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Sertdemir AL, Şahin AT, Duran M, Çelik M, Tatar S, Oktay İ, Alsancak Y. Association between syndecan-4 and subclinical atherosclerosis in ankylosing spondylitis. Medicine (Baltimore) 2024; 103:e37019. [PMID: 38241528 PMCID: PMC10798725 DOI: 10.1097/md.0000000000037019] [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] [Received: 08/11/2023] [Accepted: 01/02/2024] [Indexed: 01/21/2024] Open
Abstract
BACKGROUND Despite advances in the diagnosis and treatment of ankylosing spondylitis (AS), the risk of cardiovascular complications in AS patients is still higher than in the general population. Macrophages are at the intersection of the basic pathogenetic processes of AS and atherosclerosis. Although syndecan-4 (SDC4) mediates a variety of biological processes, the role of SDC4 in macrophage-mediated atherogenesis in AS patients remains unclear. Herein, we aimed to investigate the role of SDC4 in subclinical atherosclerosis in AS patients. METHODS Subjects were selected from eligible AS patients and control subjects without a prior history of AS who were referred to the rheumatology outpatient clinics. All participants' past medical records and clinical, and demographic characteristics were scanned. In addition, carotid intima-media thickness (CIMT) measurement and disease activity index measurement were applied to all patients. RESULTS According to our data, serum SDC4 level was significantly higher among AS patients compared with the control group (6.7 [1.5-35.0] ng/mL vs 5.1 [0.1-12.5] ng/mL, P < .001). The calculated CIMT was also significantly higher in AS patients than in the control group (0.6 [0.3-0.9] mm vs 0.4 (0.2-0.7), P < .001]. Additionally, serum C-reactive protein level and SDC4 level were independent predictors of AS and strongly associated with CIMT. Linear regression analysis showed that serum SDC4 level was the best predictor of CIMT (P = .004). CONCLUSION Our data indicate that serum SDC4 levels provide comprehensive information about the clinical activity of the disease and subclinical atherosclerosis in AS patients.
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Affiliation(s)
- Ahmet L. Sertdemir
- Department of Cardiology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
| | - Ahmet T. Şahin
- Department of Cardiology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
| | - Mustafa Duran
- Department of Cardiology, Konya City Hospital, Konya, Turkey
| | - Mustafa Çelik
- Department of Cardiology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
| | - Sefa Tatar
- Department of Cardiology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
| | - İrem Oktay
- Department of Cardiology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
| | - Yakup Alsancak
- Department of Cardiology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey
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Özcan FŞ, Dikmen H, Özcan N, Çetin Ö, Çelik M, Trendafilova A. Microwave-assisted extraction optimization of sesquiterpene lactones from Inula helenium roots: A sustainable approach to reduce energy consumption and carbon footprint. Food Sci Nutr 2024; 12:255-267. [PMID: 38268885 PMCID: PMC10804079 DOI: 10.1002/fsn3.3775] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 09/13/2023] [Accepted: 09/27/2023] [Indexed: 01/26/2024] Open
Abstract
Inula helenium roots are consumed as natural flavor components and raw or cooked as food, and their extracts are rich in sesquiterpene lactones such as alantolactone (AL) and isoalantolactone (IAL), which have recently attracted great attention due to their pharmacological properties. The industrial utilization of these compounds requires the development of green, efficient, cost-effective, and sustainable extraction protocols. Therefore, this study focused on the optimization of microwave-assisted extraction (MAE) process variables using Face-Centered Central Composite Design (FC-CCD). Then, maceration was applied as a conventional technique, and these techniques were compared in terms of extraction efficiency, morphological changes, antimicrobial activities, carbon emissions, and energy consumption. As a result, optimal MAE conditions, i.e., EtOH: water ratio (X 1) = 100:0, liquid/sample ratio (X 2) = 30:1 mL/g, microwave power (X 3) = 300 W, and irradiation time (X 4) = 5 min, were obtained with AL and IAL yields of 54.99 ± 0.11 (mg/g) and 48.40 ± 0.19 (mg/g), respectively. The extract obtained by MAE had similar or better activity than positive controls in most cases and formed the largest inhibition zones against E. coli (29.5 ± 0.71 mm) and A. niger (34.75 ± 1.06 mm). Morphological changes of I. helenium roots after extraction were observed by scanning electron microscopy. Additionally, MAE was 43.4 times faster than maceration, resulting in 228.6 times less energy consumption and carbon emissions. Based on these findings, it is recommended to use MAE as an industrial green technique for the extraction of sesquiterpene lactones with potential applications in nutraceuticals and food products in terms of sustainable economy and environmental protection.
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Affiliation(s)
| | - Hilal Dikmen
- Department of Food Engineering, Faculty of Chemical and Metallurgical EngineeringYildiz Technical UniversityIstanbulTurkey
| | - Nihat Özcan
- TUBITAK Marmara Research CentreLife SciencesKocaeliTurkey
| | - Özlem Çetin
- Department of Biotechnology, Faculty of ScienceSelcuk UniversityKonyaTurkey
| | - Mustafa Çelik
- Advanced Technology Research and Application CenterSelcuk UniversityKonyaTurkey
| | - Antoaneta Trendafilova
- Institute of Organic Chemistry with Centre of PhytochemistryBulgarian Academy of SciencesSofiaBulgaria
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Çelik M, Işik C, Arikan E, Kurtboğan M, Boz M. Mean platelet volume and neutrophil/lymphocyte ratio in adolescent idiopathic scoliosis: can they be predictive value in diagnosis? Acta Orthop Belg 2023; 89:393-398. [PMID: 37935220 DOI: 10.52628/89.3.10621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Abstract
In our study, we evaluated whether mean platelet volume (MPV) and neutrophil lymphocyte ratio (NLR) are predictive values in the diagnosis of Adolescent Idiopathic Scoliosis in patients diagnosed with scoliosis in our clinic. Approximately 15000 patients who applied to our spine outpatient clinic with the suspicion of scoliosis between 2011 and 2018 were reviewed retrospectively. 292 patients were included in the study. The patients were divided into 3 groups. Group 1; control group group 2; group with the possibility of developing scoliosis under follow-upand group 3; the patient group diagnosed with scoliosis. Spinal curvature degrees of the patients were measured using the Cobb method. The MPV and NLR values of the patients were compared with the degree of curvature measured by the cobb method. NLR was 2.17 ± 2.10 K/ul in Group 1, 2.42 ± 1.76 K/ul in Group 2, and 2.72 ± 3.91 K/ul in Group 3. Although the NLR of the 3rd group was higher than the other 2 groups, it was not statistically significant. (p > 0.05). MPV was 7.90 ± 1.07 fL in Group 1, 7.95 ±1.39 fL in Group 2, 8.33 ± 1.37 fL in Group 3.MPV was higher in Group 3 and was found to be statistically significant (p=0.024). After adjusting for the effects of gender and age variables on the groups, the difference in MPV between groups became more significant (p=0.017) . While there was no statistically significant difference between the groups in terms of NLR, it was observed that MPV was statistically significantly higher in patients with AIS.Could this relationship be a promising inflammatory marker for AIS? We think that this question should be answered by studies involving larger patient and control groups.
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Çelik M, Yilmaz H, Kılıç MC, Soykan M, Akbudak İH, Ozban M, Yılmaz M. Efficacy and safety of endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy and biliary stenting in post-operative bile leaks. ULUS TRAVMA ACIL CER 2023; 29:904-908. [PMID: 37563904 PMCID: PMC10560794 DOI: 10.14744/tjtes.2023.49963] [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] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 07/04/2023] [Accepted: 07/16/2023] [Indexed: 08/12/2023]
Abstract
BACKGROUND We evaluated the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP), sphincterotomy, balloon biliary tract scanning, and plastic stenting in diagnosing and treating bile duct leakage after laparoscopic cholecystectomy and hydatid cyst surgery in this study. METHODS The study evaluated patients who underwent ERCP, sphincterotomy, and stenting for post-operative bile leakage. The patients were grouped under 4 groups (cystic duct stump, sac bed, hydatid cyst, and choledochal) according to the bile leakage de-tected in the ERCP procedure. The success of the procedure after the ERCP was evaluated by drain extraction time, whether early complications such as bleeding, pancreatitis, and perforation developed due to the ERCP procedure and the presence of obstructive pathology in ERCP. RESULTS Clinical improvement was observed in 65/73 (89%) patients who underwent successful ERCP procedures, and their drains could be removed. The mean drain removal time was 32.69±23.32 days. After laparoscopic cholecystectomy, bile leakage was most frequently from the cystic duct stump. There was no difference between the groups in procedural success rates. Drain removal time was shorter in the patient group with leakage from the cystic duct compared to the other three groups (P<0.05). After the ERCP procedure, 5/73 (6.9%) patients had minor ERCP complications, which improved with medical treatment. No major ERCP complication was observed. In addition, 25/73 patients (34.2%) had obstructive pathology such as biliary stone and hydatid membrane. CONCLUSION In patients with biliary leak due to laparoscopic cholecystectomy and hydatid cyst surgery, ERCP, sphincterotomy, balloon scanning, and plastic stenting are both highly effective and reliable options. They should be considered as the first-choice treat-ment approach in this patient group.
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Affiliation(s)
- Mustafa Çelik
- Department of Gastroenterology, Pamukkale University Training and Research Hospital, Denizli-Türkiye
| | - Halil Yilmaz
- Department of Gastroenterology, Denizli State Hospital, Denizli-Türkiye
| | - Mahmut Can Kılıç
- Department of Gastroenterology, Pamukkale University Training and Research Hospital, Denizli-Türkiye
| | - Melek Soykan
- Department of Gastroenterology, Pamukkale University Training and Research Hospital, Denizli-Türkiye
| | - İlknur Hatice Akbudak
- Department of Anesthesiology and Reanimation, Pamukkale University Training and Research Hospital, Denizli-Türkiye
| | - Murat Ozban
- Department of General Surgery, Pamukkale University Training and Research Hospital, Denizli-Türkiye
| | - Mustafa Yılmaz
- Department of Gastroenterology, Pamukkale University Training and Research Hospital, Denizli-Türkiye
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Üstün F, Ustabaşıoğlu F, Tokuç B, Bülbül BY, Çelik M, Aytürk S. PAGET'S DISEASE OF THE BONE FOUND INCIDENTALLY ON F-18 FDG PET/CT: CLINICAL SIGNIFICANCE AND DIFFERENTIAL DIAGNOSTIC CRITERIA. Acta Endocrinol (Buchar) 2023; 19:292-300. [PMID: 38356987 PMCID: PMC10863963 DOI: 10.4183/aeb.2023.292] [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] [Indexed: 02/16/2024]
Abstract
Background Paget Disease (PD) is usually asymptomatic and discovered incidentally, it is known that it is exhibited low to high grade increased F-18 FDG uptake. Aim In this study, we investigated the distinguishability of FDG PET/CT in incidental PD cases from other bone diseases and at different stages of the disease. Patients and Methods In this cross-sectional, descriptive study, "Paget" identification associated with PET/CT reports was found in 69 of 18,119 studies (~3.8%). Of the 45 patients (33 males and 12 females) eligible for inclusion in the study, 35.6% had monostotic and 64.4% had polyostotic disease (p>0.5). There was no statistically significant difference in biochemical parameters between groups. Results According to the radiological appearance of the patients, 36 were in the mixed stage and 9 were in the blastic stage. Only the difference in ALP and creatinine values between the groups was statistically significant. SUVmax, SUVmean and HU values were found to be statistically significantly higher in pagetoid bones compared to control bone lesions. For SUVmax for PD bone lesion we found the 2.55 cutoff point with a sensitivity of 91% and a specificity of 84%. Conclusion The specific radiological appearance of bone lesions and the evaluation of metabolic activity compared to normal bone seem to help differentiate PD from other lesions. Prospective studies are needed in the differentiation of FDG's disease stage and treatment response evaluation. The ability to differentiate between benign and malignant FDG avid bone lesions in oncological patients' enables appropriate patient management, including avoiding unnecessary additional invasive procedures such as bone biopsy.
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Affiliation(s)
- F. Üstün
- Trakya University, Faculty of Medicine, Department of Nuclear Medicine, Edirne
| | - F.E. Ustabaşıoğlu
- Trakya University, Faculty of Medicine, Department of Radiology, Edirne
| | - B. Tokuç
- Namık Kemal University, Faculty of Medicine, Department of Public Health, Tekirdağ
| | - B. Yımaz Bülbül
- Namık Kemal University, Faculty of Medicine, Department of Public Health, Tekirdağ
| | - M. Çelik
- Trakya University, Faculty of Medicine, Department of Endocrinology and Metabolic Diseases, Edirne
| | - S. Aytürk
- Kayseri City Hospital, Department of Endocrinology and Metabolic Diseases, Kayseri, Turkey
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Yıldız AM, Sungurtekin U, Çelik M, Sungurtekin H. Retrospective analysis of the long-term outcomes of percutaneous endoscopic gastrostomy in critically ill patients and the satisfaction of their caregivers. Eur Rev Med Pharmacol Sci 2023; 27:1104-1109. [PMID: 36808358 DOI: 10.26355/eurrev_202302_31213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE Long-term benefits of percutaneous endoscopic gastrostomy and satisfaction of patients' caregivers have not been investigated in the literature in detail. Hence, this study was carried out to investigate the long-term nutritional benefits of percutaneous endoscopic gastrostomy in critically ill patients and their caregivers' acceptance and satisfaction rates. PATIENTS AND METHODS The population of this retrospective study consisted of critically ill patients who underwent percutaneous endoscopic gastrostomy between 2004 and 2020. Data about the clinical outcomes were obtained via telephone interviews using a structured questionnaire. The long-term benefits of the procedure in terms of weight change and the current thoughts of the caregivers about percutaneous endoscopic gastrostomy were addressed. RESULTS The study sample consisted of 797 patients with a mean age of 66.4 ± 17.1 years. Patients' Glasgow Coma Scale scores ranged from 4.0 to 15.0, with a median score of 8. Hypoxic encephalopathy (36.9%) and aspiration pneumonitis (24.6%) were the most common indications. There was neither change in body weight nor weight gain in 43.7% and 23.3% of the patients, respectively. Oral nutrition could be recovered in 16.8% of the patients. Of the caregivers, 37.8% stated that percutaneous endoscopic gastrostomy was beneficial. CONCLUSIONS Percutaneous endoscopic gastrostomy may be a feasible and effective method for long-term enteral nutrition in critically ill patients treated in intensive care units.
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Affiliation(s)
- A M Yıldız
- Department of Anesthesiology and Reanimation, Department of General Surgery, Department of Gastroenterology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
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Taci DY, Yılmaz S, Arslan İ, Fidancı İ, Çelik M. The Evaluation of Frailty in the Elderly and Affecting Biopsychosocial Factors: A Cross-Sectional Observational Study. Iran J Public Health 2023; 52:159-165. [PMID: 36824243 PMCID: PMC9941439 DOI: 10.18502/ijph.v52i1.11678] [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] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 09/06/2022] [Indexed: 01/17/2023]
Abstract
Background We aimed to evaluate the frequency of frailty and the affecting factors in people living in our society over 65 yr old. Methods Our descriptive and cross-sectional study included 261 individuals aged 65 and over who applied to Ankara Training and Research Hospital family practice centers and district polyclinics from 1 Jan to 1 Feb 2020. The participants were asked to complete a sociodemographic data form, FRAIL Scale, Katz Daily Living Activities Scale, Lawton&Brody Instrumental Activities of Daily Living Scale and Geriatric Depression Scale Short Form. Results According to the FRAIL Scale results: 35 people were found to be frail (13.4%), 115 to be pre-frail (44.1%). No frailty was observed in 111 people (42.5%). While the mean score of the Katz Activities of Daily Living Scale was found to be 5.65±0.71, the mean score of the Lawton&Brody Instrumental Activities of Daily Living Scale was found to be 6.65±1.69. In the geriatric depression evaluation, mild, medium or severe depression was detected in 87 participants (33.2%). As the level of frailty increased, the Geriatric Depression Scale score climbed significantly (P<0.001). In frail individuals, Lawton&Brody Scale scores were significantly lower (P<0.001). In our study: a correlation was found between frailty and female gender, being single, low income, low educational level, obesity, polypharmacy and decreased physical activity. Additionally, as the number of children increase frailty in women increases therewithal. Conclusion Elderly people had high frailty. Polypharmacy, depression and reduced physical activity were the more frequent in frail elderly. In frail females, the number of children was significantly higher.
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Affiliation(s)
- Duygu Yengil Taci
- Department of Family Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey,Corresponding Author:
| | - Selin Yılmaz
- Department of Family Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey
| | - İsmail Arslan
- Department of Family Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey
| | - İzzet Fidancı
- Department of Family Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Mustafa Çelik
- Department of Family Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey
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Öcal N, Çelik M, Satış NK. Pulmonary hypertension in the elderly. Is it an overdiagnosis or a distinct entity? Eur Rev Med Pharmacol Sci 2022; 26:7474-7481. [PMID: 36314317 DOI: 10.26355/eurrev_202210_30017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
OBJECTIVE The diagnosis of pulmonary hypertension (PH) in the elderly has become more common, recently. The possibility of overdiagnosis or misdiagnosis may arise in the elderly due to accompanying physiological changes and comorbidities. In this study, we aimed at revealing the clinical findings of individuals aged 60 years and older who were diagnosed with Group 1 and Group 4 PH, and at determining their differences with younger adults. PATIENTS AND METHODS Patients aged 60 years and older who were diagnosed with PH were identified. Among these patients, patients with a diagnosis of Group 1 PH (PAH) and Group 4 PH (CTEPH) were selected. A control group was formed from young and middle-aged patients. Demographic, clinical and hemadynamic characteristics of the elderly patients and the control group were analyzed. RESULTS The mean WHO Functional Class and the Charlson Comorbidity Index score were significantly higher; the mean EF was significantly lower in the elderly. The right heart catheterization results were assessed. While the mean PAP was significantly higher in young-middle-aged patients (49.6 vs. 39.2 mmHg) (p=0.03), the mean PCWB was significantly higher in the elderly (11.4 vs. 8.1 mmHg) (p=0.005). The young-middle-aged patients had a significantly higher mean PVR values (10.7 vs. 8.3 WU) (p=0.01). CONCLUSIONS Comorbidities and age-related functional losses may complicate the diagnosis of PH in elderly. Group 2 PH, which we frequently encounter in the elderly, may mask the true Group 1 or Group 4 PH in these patients. PH should be kept in mind in the elderly patients with unexplained exertional dyspnea.
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Affiliation(s)
- N Öcal
- Department of Pulmonology, Gulhane Medical Faculty, Health Sciences University, Ankara, Turkey.
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Sinan M, Yengil Taci D, Fidancı İ, Arslan I, Çelik M. Assessment of Smoking Habits of Healthcare Professionals during the Covid-19 Pandemic Period. Ankara Med J 2022. [DOI: 10.5505/amj.2022.69926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Kandemir A, Taşkıran İ, Vatansever S, Çelik M, Yavaşoğlu İ, Türe M, Coşkun A, Yaşa MH. Therapeutic Plasma Exchange and Conservative Treatment Comparison in Patients with Hypertriglyceridemia-induced Acute Pancreatitis. meandros 2021. [DOI: 10.4274/meandros.galenos.2021.54815] [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: 12/01/2022]
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Bozkurt HB, Çelik M. Investigation of the serum vitamin D level in infants followed up with the diagnosis of laryngomalacia: a case-control study. Eur Arch Otorhinolaryngol 2020; 278:733-739. [PMID: 33026500 DOI: 10.1007/s00405-020-06412-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 09/28/2020] [Indexed: 12/12/2022]
Abstract
OBJECTIVE The possible etiological relationship of the vitamin D with laryngomalacia is unclear. The aim of the study was to demonstrate the relationship between laryngomalacia and vitamin D levels. METHODS Twenty-three non-syndromic babies under the age of 1 year who were diagnosed with laryngomalacia were included in the study group. Forty healthy babies were included in the control group. The detailed anamnesis was obtained and a complete systemic physical examination, a flexible endoscopic laryngeal examination, and laboratory tests [calcium (Ca), phosphorus (P), alkaline phosphatase (ALP), parathormone (PTH), alanine transaminase (ALT), aspartate transaminase (AST), blood urea nitrogen (BUN), creatinine (Cre), and 25-hydroxy vitamin D (25-OH D)] were performed in all patients. All laboratory tests of the groups were compared. RESULTS It was observed that there was no significant difference in the parameters that could affect vitamin D levels, namely type of feeding, vitamin D supplement intake, and the season when the serum sample was taken (p > 0.05). The vitamin D level was significantly lower (p = 0.003, p < 0.05) and the P and ALP levels were significantly higher (p = 0.016 and p = 0.001, respectively; p < 0.05) in the laryngomalacia group. Although the correlation between vitamin D and PTH was not statistically significant according to the Pearson correlation analysis, it was lower in the laryngomalacia group compared to the control group (p = 0.381, p > 0.05). CONCLUSION In this study, it was observed that the vitamin D levels were lower in infants with laryngomalacia compared to the control group. We consider that vitamin D deficiency may be a factor in the etiology of laryngomalacia with a yet-to-be-clarified etiology.
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Affiliation(s)
| | - Mustafa Çelik
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Beykent Unıversity, Istanbul, Turkey.
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Çelik M, Nar R, Nar G, Sökmen E, Günver G. Serum omentin-1 levels in hypertensive patients. J Hum Hypertens 2020; 35:290-295. [PMID: 32978495 DOI: 10.1038/s41371-020-00420-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 08/27/2020] [Accepted: 09/16/2020] [Indexed: 11/09/2022]
Abstract
Hypertension (HT) is a disease that can cause death due to multiple target organ damage and eventually related vascular system damage. High blood pressure is known increased inflammatory activity and to cause endothelial dysfunction has been showed in HT patients. Omentin-1 is a glucoprotein of the adiponectin family released from visceral adipose tissue, endothelial cells, and visceral fat stromal-vascular cells. It has anti-inflammatory effect and circulating omentin-1 concentration correlates negatively with waist circumference, insulin resistance, and body-mass index. Serum omentin-1 is used as a biomarker of coronary artery disease, obesity, cancer, metabolic syndrome, inflammatorydisease, atherosclerosis, and diabetes mellitus. The aim of our study is to investigate circulating omentin-1 levels in HT patients compared to healthy normotensive controls. Patients diagnosed with new essential HT (n = 61) and healthy normotensive individuals (n = 60) were enrolled in this study. The HT group was separated into two subgroups. There were 30 patients in stage 2 HT group and 31 patients in stage 1 HT group. Omentin-1 levels were significantly lower both in stage 1 and 2 HT subgroup as compared with the normotensive controls (72.19 ± 54.33 ng/ml for stage 1 HT subgroup; 62.45 ± 47.01 ng/ml for stage 2 HT subgroup; and, 147.84 ± 58.55 ng/ml for healthy normotensive controls; overall P < 0.001). The present study demonstrated that serum Omentin-1 levels decreased in patients with HT compared with normotensive controls. These lower concentrations may be attributed to a combined outcome of endothelial dysfunction, renal injury, and inflammation in the setting of hypertension.
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Affiliation(s)
- Mustafa Çelik
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
| | - Rukiye Nar
- Department of Biochemistry, Pamukkale Medical Faculty, Denizli, Turkey
| | - Gökay Nar
- Department of Cardiology, Pamukkale Medical Faculty, Denizli, Turkey
| | - Erdoğan Sökmen
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Güven Günver
- Department of Biostatistics, Istanbul Medical Faculty, İstanbul, Turkey
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Coşkun A, Çelik M, Kandemir A. The Efficacy of Bismuth-based Quadruple and Sequential Therapies in Helicobacter pylori Eradication. meandros 2020. [DOI: 10.4274/meandros.galenos.2019.08831] [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: 12/01/2022]
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Çelik M, Yegin Y, Olgun B, Altıntaş A, Kayhan FT. Impact of the Angles of the Septal Deviation on the Degree of the Mastoid Pneumatization. Iran J Otorhinolaryngol 2020; 32:163-168. [PMID: 32596175 PMCID: PMC7302526 DOI: 10.22038/ijorl.2019.35284.2162] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: The aim was to explore the developmental relationships between the angles of septal deviations and the degree of the mastoid pneumatization. Materials and Methods: In total, 143 patients with a diagnosis of septal deviation who underwent septoplasty were included. The patients were divided into three groups in terms of the angles of the septal deviation. The angle of the septal deviations was defined as mild (<9 degrees), moderate (between 9 and 15 degrees) and severe (15 degrees and above). The degree of the mastoid pneumatization of each groups were compared. Results: In right-sided septal deviation subjects, the right mastoid air cell volumes of group mild, moderate and severe were 6,31±2,33 cm3, 5,20± 1,51 cm3, and 5,31±1,57 cm3, respectively. The mean right mastoid volumes of each groups did not differ in right-sided deviations subjects (P>0.05). The mean left mastoid volumes of each groups did not differ in right-sided deviations subjects (P>0.05). In right-sided septal deviation subjects, the mean volume of the right and left-sided mastoid air cells of each groups did not differ (P>0.05). In left-sided septal deviation subjects, the mean volume of the right and left-sided mastoid air cells of each groups did not differ (P>0.05). Conclusions: No developmental relationships between the angles of septal deviations and the degree of the mastoid pneumatization was observed in the study.
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Affiliation(s)
- Mustafa Çelik
- Department of Otorhinolaryngology-Head and Neck Surgery, Kafkas University, Faculty of Medicine, Kars, Türkiye
| | - Yakup Yegin
- Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Burak Olgun
- Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Ahmet Altıntaş
- Department of Otorhinolaryngology - Head and Neck Surgery, Fatih Medicalpark Private Hospital, Istanbul, Turkey
| | - Fatma-Tülin Kayhan
- Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
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Sivri S, Sökmen E, Çelik M, Güçlü K. Nesfatin-1 Levels Predict Angiographic No-Reflow in Patients with ST-Segment Elevation Myocardial Infarction. Acta Cardiol Sin 2020; 36:318-325. [PMID: 32675923 PMCID: PMC7355118 DOI: 10.6515/acs.202007_36(4).20200207a] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Accepted: 02/07/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND Nesfatin-1 is a novel peptide possessing pleiotropic metabolic effects. No-reflow phenomenon (NR) is a poor prognostic indicator occurring in around 30% of all patients undergoing primary percutaneous coronary interventions (pPCI). Inflammation and complexity of coronary artery disease (CAD) play pivotal roles in the pathogenesis of NR. In this study, we investigated the relationship between admission serum nesfatin-1 level, NR and complexity of CAD assessed by SYNTAX-1 (SS-1) and SYNTAX-2 (SS-2) scores in patients with ST-segment elevation myocardial infarction (STEMI) undergoing pPCI. METHODS A total of 174 STEMI patients who underwent pPCI were included in the study and divided into NR (n = 36) and normal flow (n = 138) groups. Serum nesfatin-1 was measured by enzyme-linked immunosorbent assay. Seventy-eight consecutive age-, gender- and co-morbidity-matched patients undergoing coronary angiography with < 50% stenosis comprised the control group. RESULTS Nesfatin-1 levels were significantly lower in the NR group compared to the normal flow and control groups (10.8 ± 6.6 ng/mL vs. 34.9 ± 24 ng/mL vs. 43.6 ± 23.2 ng/mL, respectively, p < 0.001). Nesfatin-1 was significantly and inversely correlated with SS-1 and SS-2 scores (r = -0.709 and r = -0.655, respectively, both p < 0.001). Multivariate logistic regression analysis showed that nesfatin-1 [odds ratio (OR) = 0.81, 95% confidence interval (CI) = 0.708-0.936, p = 0.004] and glomerular filtration rate (OR = 0.94, 95% CI = 0.892-0.989, p = 0.018) were independently associated with NR. In the receiver operating characteristic analysis, nesfatin-1 < 15.21 ng/mL predicted NR with 78.4% sensitivity and 72.2% specificity (area under the curve = 0.809, 95% CI = 0.701-0.918, p < 0.001). CONCLUSIONS Admission nesfatin-1 level is a potent predictor of NR in STEMI patients undergoing pPCI. Additionally, nesfatin-1 has a robust and negative correlation with the complexity of CAD.
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Affiliation(s)
| | | | | | - Kenan Güçlü
- Department of Biochemistry, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
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Çelik M, Yücel HE, Sivri S, Sökmen E, Uçar C. Wet Cupping Therapy Improves the Parameters of Ventricular Repolarization. J Acupunct Meridian Stud 2020; 13:124-128. [PMID: 32553839 DOI: 10.1016/j.jams.2020.06.001] [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: 08/04/2019] [Revised: 05/14/2020] [Accepted: 06/03/2020] [Indexed: 10/24/2022] Open
Abstract
BACKGROUND Cupping therapy (CT) is an ancient medical treatment since antiquity and is used for the treatment of such various disease states as contagious diseases, chronic or acute inflammatory disease, and autoimmune disorders. Ventricular repolarization is represented by QT and corrected-QT (QTc) intervals from surface electrocardiography. OBJECTIVES As novel repolarization parameters, Tpeak-toTend (Tp-Te) interval, and Tp-Te/QT and Tp-Te/QTc ratios are suggested to correlate better with ventricular arrhythmia risk in various clinical conditions than sole QT and QTc intervals. In this study, we aimed to determine whether these parameters changed significantly after CT in healthy individuals. METHODS One hundred and twenty participants (57 women and 63 men; mean age: 49.0 ± 13.0 years) participated in this study. ECGs strips were recorded 1 hour before and 1 hour after CT from each participant, and relevant ECG parameters were compared. RESULTS Tp-Te interval [69.51 ± 11.54 msec vs 63.15 ± 10.89 msec, p = 0.001], Tp-Te/QT ratio [0.191 ± 0.030 vs 0.174 ± 0.031, p = 0.002] and Tp-Te/QTc ratio [0.175 ± 0.030 vs 0.159 ± 0.026, p = 0.001] were found to be significantly decreased 1 hour after the procedure compared with the pre-procedure values. However, no statistically significant change was observed in mean heart rate, QT and QTc intervals, QT/QRS and cQT/QRS, and frontal QRS/T angle after the procedure compared with the same parameters before the procedure (p > 0.05). CONCLUSIONS In accordance with the results of our study, it is plausible to conclude that CT may exert cardioprotective effect. However, larger scale prospective studies are needed to support our findings.
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Affiliation(s)
- Mustafa Çelik
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
| | - Hasan E Yücel
- Department of Internal Medicine Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
| | - Serkan Sivri
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
| | - Erdoğan Sökmen
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
| | - Cahit Uçar
- Department of Internal Medicine Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
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Çelik M, Bağcı Y. Phylogenetic relationships of the Bunium elegans complex (Apiaceae): new evidence from nrDNA-ITS sequences. J Biotechnol 2019. [DOI: 10.1016/j.jbiotec.2019.05.224] [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: 10/25/2022]
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18
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Çetin Ö, Çelik M, Özcan T. Phylogenetic relationships in Trinia inferred from chloroplast matK and trnL-trnF nucleotide sequence data. J Biotechnol 2019. [DOI: 10.1016/j.jbiotec.2019.05.225] [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: 11/15/2022]
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Sökmen E, Çelik M, Sivri S, Güçlü K. Relationship between Paraoxonase-1 and Arylesterase Enzyme Activities and SYNTAX I and II Scores in Patients with ST-Elevation Myocardial Infarction. J Tehran Heart Cent 2019; 14:156-164. [PMID: 32461755 PMCID: PMC7231678] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Background: Although serum paraoxonase-1 (PON-1) and arylesterase (ARE) activities are linked to the presence of stable coronary arterial disease, their correlation with SYNTAX Score I (SS1) and SYNTAX Score II (SS2) has not been known well. Our aim was to determine the association between PON-1 and ARE activities, together with the genetic polymorphism of PON-1, and both SS1 and SS2 in patients with acute ST-segment elevation myocardial infarction (STEMI). Methods: Consecutive patients with acute STEMI (n=102: 78 male, 24 female; mean age=61.14±12.25 y) admitted to the Emergency Department of Kırşehir Ahi Evran University Hospital between August 2018 and December 2018 were enrolled. PON-1 and ARE activities were determined on hospital admission. The SS1 and SS2 scores were calculated by using the angiographic and clinical data. Subsequently, the relationships between the activities of the enzymes, together with the genetic polymorphism of PON-1, and both SS1 and SS2 were interrogated. Results: The mean SS1 and the mean SS2 were 19.8±9.7 and 32.3±11.5, respectively. The phenotype distributions of PON-1 were Q192Q (n=60), R192Q (n=35), and R192R (n=7). The respective PON-1 (U/L) and ARE (kU/L) activities were 514.85±29.34 and 216.82±36.72 in the low SS1 category; 527.60±56.31 and 203.95±55.97 in the intermediate SS1 category; and, 690.10±11.07 and 238.48±45.65 in the high SS1 category.PON-1 and ARE activities did not correlate with the SS1 categories, and varying SS2 scores. The distribution of the Q192R polymorphism was homogenous among the different SS1 and SS2 scores. The localization of acute STEMI also did not associate with the activities of either enzyme. Conclusion: Admission serum PON-1 and ARE activities, together with the PON-1 Q192R genetic polymorphism, showed association neither with SS1 and SS2 nor with the localization of infarction in our acute STEMI patients.
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Affiliation(s)
- Erdoğan Sökmen
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.,Corresponding Author: Erdoğan Sökmen, Ahi Evran University Training and Research Hospital, Department of Cardiology, Kervansaray Mah. 2019. Sok. No:1. 40100, Kirsehir, Turkey. Tel: +90 38 62134515. Fax: +90 38 62134519. E-mail: .
| | - Mustafa Çelik
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
| | - Serkan Sivri
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
| | - Kenan Güçlü
- Department of Biochemistry, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
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20
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Çelik M, Gönel A. Evaluating plasma oxidative stress markers in prelingual profound sensorineural hearing loss. AVR 2019. [DOI: 10.18502/avr.v28i4.1458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background and Aim: The etiopathogenesis of sensorineural hearing loss (SNHL) is an essential contributing factor to its morbidity, which cannot be explained entirely so far. The current study aimed to determine the oxidative stress (OS) status by comparing the total antioxidant status (TAS), total oxidant status (TOS) and oxidative stress index (OSI) values in patients with pediatric prelingual profound SNHL. We also evaluated the correlation between OS parameters and audiological test results.
Methods: The study included 25 participants (9 females; age range: 6‒34 months) diagnosed with pediatric prelingual profound SNHL and 25 healthy subjects (10 females; age range: 9‒28 months). Their TAS, TOS, and OSI levels were measured in the plasma of both groups. We evaluated the correlation between OS parameters and audiological test results in the patient group.
Results: We found significantly higher serum TOS levels and OSI values in the patient group (mean ± SD of TOS: 16.08 ± 1.88 μmol H2O2 eq/L, p < 0.001; mean ± SD of OSI: 1.71 ± 0.48 arbitrary units, p < 0.001), compared to the
controls. Moreover, we found lower serum TAS levels in the patient group (mean ± SD of TAS: 0.99 ± 0.20 mmol Trolox eq/L), compared to the controls. There was a strong correlation between OS parameters and audiological test results of the patient group.
Conclusion: We detected significantly higher TOS, OSI, and lower TAS levels in pediatric patients with SNHL, compared to the healthy subjects. The obtained data indicated that pediatric SNHL is under OS influence.
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Uludağ Ö, Kaya R, Tutak A, Doğukan M, Çelik M, Dumlupınar E. Effect of Anesthesia Applied for Magnetic Resonance Imaging on the Body Temperature of Pediatric Patients. Cureus 2019; 11:e5705. [PMID: 31720173 PMCID: PMC6823000 DOI: 10.7759/cureus.5705] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objective Anesthesia may be required to ensure the immobility of the patient during a magnetic resonance imaging (MRI) scan, particularly in pediatric patients. An MRI scanner generates radiofrequency radiation (RFR) to obtain images of parts of the body. During an MRI procedure, an amount of RFR is transformed into heat by the body, thereby leading to increased body temperature. However, patients are at increased risk of hypothermia due to the impairment of thermoregulation by anesthesia and the cold and dry environment of the MRI room. The aim of this study was to investigate the effects of anesthesia on body temperature with regard to patient safety in pediatric patients undergoing an MRI scan. Materials and methods The study included a total of 40 children aged three to 10 years who underwent an MRI procedure. The patients were divided into two groups based on the administration of anesthesia: (I) non-sedated and (II) sedated. Prior to the procedure, non-sedated patients were informed about the procedure by a psychiatrist. Body temperature was measured from the tympanic membrane and skin in each patient. The MRI scan was performed at room temperature (20°C-22°C) with a relative humidity of 35%-40%. Results No significant change was found between pre- and post-scan body temperatures in Group I, whereas a significant decrease was found between pre- and post-scan body temperatures in Group II. No complication occurred in any patient due to temperature change or anesthesia. Conclusion A significant decrease in body temperature was found in pediatric patients undergoing an MRI procedure under sedation. The results implicated that anesthesia has a remarkable effect on the balance between the temperature increase caused by RFR and the temperature decrease caused by anesthesia.
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Affiliation(s)
- Öznur Uludağ
- Anesthesiology and Reanimation, Adıyaman University Faculty of Medicine, Adıyaman, TUR
| | - Recai Kaya
- Anesthesiology and Reanimation, Private Hospital, Osmaniye, TUR
| | - Atilla Tutak
- Anesthesiology and Reanimation, Adıyaman University Faculty of Medicine, Adiyaman, TUR
| | - Mevlüt Doğukan
- Anesthesiology and Reanimation, Adıyaman University Faculty of Medicine, Adiyaman, TUR
| | | | - Ebru Dumlupınar
- Biostatistics and Medical Informatics, Adıyaman University Faculty of Medicine, Adiyaman, TUR
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22
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Çelik M, Kaya KH, Yegin Y, Olgun B, Kayhan FT. Anatomical Factors in Children with Orbital Complications Due to Acute Rhinosinusitis. Iran J Otorhinolaryngol 2019; 31:289-295. [PMID: 31598496 PMCID: PMC6764809] [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] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
INTRODUCTION The role of the anatomical variations and severity of acute rhinosinusitis (ARS) in the development of ARS complications is still an unknown issue. Regarding this, the present study evaluated the relationship between the severity of ARS and anatomical nasal variations in pediatric patients with ARS-related orbital complications. MATERIALS AND METHODS This study was conducted on 134 pediatric patients with orbital complications related to ARS. The data related to patients' demographics, complication types, and involved side were collected. Nasal sides were also compared in terms of the Lund-Mackay score (LMS), osteomeatal complex (OMC) obstruction, Keros classification, presence of agger nasi cells (AGC), concha bullosa, Haller cells, Onodi cells, septal deviation, and lower turbinate hypertrophy. RESULTS The comparison of LMSs indicated a significant difference between the complicated and contralateral sides (8.37±2.44 vs. 5.62±2.71; P<0.0001). In addition, there was a significant difference between the complicated and contralateral sides in terms of the OMC scores (P<0.0001). The rates of lower turbinate hypertrophy and AGC on the complicated side were higher than those on the contralateral side (P=0.021 and P<0.00; respectively). CONCLUSION As the results indicated, anatomical variability in adjacent structures affects the development of ARS-related orbital complications in pediatric patients.
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Affiliation(s)
- Mustafa Çelik
- Department of Otorhinolaryngology - Head and Neck Surgery, Kafkas University, Faculty of Medicine, Kars, Turkey.,Corresponding Author: Department of Otorhinolaryngology - Head and Neck Surgery, Kafkas University, Faculty of Medicine, Kars, Turkey. Tel: 090533 597 6636, E-mail:
| | - Kamil-Hakan Kaya
- Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
| | - Yakup Yegin
- Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
| | - Burak Olgun
- Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
| | - Fatma-Tülin Kayhan
- Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
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Abstract
Aim: We aimed to assess the relationship between echocardiographic parameters of aortic elasticity, namely aortic strain, aortic distensibility and aortic β-index, and serum growth differentiation factor (GDF)-15 in patients with newly diagnosed essential hypertension (HT). Methods: Grade-1 HT patients (n = 50), grade-2 HT (n = 70) patients and 35 healthy controls were included. Results: GDF-15 was greater in grade-2 HT group compared with the other groups. All aortic elasticity parameters were worse in grade-2 HT group compared with the other groups. GDF-15 correlated positively with E/E′ ratio (the ratio of transmitral E velocity to mean diastolic mitral annular velocity) and β-index; and aortic strain and aortic distensibility correlated negatively with serum GDF-15. β-index, aortic diastolic diameter and diastolic blood pressure were independently associated with GDF-15. Conclusion: GDF-15 may be utilized in the prediction of increased aortic stiffness. Hypertension is a leading cause of morbidity and mortality worldwide, and is closely associated with impaired arterial and aortic elasticity. Growth differentiation factor (GDF)-15 is a novel marker of cardiovascular diseases, and appeals more and more to the researchers. In the present study, we evaluated the relationship of GDF-15 with echocardiographic parameters regarding aortic stiffness, namely aortic β-index, aortic distensibility and aortic strain in 120 newly diagnosed hypertensive patients. We found that serum GDF-15 was correlated with impaired aortic elasticity; moreover, it turned out to be a potent predictor of an increased aortic β-index in hypertension.
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Affiliation(s)
- Erdoğan Sökmen
- Department of Cardiology, Kirsehir Ahi Evran University Training & Research Hospital, Kirsehir, Turkey
| | - Cahit Uçar
- Department of Internal Medicine, Kirsehir Ahi Evran University Training & Research Hospital, Kirsehir, Turkey
| | - Serkan Sivri
- Department of Cardiology, Kirsehir Ahi Evran University Training & Research Hospital, Kirsehir, Turkey
| | - Mustafa Çelik
- Department of Cardiology, Kirsehir Ahi Evran University Training & Research Hospital, Kirsehir, Turkey
| | - Kenan Güçlü
- Department of Biochemistry, Kirsehir Ahi Evran University Training & Research Hospital, Kirsehir, Turkey
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Affiliation(s)
- Mustafa Çelik
- 1 Department of Cardiology, Ahi Evran University, Training and Research Hospital, Kirsehir, Turkey
| | - Erdoğan Sökmen
- 1 Department of Cardiology, Ahi Evran University, Training and Research Hospital, Kirsehir, Turkey
| | - Serkan Sivri
- 1 Department of Cardiology, Ahi Evran University, Training and Research Hospital, Kirsehir, Turkey
| | - Murat Erer
- 1 Department of Cardiology, Ahi Evran University, Training and Research Hospital, Kirsehir, Turkey
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Sivri S, Çelik M. Evaluation of index of cardiac-electrophysiological balance before and after hemodialysis in patients with end-stage renal disease. J Electrocardiol 2019; 54:72-75. [PMID: 30928820 DOI: 10.1016/j.jelectrocard.2019.03.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Revised: 03/13/2019] [Accepted: 03/20/2019] [Indexed: 12/19/2022]
Abstract
BACKGROUND Ventricular arrhythmias and sudden cardiac deaths are the most common cause of mortality in patients with end-stage renal disease (ESRD). Index of cardiac-electrophysiological balance (iCEB) (QT/QRS) may predict malignant ventricular arrhythmias. In this study, we investigated whether iCEB value is increased in ESRD patients and whether it changes before and after hemodialysis. METHODS The study included 52 ESRD patients and 53 control subjects matched for age and comorbidities. Biochemical, electrocardiographic and echocardiographic values of all participants were recorded. QRS, QT, Tp-e were measured manually. QTC was calculated using Bazett's formula. Then, Tp-e/QT, Tp-e/QTc, QT/QRS, and QTc/QRS ratios were calculated. The changes in ECG parameters of the ESRD patients before and after HD were compared using paired t-test. RESULTS Mean age and male sex ratio was comparable in both groups (p = 0.448 and p = 0.777, respectively). Comorbidity incidences, and biochemical parameters except eGFR (p < 0.001), albumin (p < 0.001), HDL cholesterol (p = 0.03) and platelet counts (p < 0.001) were comparable in both groups. Compared to the control group, QT, QTc, Tp-e, Tp-e/QT, Tp-e/QTc, QT/QRS, and QTc/QRS ratios were higher in the ESRD group (p < 0.05 for each). While QT and QTc intervals did not change after HD in ESRD patients, Tp-e, Tp-e/QT, Tp-e/QTc, QT/QRS, and QTc/QRS parameters increased significantly. CONCLUSION In addition to ventricular repolarization dispersion indices in ESRD patients, iCEB elevation and increasing values after HD session indicate the increased risk of TdP-mediated ventricular arrhythmia after HD. Larger studies are needed to confirm our results.
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Affiliation(s)
- Serkan Sivri
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kırşehir, Turkey.
| | - Mustafa Çelik
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kırşehir, Turkey
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Sökmen E, Çalışkan HM, Çelik M, Sivri S, Boduroğlu Y, Özbek SC. The Effect of Lower and Higher Calorie Meal on the Parameters of Ventricular Repolarization in Healthy Subjects. Open Access Maced J Med Sci 2019; 7:329-335. [PMID: 30833996 PMCID: PMC6390140 DOI: 10.3889/oamjms.2019.084] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 10/12/2018] [Accepted: 10/13/2018] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND: Cardiovascular modulation following meal consumption has been known. Little and conflicting data is present regarding electrocardiographic QT and QTc intervals after a meal, and status of ventricular repolarization following meal is not known comprehensively. AIM: To inquire the electrocardiographic status of ventricular repolarisation thoroughly after lower and higher calorie meal consumption in a comparative manner. METHODS: A group of 61 healthy individuals were studied before and after lunch. They were divided into two groups according to the calorie consumed (higher calorie and lower calorie; median 1580 and 900 kcals, respectively). Calorie consumed was estimated using dietary guidelines. Data was collected from 12-lead ECG both in a fasted state and 2nd postprandial hour for each participant. Parameters of ventricular repolarization, namely, JTp, Tp-e, QT, QTc intervals and their ratios, as well as RR intervals, were compared between fasted and postprandial states for every participant. RESULTS: Tp-e and QTc intervals, and Tp-e/QTc ratio do not significantly change after both higher- and lower-calorie meals. JTp and QT intervals significantly shorten in both groups, regardless of the calorie consumed. While JTp shows a positive correlation with RR interval both before and after a meal in lower calorie intake group, no correlation was found with RR interval after a meal in higher calorie group. Logistic regression analysis revealed that higher calorie intake during a meal is a predictor for greater shortening in JTp and QT, compared to lower calorie meal. CONCLUSION: Our study may guide future studies on ventricular repolarisation, particularly those conducted on various disease conditions or drug effect of cardiac electrophysiology.
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Affiliation(s)
- Erdoğan Sökmen
- Kirsehir Ahi Evran Education and Research Hospital, Department of Cardiology, Ahi Evran University, Kirsehir, Turkey
| | - Hacı Mehmet Çalışkan
- Kirsehir Ahi Evran Education and Research Hospital, Department of Emergency Medicine, Ahi Evran University, Kirsehir, Turkey
| | - Mustafa Çelik
- Kirsehir Ahi Evran Education and Research Hospital, Department of Cardiology, Ahi Evran University, Kirsehir, Turkey
| | - Serkan Sivri
- Kirsehir Ahi Evran Education and Research Hospital, Department of Cardiology, Ahi Evran University, Kirsehir, Turkey
| | - Yalçın Boduroğlu
- Kirsehir Ahi Evran Education and Research Hospital, Department of Cardiology, Ahi Evran University, Kirsehir, Turkey
| | - Sinan Cemgil Özbek
- Kirsehir Ahi Evran Education and Research Hospital, Department of Cardiology, Ahi Evran University, Kirsehir, Turkey
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Çelik M, Sökmen E, Sivri S, Uçar C, Nar R, Erer M. The Relationship Between Serum Endocan Level and Aortic Elastic Properties in Patients With Newly Diagnosed Essential Hypertension. Angiology 2019; 70:662-668. [DOI: 10.1177/0003319718823625] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Endothelial dysfunction plays role in the generation of both essential hypertension (EH) and aortic stiffness. We evaluated the relationship between serum endocan level and aortic elastic properties (AEPs) assessed with the aortic strain, aortic distensibility, and aortic stiffness index by echocardiography. Newly diagnosed EH patients (n = 67) and controls (n = 70) were included in the study. The EH group was subdivided into stage 1 and 2 EH groups. A higher endocan level was found in the EH group, compared to the controls (34.2 ± 13.0 vs 24.1 ± 7.3 ng/mL, respectively, P < .001). All the AEP parameters were worse in the EH group, compared to the controls. Further, endocan levels correlated with aortic distensibility ( r = −0.305, P < .001) and aortic strain ( r = −0.181, P = .038), but not with aortic stiffness index ( r = 0.162, P = .064) in the whole study population. Aortic elastic properties deteriorate and serum endocan level increases in patients with EH. Moreover, serum endocan level shows a correlation with deteriorated AEPs, and hence may a surrogate marker of escalating aortic stiffness in patients with newly diagnosed EH.
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Affiliation(s)
- Mustafa Çelik
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Erdoğan Sökmen
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Serkan Sivri
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Cahit Uçar
- Department of Internal Medicine, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Rukiye Nar
- Department of Biochemistry, Pamukkale Medical University, Denizli, Turkey
| | - Murat Erer
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
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Yılmaz A, Demir K, Karataş R, Çelik M, Avcı A, Keleş F, Erseçgin A, Aygül N, Altunkeser BB. Long–term prognostic significance of terminal QRS distortion on patients with stemi and its correlation with the GRACE scoring system. J Electrocardiol 2019; 52:17-21. [DOI: 10.1016/j.jelectrocard.2018.10.095] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 10/14/2018] [Accepted: 10/28/2018] [Indexed: 11/27/2022]
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Sökmen E, Uçar C, Sivri S, Çelik M, Boduroğlu Y, Erer M, Yıldırım A, İlanbey B. Association between Growth Differentiation Factor 15 and Non-Dipping Circadian Pattern in Patients with Newly Diagnosed Essential Hypertension. Med Princ Pract 2019; 28:566-572. [PMID: 31117085 PMCID: PMC6944892 DOI: 10.1159/000501096] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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] [Received: 12/31/2018] [Accepted: 05/22/2019] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVE Non-dipper hypertension (HT) confers greater risk compared with dipper HT. Growth differentiation factor 15 (GDF-15) recently emerged as a novel and independent marker of cardiovascular disease, both in diagnostic and prognostic scopes. Our aim was to evaluate the relationship of circadian blood pressure (BP) pattern with serum GDF-15 level in newly diagnosed HT patients without left ventricular hypertrophy. SUBJECTS AND METHODS Newly diagnosed non-dipper (n = 66) and dipper (n = 60) HT patients were selected according to 24-h ambulatory BP monitoring (ABPM). The controls comprised healthy normotensive subjects (n = 31). Data was collected through physical examination, laboratory analysis, ABPM, and echocardiography. GDF-15 was measured using ELISA. RESULTS Greater GDF-15 level was found in the non-dippers compared with the dippers and the controls (557.53 ± 91.7, 513.79 ± 62.86, and 494.44 ± 79.30 ng/L, respectively, p < 0.001). In bivariate linear correlation analysis, GDF-15 correlated positively with glomerular filtration rate (r = 0.180, p =0.030), total cholesterol (r = 0.170, p = 0.038), septal E/E' ratio (r = 0.344, p = 0.001), lateral E/E' ratio (r = 0.366, p < 0.001), nighttime systolic BP (r = 0.166, p = 0.046), and nighttime diastolic BP (r = 0.188, p = 0.024); however, it correlated negatively with septal and lateral E' velocities (r = 0.268, p = 0.005 and r = 0.236, p = 0.013, respectively). Furthermore, GDF-15 level and nighttime diastolic BP remained independently associated with non-dipper HT. In ROC analysis, optimal cutoff value for GDF-15 was 524.6 ng/L with 56.7% sensitivity and 72.4% specificity (AUC: 0.676, 95% CI: 0.580-0.772, p < 0.05). CONCLUSION Our results showed GDF-15 upregulation in the non-dipper HT group. GDF-15 and nighttime diastolic BP were independently associated with the non-dipping pattern. This study may suggest possible utilization of GDF-15 in the prediction of non-dipper HT.
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Affiliation(s)
- Erdoğan Sökmen
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey,
| | - Cahit Uçar
- Department of Internal Medicine, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Serkan Sivri
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Mustafa Çelik
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Yalçın Boduroğlu
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Murat Erer
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Alp Yıldırım
- Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
| | - Bilal İlanbey
- Department of Biochemistry, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey
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Güneşaçar R, Kelleci BM, Özkars MY, Adanır İ, Çelik M. PCR-SSP tekniğine dayalı laboratuvar yapımı HLA-B*27 optimizasyonu ve test kiti geliştirilmesi. Cukurova Medical Journal 2018. [DOI: 10.17826/cumj.429882] [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: 11/07/2022] Open
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Farivar A, Saber N, Şahan Z, Serbester U, Yenilmez F, Küçükgülmez A, Kadak A, Çelik M, Tekeli A, Kutlu H, Celik L. 174 Effects of high degree deacetylated chitosan supplementation on yolk and blood immune status of laying hens. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.652] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Farivar
- University of Çukurova,Adana, Turkey
| | - N Saber
- Çukurova University,Adana, Turkey
| | - Z Şahan
- Adıyaman University, Adıyaman, Turkey
| | | | | | | | - A Kadak
- Çukurova University,Adana, Turkey
| | - M Çelik
- Çukurova University,Adana, Turkey
| | - A Tekeli
- Eskişehir Osmangazi University, Meşelik Yerleşkesi,Turkey
| | - H Kutlu
- Çukurova University,Adana, Turkey
| | - L Celik
- Cukurova University Agriculture Faculty Department of Animal Science,Adana, Turkey
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Çelik M, Altıntaş A. The Turkish Version of the Rhinoplasty Outcomes Evaluation Questionnaire: Validation and Clinical Application. Balkan Med J 2018. [DOI: 10.4274/balkanmedj.2018.1129] [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: 12/01/2022] Open
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Abstract
Background: An assessment of rhinoplasty from the patient’s perspective, in terms of satisfaction and quality of life, is quite important because these are the predominant factors indicating the success of rhinoplasty. Aims: To translate the Rhinoplasty Outcomes Evaluation into Turkish and then validate the new version for use in Turkish patients. Study Design: Validation study. Methods: We enrolled 30 participants who were able to read and write Turkish and underwent primary rhinoplasty. The control group consisted of 58 healthy volunteers with no need for aesthetic or functional nasal surgery. The reliability of the Rhinoplasty Outcomes Evaluation-T was analyzed according to its internal consistency and test-retest reproducibility. Discriminant validity was calculated by comparing the Rhinoplasty Outcomes Evaluation-T scores between the patient and control groups. Responsiveness and sensitivity to changes in rhinoplasty outcomes were analyzed by comparing the patients’ pre- and postoperative Rhinoplasty Outcomes Evaluation-T scores. Results: The scores for questions 1-6 of the Rhinoplasty Outcomes Evaluation-T, as well as the total scores, were significantly lower in the patient group than in the control group (all p<0.05). In the patient group, the scores for questions 1-6 of the Rhinoplasty Outcomes Evaluation-T, as well as the total scores, were higher postoperatively than preoperatively (all p<0.05). The scores for each Rhinoplasty Outcomes Evaluation-T question, as well as the total scores, did not differ significantly with respect to test-retest reproducibility (all p>0.05). The internal consistency of the Rhinoplasty Outcomes Evaluation-T was high, as evidenced by Cronbach’s α values of 0.887 preoperatively and 0.798 postoperatively. Conclusion: The Rhinoplasty Outcomes Evaluation-T constitutes a validated instrument with which to measure rhinoplasty outcomes among Turkish patients.
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Affiliation(s)
- Mustafa Çelik
- Department of Otorhinolaryngology, Head and Neck Surgery, Kafkas University School of Medicine, Kars, Turkey
| | - Ahmet Altıntaş
- Clinic of Otorhinolaryngology, Head and Neck Surgery, Fatih Medical Park Hospital, İstanbul, Turkey
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Sökmen E, Özbek SC, Çelik M, Sivri S, Metin M, Avcu M. Changes in the parameters of ventricular repolarization during preapnea, apnea, and postapnea periods in patients with obstructive sleep apnea. Pacing Clin Electrophysiol 2018; 41:762-766. [DOI: 10.1111/pace.13365] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2017] [Revised: 04/11/2018] [Accepted: 04/24/2018] [Indexed: 01/03/2023]
Affiliation(s)
- Erdoğan Sökmen
- Department of CardiologyAhi Evran University Training and Research Hospital Kirsehir Turkey
| | - Sinan Cemgil Özbek
- Department of CardiologyAhi Evran University Training and Research Hospital Kirsehir Turkey
| | - Mustafa Çelik
- Department of CardiologyAhi Evran University Training and Research Hospital Kirsehir Turkey
| | - Serkan Sivri
- Department of CardiologyAhi Evran University Training and Research Hospital Kirsehir Turkey
| | - Mehmet Metin
- Department OtorhinolaryngologyAhi Evran University Training and Research Hospital Kirsehir Turkey
| | - Mustafa Avcu
- Department OtorhinolaryngologyAhi Evran University Training and Research Hospital Kirsehir Turkey
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Almiş BH, Kütük EK, Gümüştaş F, Çelik M. Risk Factors for Domestic Violence in Women and Predictors of Development of Mental Disorders in These Women. Noro Psikiyatr Ars 2018; 55:67-72. [PMID: 30042644 PMCID: PMC6045806 DOI: 10.29399/npa.19355] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Accepted: 05/10/2017] [Indexed: 11/07/2022] Open
Abstract
INTRODUCTION Based on the hypothesis that women who exposed to physical violence had lower education and income levels than those who did not, and those who got married earlier and had marriage with unwanted people had higher psychiatric disorders, the aims of this study were to determine risk factors for domestic violence and predictors of psychiatric impairment in women exposed to domestic violence. METHODS We used random selection method and included 400 married women above 18 years of age living in Adiyaman province. Socio-demographic data and exposure to physical violence and sexual coercion for participants were evaluated by a structured questionnaire. Depression scores of the women were evaluated by Beck Depression Inventory (BDI) and anxiety scores were evaluated by Beck Anxiety Inventory (BAI). Suicidal ideas of the subjects were evaluated by 17 item Suicide Intent Scale and their suicide plans, attempts, thoughts, and risk of recurrence were evaluated by 4 item Suicidal Behavior Questionnaire. RESULTS 65,5% of the women (n=262) reported no violence, 19,3% (n=77) reported violence only from their spouses, 5,2% (n=21) reported violence from people other than spouse, and 10% (n=40) reported physical violence from both their spouses and other people. Logistic regression analysis showed that employment status of spouses, presence of medical/psychiatric illness in spouses, the acceptance of the view that 'Husbands can sometimes beat' by women and presence of psychiatric illness in women predicted domestic violence against these women from their spouses. Logistic regression analysis also revealed that education level, and presence of physical or sexual violence from their spouses predicted development of psychiatric disorders in women survivors of domestic violence. CONCLUSION This study showed that opinion of women about domestic violence, presence of a psychiatric disorder in women, employment status of spouse, and presence of a medical/psychiatric illness in spouse predicted physical violence against these women. In addition, education level of women, and presence of domestic violence from their spouses predicted development of psychiatric disorder. Knowing the factors that trigger physical violence and related psychiatric impairments is really important for development of preventive and therapeutic interventions.
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Affiliation(s)
- Behice Han Almiş
- Department of Psychiatry, Adıyaman University Faculty of Medicine, Training and Research Hospital, Adıyaman, Turkey
| | | | - Funda Gümüştaş
- Department of Child and Adolescent Psychiatry, Tekirdağ State Hospital, Tekirdağ, Turkey
| | - Mustafa Çelik
- Department of Psychiatry, Adıyaman University Faculty of Medicine, Adıyaman, Turkey
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Abstract
OBJECTIVE To evaluate surgical outcomes of auricular lobuloplasy. METHODS In total, 13 patients (10 females and 3 males; average age, 32.3±8.48 years; range 21-44 years) who underwent auricular lobuloplasty were included in this study. Demographic characteristics, cause of surgery, presence of complications, and patient satisfaction were evaluated. RESULTS The mean follow-up was 16.5±9.6 months with the shortest and the longest follow-up being 6 and 34 months, respectively. Surgeries were performed under local anesthesia in 10 cases (76.9%) and under general anesthesia in three cases (23.1%). Lobuloplasty were performed in eight cases (61.5%) with a diagnosis of partial lobule cleft, four cases (30.7%) with a diagnosis of elongated lobule, and one case (7.8%) with a diagnosis of congenital earlobe cleft. There were no postoperative complications and revision surgery was not necessary for any of the patients. CONCLUSION Multiple surgical techniques exist for repairing earlobe deformities. Auricular lobuloplasty is a surgical procedure that has several advantages including safety, ease of use, and effectiveness.
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Affiliation(s)
- Ahmet Altıntaş
- Department of Otorhinolaryngology, Fatih Medical Park Hospital, İstanbul, Turkey
| | - Mustafa Çelik
- Department of Otorhinolaryngology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Yakup Yeğin
- Department of Otorhinolaryngology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Gürkan Kayabaşoğlu
- Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Sakarya, Turkey
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Altıntaş A, Çelik M, Yegin Y, Canpolat S, Olgun B, Tülin Kayhan F. Correlation between the extent of pneumatization of Agger agger Nasi nasi cells and the anterior-to-posterior length of the frontal recess: A a computer-assisted anatomical study. Otolaryngol Pol 2017; 71:43-55. [PMID: 28541246 DOI: 10.5604/01.3001.0010.0132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES To explore the correlation between the volume of the aAgger nNasi (AN) cell bulge and the A-P length of the frontal recess (FR). SUBJECTS AND METHODS In total, 120 patients, who underwent septoplasty, were included. All patients underwent preoperative paranasal sinus computed tomography of the paranasal sinuses (PNS CT) imaging. In total, CT data on of all 120 PNSs patients were analyzed in terms of thewith respect to the extent of pneumatization of the AN cell bulge and the A-P dimensions of the FR. Each side was analyzed separately. RESULTS We included 120 patients,: 78 (65.0%) females and 42 (35.0 %) males. Their average age was 33.7 ± 11.6 years (range: 18-65 years). The mean volume of the AN cell bulge was 0.26 ± 0.4 mm3 on both the right and left sides. The A-P length of the FR was 7.7 ± 2.2 mm. No significant between-side difference in the mean volume of the AN cell bulge was apparent observed (p=0.906). This volume did not differ significantly by age or sex (p=0.844 and p=0.971, respectively). We found no correlation between the volume of the AN cell bulge and the A-P length of the FR (r = 0.098, p=0.192). CONCLUSION In the present study, no correlation between AN cell volume and the A-P length of the FR was found. When studying the anatomical complexity of the FR, it is essential to consider the AN cell volume. We suggest that preoperative CT imaging is critical when endoscopic sinus surgery is planned. However, further studies with larger numbers of patients are needed to explore the relationship between AN cell pneumatization and the anatomy of the FR.
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Affiliation(s)
- Ahmet Altıntaş
- Fatih Medicalpark Private Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Mustafa Çelik
- Bakırköy Dr.Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Yakup Yegin
- Bakırköy Dr.Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Sinan Canpolat
- Siirt State Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Siirt, Turkey
| | - Burak Olgun
- Bakırköy Dr.Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Fatma Tülin Kayhan
- Bakırköy Dr.Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
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Mıdık Özpak A, Tekin O, Arslan İ, Gürhan B, Özdaş MS, Çelik M, Arıman OÖ, Evmez M, Fidancı İ. Investıgatıon Of Healthy Lıvıng Behavıors Of Parents Wıth Dısabled Chıldren. Konuralp Tıp Dergisi 2017. [DOI: 10.18521/ktd.320134] [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: 11/04/2022]
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Altıntaş A, Yeğin Y, Çelik M, Sözen T, Kayabaşoğlu G, Yücel ÖT, Apaydın F. Assessment of Approaches of Otorhinolaryngologists in Facial Plastic and Nasal Surgery: A Survey Study. Turk Arch Otorhinolaryngol 2017; 55:129-135. [PMID: 29392070 PMCID: PMC5782991 DOI: 10.5152/tao.2017.2580] [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: 06/10/2017] [Accepted: 07/07/2017] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To assess approaches and experiences of otorhinolaryngologists in facial plastic and nasal surgery. METHODS In total, 234 surgeons (191 males and 43 females; average age, 37.22±8.4 years; age range, 26-63 years) were included. All participants were given a questionnaire comprising 22 multiple choice and closed-ended questions. All responses to the questionnaires were analyzed. RESULTS Of 234 participants, 42 (17.9%) were residents and 192 (82.1%) were specialists in otorhinolaryngology. The most challenging cases in rhinoplasty were crooked nose (33.8%), ideal nasal dorsum (18.8%), revision cases (13.2%), and skin deformities (11.1%). The photodocumentation rate by surgeons before and after procedures of facial plastic surgery was 86.3%, whereas the intraoperative photodocumentation rate by surgeons was 47%. The most common facial plastic surgery procedures other than rhinoplasty were otoplasty (68.4%), filler-Botox-fat injections (20.5%), and mentoplasty (18.4%). CONCLUSION This survey study is quite important because it assesses approaches of otorhinolaryngologists in facial plastic surgery. Although this study provides more valuable data for determining the current status, further studies with larger number of surgeons are required.
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Affiliation(s)
- Ahmet Altıntaş
- Clinic of Otorhinolaryngology, Fatih Medikal Park Hospital, İstanbul, Turkey
| | - Yakup Yeğin
- Clinic of Otorhinolaryngology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Mustafa Çelik
- Clinic of Otorhinolaryngology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Tevfik Sözen
- Department of Otorhinolaryngology, Hacettepe University School of Medicine, Ankara, Turkey
| | - Gürkan Kayabaşoğlu
- Clinic of Otorhinolaryngology, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Ömer Taşkın Yücel
- Department of Otorhinolaryngology, Hacettepe University School of Medicine, Ankara, Turkey
| | - Fazıl Apaydın
- Department of Otorhinolaryngology, Ege University School of Medicine, İzmir, Turkey
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Altun Y, Çelik M, EKMEKÇi B, Tak AZA, Sağlam S, Çağ İ. A Rare Reflex Epilepsy: Bathing-Related Epilepsy. Noro Psikiyatr Ars 2017; 54:193-194. [PMID: 28680322 DOI: 10.5152/npa.2017.15955] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2016] [Accepted: 02/27/2016] [Indexed: 11/22/2022] Open
Affiliation(s)
- Yaşar Altun
- Department of Neurology, Adıyaman University Training and Research Hospital, Adıyaman, Turkey
| | - Mustafa Çelik
- Department of Psychiatry, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Burcu EKMEKÇi
- Department of Neurology, Adıyaman University School of Medicine, Adıyaman, Turkey
| | | | - Sadullah Sağlam
- Department of Neurology, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - İlhan Çağ
- Department of Neurology, Adıyaman University School of Medicine, Adıyaman, Turkey
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Kilci GD, Başer E, Verim A, Çalim ÖF, Veyseller B, Özturan O, Altintaş A, Çelik M. Outcomes of external septorhinoplasty in a Turkish male population. Braz J Otorhinolaryngol 2017; 84:426-434. [PMID: 28579153 PMCID: PMC9449169 DOI: 10.1016/j.bjorl.2017.04.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Revised: 03/29/2017] [Accepted: 04/19/2017] [Indexed: 12/02/2022] Open
Abstract
Introduction The first and one of the most important steps in facial plastic surgery is accurate preoperative facial analysis and recording of data that may help the surgeon to check the outcomes of his/her techniques, promoting a surgeon's professional development. Objective To evaluate the esthetic outcomes of external septorhinoplasty relevant to ethnic facial harmony and to investigate the relationship of the columellar incision scar with the type of skin and columellar incision type in a Turkish population. Methods In total, 28 consecutive adult male patients with a mean age of 32.14 ± 10.66 years (range: 18–61 years) were included the study. Primary outcomes were preoperative and postoperative photogrammetric facial analyses of the patients including measurement of nasofrontal angle, nasolabial angle and nasal projection ratios (Gode) assessed according to the data derived from the Rhinobase program. Results were compared to facial proportions of the Turkish population. Columellar incision scar scores related to the Fitzpatrick skin type classification of the patients and columellar incision types used for the external approach were secondary outcomes of the study. Results Mean preoperative and postoperative nasofrontal angles were 148.04° ± 8.18° and 144.50° ± 7.15°, respectively, while mean preoperative and postoperative nasolabial angles were 87.59° ± 14.01° and 98.50° ± 9.71°, respectively. Mean preoperative and postoperative nasal tip projection ratios were 0.56 ± 0.05 and 0.60 ± 0.06, respectively. The differences between pre- and postoperative measurements were all significantly different and were in accordance with Turkish nasal harmony. Columellar inverted “V” incisions were performed in 15 (53.6%) patients while “V” incisions were used in 13 (46.4%) patients. Fitzpatrick skin Type 4 was seen in 46.42% of the patients, Fitzpatrick Type 3 in 46.42% and Fitzpatrick Type 2 in 7.14% of the patients. No significant difference was seen between columellar scar scores according to skin type and columellar incision type used for external septorhinoplasty. Conclusions This study demonstrated that outcomes for nasofrontal angle, nasolabial angle and nasal tip projection ratios analyzed using the Rhinobase program in patients who underwent external septorhinoplasty were similar to reference values for the Turkish population.
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Affiliation(s)
- Gamze Didem Kilci
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Engin Başer
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Ayşegül Verim
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Ömer Faruk Çalim
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Bayram Veyseller
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Orhan Özturan
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Ahmet Altintaş
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Mustafa Çelik
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
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Evren C, Demirbilek N, Elbistanlı MS, Köktürk F, Çelik M. Diagnostic value of repeated Dix-Hallpike and roll maneuvers in benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2017; 83:243-248. [PMID: 27170347 PMCID: PMC9444768 DOI: 10.1016/j.bjorl.2016.03.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Revised: 02/16/2016] [Accepted: 03/11/2016] [Indexed: 11/24/2022] Open
Abstract
Introduction Benign Paroxysmal Positional Vertigo (BPPV) is the most common peripheral vestibular disorder. The Dix-Hallpike and Roll maneuvers are used to diagnose BPPV. Objective This study aims to investigate the diagnostic value of repeated Dix-Hallpike and Roll maneuvers in BPPV. Methods We performed Dix-Hallpike and roll maneuvers in patients who admitted with peripheral vertigo anamnesis and met our criteria. The present study consists of 207 patients ranging in age from 16 to 70 (52.67 ± 10.67). We conducted the same maneuvers sequentially one more time in patients with negative results. We detected patients who had negative results in first maneuver and later developed symptom and nystagmus. We evaluated post-treatment success and patient satisfaction by performing Dizziness Handicap Inventory (DHI) at first admittance and two weeks after treatment in all patients with BPPV. Results Of a total of 207 patients, we diagnosed 139 in first maneuver. We diagnosed 28 more patients in sequentially performed maneuvers. The remaining 40 patients were referred to imaging. There was a significant difference between pre- and post-treatment DHI scores in patients with BPPV (p < 0.001). Conclusion Performing the diagnostic maneuvers only one more time in vertigo patients in the first clinical evaluation increases the diagnosis success in BPPV. Canalith repositioning maneuvers are effective and satisfactory treatment methods in BPPV.
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Yeğin Y, Çelik M, Altıntaş A, Şimşek BM, Olgun B, Kayhan FT. Vidian Canal Types and Dehiscence of the Bony Roof of the Canal: An Anatomical Study. Turk Arch Otorhinolaryngol 2017; 55:22-26. [PMID: 29392047 DOI: 10.5152/tao.2017.2038] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [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: 11/12/2016] [Accepted: 12/18/2016] [Indexed: 11/22/2022] Open
Abstract
Objective To determine the prevalence of Vidian canal types and dehiscence of the bony roof of the canal. Methods This study included 594 patients (391 males and 203 females; average age, 32.43±11.98 years; range, 18-65 years). Computed tomography (CT) images were analyzed in terms of the prevalence of Vidian canal types and dehiscence of the bony roof of the canal. Results Vidian canal types 1, 2, and 3 based on the sphenoid sinus body were found on the right side in 33.8%, 29.7%, and 6.5%, and on the left side in 36.4%, 27.4%, and 36.2% of the patients, respectively. Dehiscence of the bony roof of the canal was found on the right side in 22.2% of the patients and on the left side in 26.6%. In terms of Vidian canal types based on the sphenoid sinus floor, types 1, 2, 3, and 4 were found on the right side in 53.5%, 27.4%, 7.6%, and 11.5%, and on the left side in 54.9%, 26.6%, 6.6%, and 11.9% of the patients, respectively. On the right side, Vidian canal type 2 was significantly (p=0.002) more frequent in males than in females. Conclusion When studying the complex anatomy of the sphenoid sinus, it is essential to consider Vidian canal types. Before endoscopic sinus surgery the Vidian canal and other anatomical structures should be carefully evaluated in all patients during preoperative paranasal sinus CT imaging to avoid complications.
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Affiliation(s)
- Yakup Yeğin
- Clinic of Otorhinolaryngology, Bakırköy Dr. Sadi Konuk Training and Research Hospital İstanbul, Turkey
| | - Mustafa Çelik
- Clinic of Otorhinolaryngology, Bakırköy Dr. Sadi Konuk Training and Research Hospital İstanbul, Turkey
| | - Ahmet Altıntaş
- Clinic of Otorhinolaryngology, Fatih Medical Park Hospital, İstanbul, Turkey
| | - Baver Maşallah Şimşek
- Clinic of Otorhinolaryngology, Bakırköy Dr. Sadi Konuk Training and Research Hospital İstanbul, Turkey
| | - Burak Olgun
- Clinic of Otorhinolaryngology, Fatih Medical Park Hospital, İstanbul, Turkey
| | - Fatma Tülin Kayhan
- Clinic of Otorhinolaryngology, Fatih Medical Park Hospital, İstanbul, Turkey
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Çelik M, Gokakin AK, Ozgen U, Haytaoglu MG. Fistulization between stomach and transverse colon because of nasogastric feeding tube. Acta Gastroenterol Belg 2017; 80:89-90. [PMID: 29364110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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Tak ZA, Çelik M, Kalenderoğlu A, Sağlam S, Ekmekçi B, Altun Y. [Letter to the Editor: A Case of Sub-Acute Sclerosing Panencephalitis Presenting With Nonspecific Psychiatric Symptoms]. Turk Psikiyatri Derg 2017; 28:221-223. [PMID: 28936823] [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: 06/07/2023]
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Çevik MÖ, Çelik M, Bucak İH, Han Almış B, Turğut M. [Possible Relation Between Antenatal Venlafaxine Use and VACTERL Association in a Newborn: A Case Report]. Turk Psikiyatri Derg 2017; 28:67-70. [PMID: 28291300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Major depressive disorder is common during antenatal period and many women are prescribed antidepressant drugs despite no antidepressant can be regarded as definitely safe in pregnancy. Previous studies have suggested links between gestational use of selective serotonin reuptake inhibitors (SSRI) or serotonin and norepinephrine reuptake inhibitors (SNRI) and certain birth defects. VACTERL association is a rare group of congenital malformations which were observed to occur together more often than would be expected by chance. Diagnosis requires coexistence of at least three congenital malformations from vertebral (V), anal (A), cardiac (C), tracheoesophageal (TE), renal (R), and limb (L) regions. Here, a case of a newborn female whose mother's gestational history revealed venlafaxine use before and during her pregnancy is reported. This newborn had anal atresia, patent ductus arteriosus, tracheoesophageal fistula, and upper limb anomalies. To the best of authors' knowledge this is the first report of VACTERL association possibly related to gestational use of SSRI or SNRI.
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Kızıltaş Ö, Arslan İ, Tekin O, Fidancı İ, Kızıltaş B, Kuzulu A, Çelik M, Çiğdem E. Tip 2 Diyabet Hastalarında Psikolojik Belirtilerin İncelenmesi. Konuralp Tıp Dergisi 2016. [DOI: 10.18521/ktd.284654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Yeğin Y, Çelik M, Şimşek BM, Akidil AÖ, Olgun B, Altıntaş A, Kayhan FT. Assessment of Effects of Septoplasty on Acoustic Parameters of Voice: A Prospective Clinical Study. Turk Arch Otorhinolaryngol 2016; 54:146-149. [PMID: 29392036 DOI: 10.5152/tao.2016.1915] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [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: 09/03/2016] [Accepted: 11/07/2016] [Indexed: 11/22/2022] Open
Abstract
Objective To investigate the effects of septoplasty on the acoustic parameters of voice. Methods In total, 23 patients (seven females and 16 males; average age, 32.13±9.67 years; age range: 19-56 years) with a diagnosis of nasal septal deviation and who underwent septoplasty were included. Preoperative and on postoperative 30th day, acoustic analysis of voice was conducted for all patients. The recordings of /mana/ vowel were used to evaluate average fundamental frequency (F0), jitter, shimmer, and noise-to-harmony ratio (NHR). F0, shimmer percent, jitter percent, and NHR of two terms were compared. A p-value<0.05 was considered to indicate statistical significance. Results A statistically significant change was not observed in F0 (p=0.741), jitter (p=0.930), and shimmer (p=0.128) measured preoperatively and on postoperative day 30. However, the increase in NHR measured on postoperative day 30 were statistically significant compared with preoperative NHR (p=0.017). Conclusion According to the findings of this study, except NHR value, no statistically significant changes on F0, jitter and shimmer were detected after septoplasty.
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Affiliation(s)
- Yakup Yeğin
- Department of Otorhinolaryngology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Mustafa Çelik
- Department of Otorhinolaryngology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Baver Maşallah Şimşek
- Department of Otorhinolaryngology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Ayşe Öznur Akidil
- Department of Otorhinolaryngology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Burak Olgun
- Department of Otorhinolaryngology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Ahmet Altıntaş
- Department of Otorhinolaryngology, Fatih Medical Park Hospital, İstanbul, Turkey
| | - Fatma Tülin Kayhan
- Department of Otorhinolaryngology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
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Kalenderoglu A, Çelik M, Sevgi-Karadag A, Egilmez OB. Optic coherence tomography shows inflammation and degeneration in major depressive disorder patients correlated with disease severity. J Affect Disord 2016; 204:159-65. [PMID: 27344626 DOI: 10.1016/j.jad.2016.06.039] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [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] [Received: 01/28/2016] [Revised: 05/09/2016] [Accepted: 06/11/2016] [Indexed: 02/02/2023]
Abstract
BACKGROUND Previous research has consistently detected inflammation in the etiology of depression and neuroimaging studies have demonstrated gray matter abnormalities implying a neurodegenerative process in depression. The aim of this study was to compare ganglion cell layer (GCL), and inner plexiform layer (IPL) volumes and retinal nerve fiber layer (RNFL) thickness between first episode and recurrent major depressive disorder (MDD) patients and controls using optic coherence tomography (OCT) in order to detect findings supporting a degenerative process. Also choroid thicknesses of the same groups were compared to examine effects of inflammation on MDD. METHODS This study included 50 recurrent MDD patients, 50 first episode MDD patients and 50 controls. OCT measurements were performed by a spectral OCT device. GCL and IPL volumes and RNFL and choroid thicknesses were measured automatically by the device. RESULTS GCL and IPL volumes were significantly smaller in recurrent depression patients than first episode patients and in all MDD patients than controls. Also there were significant negative correlations between their volumes and disease severity parameters such as Ham-D and CGI scores, and disease duration. RNFL thicknesses were also lower in recurrent MDD patients than first episode patients and all MDD patients than controls but statistical significance was achieved only for global RNFL and temporal superior RNFL. Mean choroid thickness was higher in MDD patients than controls and in first episode MDD patients than recurrent MDD patients. LIMITATIONS Cross-sectional design of our study limits conclusions about progressive degeneration during the course of MDD. Lack of a control neuroimaging method like magnetic resonance imaging makes it hard to draw firm conclusions from our results. CONCLUSIONS OCT finding of decreased GCL and IPL volumes supports previous research suggesting degeneration in MDD. OCT may be an important tool to track neurodegeneration in patients with major depression. Considering RNFL to be the latest layer that will be affected during course of degeneration, GCL and IPL volumes appear to be better parameters to follow. In addition, choroid may be an important structure to detect acute attack period and to follow inflammatory process in MDD like in systemic inflammatory diseases.
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Affiliation(s)
- Aysun Kalenderoglu
- Psychiatry Department of Adiyaman University Medical School, Adiyaman, Turkey
| | - Mustafa Çelik
- Psychiatry Department of Adiyaman University Medical School, Adiyaman, Turkey.
| | - Ayse Sevgi-Karadag
- Ophthalmology Department of Adiyaman University Medical School, Adiyaman, Turkey
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Yegin Y, Çelik M, Koç AK, Küfeciler L, Elbistanlı MS, Kayhan FT. Comparison of temporalis fascia muscle and full-thickness cartilage grafts in type 1 pediatric tympanoplasties. Braz J Otorhinolaryngol 2016; 82:695-701. [PMID: 27068884 PMCID: PMC9444745 DOI: 10.1016/j.bjorl.2015.12.009] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Revised: 12/08/2015] [Accepted: 12/09/2015] [Indexed: 11/28/2022] Open
Abstract
Introduction Various graft materials have been used to close tympanic membrane perforations. In the literature, there are few studies in pediatric populations comparing different graft materials. To our knowledge, there is no reported study that measured the thickness of the tragal cartilage in pediatric tympanoplasties. The tragal cartilage is not of uniform thickness in every patient. Objective To compare anatomical and functional outcomes of temporalis fascia muscle and full-thickness tragal cartilage in type 1 pediatric tympanoplasties. Methods In total, 78 patients (38 males, 40 females; average age 10.02 ± 1.98 years; range, 7–18 years) who underwent type 1 tympanoplasties in our clinic were included. Demographics, anatomical, and functional outcomes were collected. Temporalis fascia muscle and tragal cartilage were used as graft materials. Tragal cartilage was used without thinning, and the thickness of tragal cartilage was measured using a micrometer. Anatomical and functional outcomes of cartilage and fascia were compared. Audiometric results comparing the cartilage and fascia groups were conducted at 6 months, and we continued to follow the patients to 1 year after surgery. An intact graft and an air-bone gap ≤ 20 dB were regarded as a surgical success. Results with a p-value < 0.05 were considered statistically significant. Results The graft success rate was 92.1% for the cartilage group compared with 65.0% for the temporal fascia group. In the fascia group, the preoperative air-bone gap was 33.68 ± 11.44 dB and postoperative air-bone gap was 24.25 ± 12.68 dB. In the cartilage group, the preoperative air-bone gap was 35.68 ± 12.94 dB and postoperative air-bone gap was 26.11 ± 12.87 dB. The anatomical success rate in the cartilage group was significantly better than that for the fascia group (p < 0.01). There was no statistically significant difference in functional outcomes between the fascia and cartilage groups (p > 0.05). The average thickness of tragal cartilage in the pediatric population was 0.693 ± 0.094 mm in males and 0.687 ± 0.058 mm in females. Conclusions Our data suggest that the anatomical success rate for a cartilage tympanoplasty was higher than for a fascia tympanoplasty. Functional results with cartilage were not different than with fascia, even though we did not thin the tragal cartilage. However, further studies should focus on the interaction between the thickness of the tragal cartilage and the tympanoplasty success rate.
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Affiliation(s)
- Yakup Yegin
- Bakırköy Dr. Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Mustafa Çelik
- Bakırköy Dr. Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey.
| | - Arzu Karaman Koç
- Bakırköy Dr. Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Levent Küfeciler
- Bakırköy Dr. Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Mustafa Suphi Elbistanlı
- Bakırköy Dr. Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
| | - Fatma Tülin Kayhan
- Bakırköy Dr. Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey
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