correlated with lymph node metastasis (p = 0.001), advanced pT stage (p = 0.021), advanced TNM stage (p < 0.001), the presence of vascular invasion (p < 0.001), perineural invasion (p = 0.018) and high prevalence of recurrence (p = 0.003) compared with high RASSF2 expression. The median disease-free survival (DFS) time for patients with low RASSF2 expression was significantly worse than that of patients with high RASSF2 expression (10.2 vs. 50.6 months, p < 0.001). In addition, patients with high RASSF2 expression had the higher overall survival (OS) interval compared to patients with low RASSF2 expression (NR vs. 14.9 months, p < 0.001). In the multivariate analysis, the rate of RASSF2 expression levels was an independent prognostic factor, for DFS [p < 0.001, HR 0.12 (0.10-0.88)] and OS [p < 0.001, HR 0.10 (0.04-0.46)], as were pT stage and TNM stage, respectively. CONCLUSIONS RASSF2 may be an important molecular marker for carcinogenesis, prognosis and progression in gastric cancer, but the potential value of RASSF2 expression as a useful molecular marker in gastric cancer progression should be evaluated, comprehensively. It would be possible to develop treatments targeting RASSF2 and advance new treatment strategies for gastric cancer.
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Affiliation(s)
- D Aydin
- Department of Medical Oncology, Dr. Lutfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey
| | - A Bilici
- Department of Medical Oncology, Medical Faculty, Istanbul Medipol University, TEM Avrupa Otoyolu, Goztepe Cikisi, No:1, Bağcılar, 34214, Istanbul, Turkey.
| | - S Kayahan
- Department of Pathology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey
| | - D Yavuzer
- Department of Pathology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey
| | - M Basar
- Department of Pathology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey
| | - M Aliustaoglu
- Department of Medical Oncology, Dr. Lutfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey
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Ozcelik M, Odabas H, Ercelep O, Yuksel S, Mert AG, Aydin D, Surmeli H, Isik D, Isik S, Oyman A, Oven Ustaalioglu BB, Aliustaoglu M, Gumus M. The efficacy and safety of capecitabine plus bevacizumab combination as first-line treatment in elderly metastatic colorectal cancer patients. Clin Transl Oncol 2015; 18:617-24. [PMID: 26459249 DOI: 10.1007/s12094-015-1408-6] [Citation(s) in RCA: 3] [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: 07/16/2015] [Accepted: 09/05/2015] [Indexed: 11/24/2022]
Abstract
AIM The optimal treatment in older persons with metastatic colorectal cancer (mCRC) is complicated by a lack of general agreement. The aim of this study was to evaluate the activity of bevacizumab plus capecitabine combination in elderly mCRC patients who were not suitable for chemotherapy with irinotecan and oxaliplatin-containing regimens. MATERIALS AND METHODS Seventy years and older patients with metastatic colorectal carcinoma were included in this retrospective study. Bevacizumab was administered at a dose of 7.5 mg/kg on day 1 as an intravenous (IV) infusion over 30-90 min every 21 days, and capecitabine was prescribed at 1000 mg/m(2) twice daily on days 1-14 of the same 21-day schedule. RESULTS Eighty-two consecutive patients (47 men, 35 women) were included in the study. The mean age was 75.5 (SD 3.9, range 70-87). Half of the patients were older than 75 years. There were 55 patients (67.1 %) with a good Eastern Cooperative Oncology Group (ECOG) performance status (PS: 0-1) and the remaining 27 patients (32.9 %) had a poor ECOG performance status (PS: 2). With a median follow-up period of 18.5 months, the median progression-free survival (PFS) was 10 months (95 % CI, 7.8-12.1) and the median OS was 25 months (95 % CI, 18.6-31.3). The main toxicities recorded were non-hematological. Thirty-one patients (37 %) experienced grade 3/4 adverse events, the most common being hand-foot syndrome (9.8 %). No fatal toxicity resulting from this regimen was recorded. CONCLUSIONS Considering the toxicity profile and survival outcomes, the combination regimen of capecitabine and bevacizumab is a potentially feasible treatment option in elderly mCRC patients.
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Affiliation(s)
- M Ozcelik
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey.
| | - H Odabas
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - O Ercelep
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - S Yuksel
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - A G Mert
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - D Aydin
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - H Surmeli
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - D Isik
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - S Isik
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - A Oyman
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - B B Oven Ustaalioglu
- Department of Medical Oncology, Haydarpasa Numune Education and Research Hospital, 34668, Istanbul, Turkey
| | - M Aliustaoglu
- Department of Medical Oncology, Kartal Dr. Lutfi Kirdar Education and Research Hospital, 34865, Istanbul, Turkey
| | - M Gumus
- Department of Medical Oncology, Bezmialem Vakif University School of Medicine, 34093, Istanbul, Turkey
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Ozsoy S, Aydin D, Ekici F. Effects of modafinil on pentylenetetrazol-induced convulsive epilepsy. BRATISL MED J 2015; 116:162-6. [DOI: 10.4149/bll_2015_033] [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: 11/08/2022]
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Ozcelik M, Ercelep OB, Mert AG, Yuksel S, Ozdemir P, Surmeli H, Isık D, Aydin D, Korkmaz T, Odabas H, Aliustaoglu M, Gemici C, Mayadagli A, Gumus M. Three Different Chemotherapy Combinations with Concurrent Thoracic Radiation for Patients with Stage III Non-Small Cell Lung Cancer. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu348.10] [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: 11/14/2022] Open
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Inje V, Otan E, Karakash S, Mamedov R, Aydin D, Yilmaz S. [Posterior reversible encephalopathy syndrome following a liver transplantation from a living donor]. Klin Khir 2014:78-79. [PMID: 24923131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Andersen TV, Schmidt LS, Poulsen AH, Feychting M, Röösli M, Tynes T, Aydin D, Prochazka M, Lannering B, Klæboe L, Eggen T, Kuehni CE, Schmiegelow K, Schüz J. Patterns of exposure to infectious diseases and social contacts in early life and risk of brain tumours in children and adolescents: an International Case-Control Study (CEFALO). Br J Cancer 2013; 108:2346-53. [PMID: 23652309 PMCID: PMC3681020 DOI: 10.1038/bjc.2013.201] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Background: Infectious diseases and social contacts in early life have been proposed to modulate brain tumour risk during late childhood and adolescence. Methods: CEFALO is an interview-based case–control study in Denmark, Norway, Sweden and Switzerland, including children and adolescents aged 7–19 years with primary intracranial brain tumours diagnosed between 2004 and 2008 and matched population controls. Results: The study included 352 cases (participation rate: 83%) and 646 controls (71%). There was no association with various measures of social contacts: daycare attendance, number of childhours at daycare, attending baby groups, birth order or living with other children. Cases of glioma and embryonal tumours had more frequent sick days with infections in the first 6 years of life compared with controls. In 7–19 year olds with 4+ monthly sick day, the respective odds ratios were 2.93 (95% confidence interval: 1.57–5.50) and 4.21 (95% confidence interval: 1.24–14.30). Interpretation: There was little support for the hypothesis that social contacts influence childhood and adolescent brain tumour risk. The association between reported sick days due to infections and risk of glioma and embryonal tumour may reflect involvement of immune functions, recall bias or inverse causality and deserve further attention.
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Affiliation(s)
- T V Andersen
- Danish Cancer Society Research Center, Danish Cancer Society, Strandboulevarden 49, Copenhagen 2100, Denmark.
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Kilic Kurt Z, Aydin D, G. Isgor Y, S. Isgor B, Olgen S. Synthesis and Biological Study of Novel Indole-3-Imine-2-on Derivatives as Src Kinase and Glutathione S-Transferase Inhibitors. LETT DRUG DES DISCOV 2013. [DOI: 10.2174/157018013804142456] [Citation(s) in RCA: 3] [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: 11/22/2022]
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Kilic Kurt Z, Aydin D, G. Isgor Y, S. Isgor B, Olgen S. Synthesis and Biological Study of Novel Indole-3-Imine-2-on Derivatives as Src Kinase and Glutathione S-Transferase Inhibitors. LETT DRUG DES DISCOV 2012. [DOI: 10.2174/1570180811309010019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Gedik H, Yildirmak MT, Simsek F, Aydin D, Demirel N, Yokus O, Arica D. Fungal pathogens and primary antifungal prophylaxis in patients with hematological malignancies: one year experience. Afr Health Sci 2012; 12:390-4. [PMID: 23382758 PMCID: PMC3557695 DOI: 10.4314/ahs.v12i3.23] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Febrile neutropenia (FN) is generally a complication of cancer chemotherapy in patients with hematological malignancies. OBJECTIVE To evaluate the febrile neutropenia episodes of hematological patients and their outcomes with respect to fungal pathogens, primary antifungal prophylaxis antifungal therapy. METHODS All consecutive patients older than 14 years of age and who developed febrile neutropenia episodes from September 2010 to November 2011 were incorporated into this study. RESULTS In total, we retrospectively evaluated 86 consecutive patients and their 148 neutropenic episodes. Of the 86 patients, 45 were male and the mean age was 47,65±15,06 years (range: 17-82 years). The mean MASCC score was 18,72 ± 9,43. Systemic antifungal drug was initiated to 17 patients with probable fungal infection and 12 patients with possible fungal infection. Of seven patients who received posaconazole prophylaxis, five were treated with systemic fungal infection due to possible fungal infection. CONCLUSIONS It is obvious that more studies focused on primary prophylaxis are needed and primary or secondary antifungal prophylaxis should be evaluated in terms of provided benefits and disadvantages. Timely and appropriately initiated antifungal treatment is one of the most important factors for a good prognosis for recovery from a neutropenic phase.
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Affiliation(s)
- H Gedik
- Department of Infectious diseases and Clinical Microbiology, Ministry of Health Okmeydani Training and Research Hospital, Istanbul, Turkey.
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Aydin D, Feychting M, Schuz J, Roosli M. Response: Re: Mobile Phone Use and Brain Tumors in Children and Adolescents: A Multicenter Case-Control Study. J Natl Cancer Inst 2012. [DOI: 10.1093/jnci/djs147] [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: 11/13/2022] Open
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Aydin D, Feychting M, Schuz J, Roosli M. Response: Re: Mobile Phone Use and Brain Tumors in Children and Adolescents. J Natl Cancer Inst 2012. [DOI: 10.1093/jnci/djs144] [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: 11/14/2022] Open
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18
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Gunaldi M, Helvaci A, Demirel Yildirim N, Aydin D, Kara N. Multiple myeloma with serous membrane involvement and increased CA-125 and CA 15-3. J BUON 2011; 16:778. [PMID: 22331737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Aydin R, Karaman M, Toprak HHC, Ozugur AK, Aydin D, Cicek T. The effect of long-term feeding of conjugated linoleic acid on fertility in Japanese quail. S AFR J ANIM SCI 2006. [DOI: 10.4314/sajas.v36i2.3991] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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20
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Agacfidan A, Moncada J, Aydin D, Onel M, Alp T, Isik N, Badur S, Ang O. Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in Turkey among men With urethritis. Sex Transm Dis 2001; 28:630-2. [PMID: 11677384 DOI: 10.1097/00007435-200111000-00004] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
BACKGROUND Chlamydia trachomatis and Neisseria gonorrhoeae are known to cause urethritis. However, only a small number of studies in Eastern European countries have investigated the causes of urethritis. GOALS To determine the prevalence of C trachomatis and N gonorrhoeae among men with symptomatic urethritis in Istanbul, Turkey, and to determine whether contact with a commercial sex worker increased the likelihood of chlamydial infections. STUDY DESIGN Men with a diagnosis of urethritis at the Istanbul Faculty of Medicine were screened for C trachomatis and N gonorrhoeae by Abbott's ligase chain reaction (LCR) using either urethral swabs or first-void urine. N gonorrhoeae cultures were done on a subset of these patients. RESULTS The study enrolled 813 men. All of the men denied condom use during their previous sexual exposures. The overall prevalence of C trachomatis, as determined by LCR, was 15.7%. Only 192 patients were screened for both organisms. N gonorrhoeae prevalence was 9.4%. There was no difference in the chlamydia prevalence between men who had contact with commercial sex workers (CSWs) and men who had no such contact (15.3% versus 17.2%). However, clients of foreign CSWs were more likely to have chlamydia than clients of registered Turkish CSWs. CONCLUSIONS C trachomatis and N gonorrhoeae are commonly found in Turkish men with urethritis. The findings did not show more chlamydial infection among men who had contact with CSWs than among men who had no such contact. The failure to use condoms among these men must be addressed.
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Affiliation(s)
- A Agacfidan
- Department of Microbiology and Clinical Microbiology, Istanbul Faculty of Medicine, University of Istanbul, Turkey
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Abstract
STUDY OBJECTIVE To make a descriptive analysis of the frequency and the type of thorax and lung injuries among the casualties of the two devastating earthquakes that occurred in Turkey in 1999. DESIGN Records of the hospitalized patients injured in the earthquakes were examined retrospectively. RESULTS Among the total of 356 hospitalized patients, 21 (9.7%) in the Izmit earthquake and 6 (7.6%) in the Duzce earthquake had thorax and lung injuries. Pneumothorax and rib fractures were the two most frequent pathologies and accounted for 50% and 33.3% of the injuries, respectively. CONCLUSION Approximately 10% of the casualties of a great earthquake may be expected to have thorax and lung injuries, and traumatic chest diseases should be considered in planning the medical response strategies.
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Affiliation(s)
- S Ozdoğan
- Department of Chest Diseases and Tuberculosis, Kartal Education and Research Hospital, Istanbul, Turkey.
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22
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Ortayli N, Sahip Y, Amca B, Say L, Sahip N, Aydin D. Curable sexually transmitted infections among the clientele of a family planning clinic in Istanbul, Turkey. Sex Transm Dis 2001; 28:58-61. [PMID: 11196049 DOI: 10.1097/00007435-200101000-00013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [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: 11/26/2022]
Abstract
BACKGROUND Integrating screening and treatment of sexually transmitted infections into existing family planning programs can be a good way to fight this problem. Also, the number of studies on the prevalence of certain sexually transmitted infections in this population in Turkey is limited. GOAL To find out the prevalence of the most common sexually transmitted infections among the clients of an urban family planning clinic and to evaluate demographic characteristics and clinical signs related to sexually transmitted infections. STUDY DESIGN Samples for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis were collected from 569 women who attended the clinic from December 15, 1997 to March 31, 1998. RESULTS No case of N gonorrhoeae was found among the samples. The prevalence of C trachomatis infection was 1.9%, whereas the prevalence of of T vaginalis was 2.6%. None of the demographic characteristics or clinical signs was related to these infections. CONCLUSION Larger studies using more sensitive laboratory tests are needed to determine the prevalence of chlamydial infections in family planning clinics in Turkey.
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Affiliation(s)
- N Ortayli
- Woman and Child Health Training and Research Unit, Medical School of Istanbul, University of Istanbul, Turkey
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Yalçin S, Ozişik Y, Aydin D. Leiomyosarcomatosis involving the duodenum and the subcutaneous tissue. J Exp Clin Cancer Res 1998; 17:405-7. [PMID: 10089058] [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: 02/11/2023]
Abstract
Soft tissue sarcomas include only 0.7% of all malignancies and leiomyosarcomas constitute about 10% of all sarcomas. Very rarely leiomyosarcoma may present as multifocal primaries. We report a 65-year-old patient with multiple subcutaneous nodules. During the investigation period the patient had hematemesis and melena. Upper gastro-intestinal endoscopy was performed and multiple polipoid lesions were discovered in the duodenum. The rest of gastrointestinal system was normal with barium graphies. Biopsies from the subcutaneous nodules and duodenal lesions showed leiomyosarcoma. Although we cannot rule out the possibility of metastases, we strongly consider a multicentric origin since no other metastasis is present and duodenal lesions are also multiple.
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Affiliation(s)
- S Yalçin
- Hacettepe University, Institute of Oncology, Ankara, Turkey
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Fabbri J, Cathomas G, Aydin D, Elsasser S, Frei R, Dalquen P. [Dysphagia, cavernous changes of the lungs and subarachnoid hemorrhage following kidney transplantation]. Schweiz Med Wochenschr 1995; 125:1874-82. [PMID: 7481647] [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: 01/25/2023]
Abstract
A 54-year-old patient with polycystic kidney disease developed relapsing urinary-tract infections after renal transplantation. In the post-transplantation period he underwent two rejection episodes. The general condition worsened without obvious reason. Six months after transplantation the patient was hospitalized due to gram-negative sepsis. Despite adequate antimicrobial treatment he continued to lose weight and complained of dysphagia. Chest X-ray and computer tomogram of the thorax showed multiple cavitating infiltrations of the lung. A few days later the patient died from an extended subarachnoidal hemorrhage.
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Affiliation(s)
- J Fabbri
- Abteilung für Onkologie, Kantonsspital Basel
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