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Yildiz A, Yildiz R, Burak M, Zorlular R, Akkaya KU, Elbasan B. An investigation of sensory processing skills in toddlers with joint hypermobility. Early Hum Dev 2024; 192:105997. [PMID: 38614033 DOI: 10.1016/j.earlhumdev.2024.105997] [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: 12/07/2023] [Revised: 03/20/2024] [Accepted: 03/31/2024] [Indexed: 04/15/2024]
Abstract
BACKGROUND Children with Generalized Joint Hypermobility (GJH) may have a motor developmental delay in the early period and subluxation, fatigue, autonomic dysfunction, and pain arising from ligaments and other soft tissues in advanced ages. Additionally, there is a loss of proprioceptive sensation in children and adults with GJH. AIMS This study aimed to evaluate sensory processing skills in toddlers with GJH. STUDY DESIGN A cross-sectional study. SUBJECTS Fifty-eight children aged between 12 and 14 months were included in the study. These children were divided into two groups: with and without GJH (31 with GJH and 27 without GJH). OUTCOME MEASURES The sensory processing skills of the children in the study were evaluated with the Test of Sensory Functions in Infants (TSFI). RESULTS The scores in the subtests of TSFI in response to tactile deep pressure, adaptive motor functions, visual-tactile integration, and response to vestibular stimuli were higher in favor of children without GJH (p < 0.05). The total TSFI score was higher in the group without GJH (p < 0.05). CONCLUSIONS Sensory processing problems were found in toddlers with GJH. Sensory motor development should be evaluated in children with GJH, and an appropriate early intervention program should be planned.
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Affiliation(s)
- Ayse Yildiz
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey.
| | - Ramazan Yildiz
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey
| | - Mustafa Burak
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Fırat University, Elazig, Turkey
| | - Rabia Zorlular
- Department of Physical Therapy and Rehabilitation, Bor Faculty of Health Sciences, Nigde Omer Halis Demir University, Niğde, Turkey
| | - Kamile Uzun Akkaya
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Bulent Elbasan
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
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Celik HI, Yildiz A, Yildiz R, Mutlu A, Soylu R, Gucuyener K, Duyan-Camurdan A, Koc E, Onal EE, Elbasan B. Using the center of pressure movement analysis in evaluating spontaneous movements in infants: a comparative study with general movements assessment. Ital J Pediatr 2023; 49:165. [PMID: 38124131 PMCID: PMC10731817 DOI: 10.1186/s13052-023-01568-8] [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: 02/21/2023] [Accepted: 12/06/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND Researchers have attempted to automate the spontaneous movement assessment and have sought quantitative and objective methods over the past decade. The purpose of the study was to present a quantitative assessment method of spontaneous movement using center-of-pressure (COP) movement analysis. METHODS A total of 101 infants were included in the study. The infants were placed in the supine position on the force plate with the cranial-caudal orientation. In this position, the recording of video and COP movement data were made simultaneously for 3 min. Video recordings were used to observe global and detailed general movement assessment (GMA), and COP time series data were used to obtain quantitative movement parameters. RESULTS According to the global GMA, 13 infants displayed absent fidgety movements (FMs) and 88 infants displayed normal FMs. The binary logistic regression model indicated significant association between global GMA and COP movement parameters (chi-square = 20.817, p < 0.001). The sensitivity, specificity, and overall accuracy of this model were 85% (95% CI: 55-98), 83% (95% CI: 73-90), and 83% (95% CI: 74-90), respectively. The multiple linear regression model showed a significant association between detailed GMA (motor optimality score-revised/MOS-R) and COP movement parameters (F = 10.349, p < 0.001). The MOS-R total score was predicted with a standard error of approximately 1.8 points (6%). CONCLUSIONS The present study demonstrated the possible avenues for using COP movement analysis to objectively detect the absent FMs and MOS-R total score in clinical settings. Although the method presented in this study requires further validation, it may complement observational GMA and be clinically useful for infant screening purposes, particularly in clinical settings where access to expertise in observational GMA is not available.
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Affiliation(s)
- Halil Ibrahim Celik
- Bilge Çocuk Special Education and Rehabilitation Center, Beysukent, Çankaya, s06800, Ankara, Turkey.
| | - Ayse Yildiz
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Erzurum Technical University, Erzurum, Turkey
| | - Ramazan Yildiz
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Erzurum Technical University, Erzurum, Turkey
| | - Akmer Mutlu
- Faculty of Physical Therapy and Rehabilitation, Developmental and Early Physiotherapy Unit, Hacettepe University, Ankara, Turkey
| | - Ruhi Soylu
- Faculty of Medicine, Department of Biophysics, Hacettepe University, Ankara, Turkey
| | - Kivilcim Gucuyener
- Faculty of Medicine, Department of Pediatrics, Section of Pediatric Neurology, Gazi University, Ankara, Turkey
| | - Aysu Duyan-Camurdan
- Faculty of Medicine, Department of Pediatrics, Section of Social Pediatrics, Gazi University, Ankara, Turkey
| | - Esin Koc
- Faculty of Medicine, Department of Pediatrics, Section of Neonatal Medicine, Gazi University, Ankara, Turkey
| | - Eray Esra Onal
- Faculty of Medicine, Department of Pediatrics, Section of Neonatal Medicine, Gazi University, Ankara, Turkey
| | - Bulent Elbasan
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Gazi University, Ankara, Turkey
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Tras B, Ok M, Ider M, Parlak TM, Yildiz R, Eser Faki H, Ozdemir Kutahya Z, Uney K. Evaluation of the clinical efficacy of racecadotril in the treatment of neonatal calves with infectious diarrhea. Pol J Vet Sci 2023; 26:559-569. [PMID: 38088300 DOI: 10.24425/pjvs.2023.148276] [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] [Indexed: 12/18/2023]
Abstract
Racecadotril, used as an antidiarrheal drug in humans and some animals such as the dog, inhibits peripheral enkephalinase, which degrades enkephalins and enkephalinase inhibition induces a selective increase in chloride absorption from the intestines. The study material consisted of 46 calves with infectious diarrhea and 14 healthy calves in the age 2-20 days. The calves were divided into eight groups; healthy calves (HG), healthy calves administered racecadotril (HRG), calves with E.coli-associated diarrhea (ECG), calves with E.coli-associated diarrhea administered racecadotril (ECRG), calves with bovine Rotavirus/Coronavirus-associated diarrhea (VG), calves with bovine Rotavirus/Coronavirus-associated diarrhea administered racecadotril (VRG), calves with C. parvum-associated diarrhea (CG) and calves with C. parvum-associated diarrhea administered racecadotril (CRG). Calves in the racecadotril groups received oral racecadotril at a dose of 2.5 mg/kg twice a day for 3 days. A routine clinical examination of all calves was performed. Hemogram and blood gas measurements were made from the blood samples. Standard diarrhea treatment was applied to the HG, ECG, CG, and VG groups. Clinical score parameters such as appetite, feces quality, dehydration, standing and death and some blood gas and hemogram parameters were evaluated to determine the clinical efficacy of racecadotril. Clinical score parameters were determined observationally. Blood gas measurements were performed using a blood gas analyzer. The hemogram was performed using an automated hematologic analyzer. Statistically significant differences were determined in the blood pH, bicarbonate, base deficit, lactate, and total leukocyte count in calves with diarrhea compared to healthy calves. After the treatments, these parameters were found to be within normal limits. At the end of treatment, 42 of the 46 diarrheal calves recovered, while 4 died. We found that racecadotril was effective in improving both clinical recovery and feces consistency in neonatal calves with diarrhea caused by E. coli. As a result, it can be stated that racecadotril, which has an antisecretory effect, is beneficial in the treatment of bacterial diarrhea caused by such as E. coli.
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Affiliation(s)
- B Tras
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Ardicli Neighborhood, 42100, Konya, Turkey
| | - M Ok
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Ardicli Neighborhood, 42100, Konya, Turkey
| | - M Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Ardicli Neighborhood, 42100, Konya, Turkey
| | - T M Parlak
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Ardicli Neighborhood, 42100, Konya, Turkey
| | - R Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, Yakakoy, 15030, Burdur, Turkey
| | - H Eser Faki
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Ardicli Neighborhood, 42100, Konya, Turkey
| | - Z Ozdemir Kutahya
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Cukurova, Fatih Sultan Mehmet Avenue, 01930, Adana, Turkey
| | - K Uney
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Ardicli Neighborhood, 42100, Konya, Turkey
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Ider M, Yildiz R, Naseri A, Gülersoy E, Alkan F, Ok M, Erturk A, Sulu K, Durgut MK. Investigation of gastrointestinal injury-related biomarkers in dairy cattle with displaced abomasum. Vet Med Sci 2023; 9:2893-2900. [PMID: 37776262 PMCID: PMC10650368 DOI: 10.1002/vms3.1292] [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: 05/24/2023] [Revised: 08/30/2023] [Accepted: 09/22/2023] [Indexed: 10/02/2023] Open
Abstract
BACKGROUND Displaced abomasum (DA) is one of the most important metabolic disorders of dairy cattle. In DA, ischaemic damage may occur as a result of impaired perfusion due to abomasal displacement, which may result in gastrointestinal mucosal damage. OBJECTIVE Investigation of gastrointestinal tissue damage in cattle with right displacement of the abomasum (RDA) and left displacement of the abomasum (LDA) using intestinal-related biomarkers. METHODS Forty-eight DA (24 LDA, 24 RDA) and 15 healthy Holstein dairy cows were enrolled between March 2021 and July 2022. Serum biomarkers including gamma-enteric smooth muscle actin (ACTG-2), liver-fatty acid binding proteins (L-FABP), platelet activating factor (PAF), trefoil factor-3 (TFF-3), leptin, claudin-3 and interleukin-8 (IL-8) concentrations were measured from venous blood samples. RESULTS L-FABP concentrations in the LDA group and TFF-3 concentrations in the RDA group were lower than in the control group. The leptin concentration of the RDA group was higher than that of the other groups. There was a negative correlation between lactate, leptin and IL-8 concentrations. There was a negative correlation between lactate and TFF-3, whereas leptin and lactate were positively correlated. Leptin was the more reliable biomarker for discriminating between RDA and LDA cases. CONCLUSION Changes in serum L-FABP, TFF-3 and leptin concentrations in cattle with DA may reflect acute intestinal injury and the subsequent repair phase. However, these biomarkers had poor diagnostic performance in discriminating between healthy and cattle with DA, while leptin emerged as the most useful marker in differentiating LDA from RDA cases.
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Affiliation(s)
- Merve Ider
- Faculty of Veterinary MedicineDepartment of Internal MedicineSelcuk UniversityKonyaTurkey
| | - Ramazan Yildiz
- Faculty of Veterinary MedicineDepartment of Internal MedicineBurdur Mehmet Akif Ersoy UniversityBurdurTurkey
| | - Amir Naseri
- Faculty of Veterinary MedicineDepartment of Internal MedicineSelcuk UniversityKonyaTurkey
| | - Erdem Gülersoy
- Faculty of Veterinary MedicineDepartment of Internal MedicineHarran UniversitySanlıurfaTurkey
| | - Fahrettin Alkan
- Faculty of Veterinary MedicineDepartment of SurgerySelcuk UniversityKonyaTurkey
| | - Mahmut Ok
- Faculty of Veterinary MedicineDepartment of Internal MedicineSelcuk UniversityKonyaTurkey
| | - Alper Erturk
- Faculty of Veterinary MedicineDepartment of Internal MedicineMustafa Kemal UniversityHatayTurkey
| | - Kadir Sulu
- Faculty of Veterinary MedicineDepartment of Internal MedicineSiirt UniversitySiirtTurkey
| | - Murat Kaan Durgut
- Faculty of Veterinary MedicineDepartment of Internal MedicineSelcuk UniversityKonyaTurkey
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Bozkurt G, Kaya F, Yildirim Y, Yildiz R, Gungor O, Dogan F, Ayozger LEO. The effect of multiple-dose ivermectin treatment on CD4 +/CD8 + and the oxidative stress index in goats with udder viral papillomatosis. Res Vet Sci 2023; 157:17-25. [PMID: 36848794 DOI: 10.1016/j.rvsc.2023.02.006] [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: 10/30/2022] [Revised: 12/31/2022] [Accepted: 02/16/2023] [Indexed: 02/23/2023]
Abstract
This study aims to reveal the therapeutic effect of ivermectin against Capra hircus papillomavirus (ChPV-1) infection and on the CD4+/CD8+ (cluster of differentiation) and oxidative stress index (OSI). Twenty hair goats naturally infected with ChPV-1 were divided into two groups with equal numbers as the ivermectin group and the control groups. Ivermectin was administered subcutaneously at a dose of 0.2 mg/kg to the goats in the ivermectin group on days 0, 7, and 21. Blood samples were collected from the vena jugularis on days 0, 21, 45, and 90. The cluster of differentiation4+/CD8+ ratio was significantly higher in the ivermectin group than in the control group on the 90th day. Furthermore, the CD8+ concentration was significantly decreased in the ivermectin group on the 90th day compared with the control group. Both total oxidant status (TOS) and OSI were found to be significantly higher in the control group on the 21st and 45th days than in the ivermectin group. On the 90th day, it was determined that the lesions in the ivermectin group improved significantly compared to those in the control group. Additionally, only in the ivermectin group was there a significant difference between the 90th day and the other days in terms of healing. As a result, it can be suggested that ivermectin has positive effects on the immune response and that its oxidative actions are of therapeutic value and do not harm the systemic oxidative status, as in untreated goats.
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Affiliation(s)
- Gokhan Bozkurt
- Burdur Mehmet Akif Ersoy University, Faculty of Veterinary Medicine, Department of Obstetrics and Gynecology, 15100 Burdur, Turkey.
| | - Feyyaz Kaya
- Balikesir University, Faculty of Veterinary Medicine, Department of Internal Medicine, Balikesir, Turkey.
| | - Yakup Yildirim
- Burdur Mehmet Akif Ersoy University, Faculty of Veterinary Medicine, Department of Virology, 15100 Burdur, Turkey.
| | - Ramazan Yildiz
- Burdur Mehmet Akif Ersoy University, Faculty of Veterinary Medicine, Department of Internal Medicine, 15100 Burdur, Turkey.
| | - Orsan Gungor
- Burdur Mehmet Akif Ersoy University, Faculty of Veterinary Medicine, Department of Obstetrics and Gynecology, 15100 Burdur, Turkey.
| | - Firat Dogan
- Hatay Mustafa Kemal University, Faculty of Veterinary Medicine, Department of Virology, 31060, Hatay, Turkey.
| | - Leyla Elif Ozgu Ayozger
- Burdur Mehmet Akif Ersoy University, Faculty of Veterinary Medicine, Department of Pathology, 15100 Burdur, Turkey.
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Akkaya KU, Burak M, Yildiz R, Yildiz A, Elbasan B. Examination of foot sensations in children with generalized joint hypermobility. Early Hum Dev 2023; 180:105755. [PMID: 36965347 DOI: 10.1016/j.earlhumdev.2023.105755] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 03/16/2023] [Accepted: 03/16/2023] [Indexed: 03/27/2023]
Abstract
BACKGROUND Generalized joint hypermobility (GJH) is a condition that can be observed in children and children with GJH may have problems such as clumsiness, proprioceptive sensory loss, balance and coordination disorders. AIMS To evaluate foot and ankle senses in children with GJH and compare them with their healthy peers. STUDY DESIGN A cross-sectional study. SUBJECTS Children aged 5-14 years with and without GJH were included in the study. OUTCOME MEASURES After assessing the joint hypermobility of the children with the Beighton Score, tactile, vibration, two-point discrimination, and proprioception senses were evaluated. RESULTS A total of 40 children (15 females, 25 males, mean age 9.43 years, SD ± 2.98 years, 20 with GJH and 20 without GJH) were included in the study. In children with GJH, foot sole tactile sense and ankle dorsiflexion and plantar flexion joint position sense were deficient in comparison with healthy controls (p < 0.05). CONCLUSIONS There were deficiencies in foot and ankle tactile and proprioceptive senses in children with GJH. Neurosensorimotor examination of balance and coordination should be performed and appropriate intervention programs should be planned accordingly in children with GJH.
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Affiliation(s)
- Kamile Uzun Akkaya
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
| | - Mustafa Burak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Ramazan Yildiz
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey
| | - Ayse Yildiz
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey
| | - Bulent Elbasan
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
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Yildiz R, Durna Corum D, Corum O, Ider M, Atik O, Ok M, Uney K. The effect of tilmicosin and diclofenac sodium combination on cardiac biomarkers in sheep. Pol J Vet Sci 2023; 26:5-12. [PMID: 36961261 DOI: 10.24425/pjvs.2023.145001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Abstract
The aim of this study was to investigate the cardiotoxic effect of the combination of tilmicosin and diclofenac sodium in sheep. Thirty-two sheep were used and were randomly divided into four equal groups as tilmicosin (T), diclofenac sodium (D), tilmicosin+diclofenac sodium (TD) and control (C) group. Group T received a single dose of tilmicosin, Group D was administered diclofenac sodium once a day for 3 days, and group TD was administered diclofenac and tilmicosin at the same doses as group T and D. Group C received NaCl in a similar way. The blood samples were taken before dosing and at 4th, 8th, 24th and 72nd hour post-dosing for measurement of cardiac markers such as H-FABP, cTn-I, CK-MB. H-FABP level of group TD was found to be significantly (p⟨0.05) higher than of group C at the 8th, 24th and 72nd hour and group D and T at the 72nd hour. cTn-I and CK-MB levels of group TD were found significantly (p⟨0.05) higher compared with other groups. In conclusion, the combined use of tilmicosin and diclofenac in sheep causes an increase in cardiac biomarkers and it can be stated that this combination of drugs may cause cardiac damage.
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Affiliation(s)
- R Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Burdur Mehmet Akif Ersoy, 15030, Burdur, Turkey
| | - D Durna Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Hatay Mustafa Kemal, 31060, Hatay, Turkey
| | - O Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Hatay Mustafa Kemal, 31060, Hatay, Turkey
| | - M Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, 42100, Konya, Turkey
| | - O Atik
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Afyon Kocatepe, 03030, Afyonkarahisar, Turkey
| | - M Ok
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, 42100, Konya, Turkey
| | - K Uney
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, 42100, Konya, Turkey
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Yildiz R, Şan H, Alagöz E. DIAGNOSTIC PERFORMANCES OF 18F-FLUOROCHOLINE POSITRON EMISSION TOMOGRAPHY-COMPUTED TOMOGRAPHY AND REPEATED ULTRASONOGRAPHY IN DETECTING UNDEFINED LESIONS IN PATIENTS WITH AN INDICATION FOR PRIMARY HYPERPARATHYROIDISM SURGERY. Acta Endocrinol (Buchar) 2022; 18:316-323. [PMID: 36699176 PMCID: PMC9867814 DOI: 10.4183/aeb.2022.316] [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: 01/21/2023]
Abstract
Context 18F-fluorocholine (FCH) has been used as a positron emission tomography (PET) tracer in the localization of hyper-functioning parathyroid glands (HPGs). Objective We performed this methodological study to evaluate the diagnostic performance of 18F-FCH PET/computerized tomography (CT) and repeated ultrasonography (USG) in detecting unidentified lesions in patients with primary hyperparathyroidism (PHPT). Design In this retrospective methodological study, we studied the diagnostic performance of 18F-FCH PET/CT and a repeated USG in detecting unidentified parathyroid lesions. Subjects and Methods Twenty-eight patients who were diagnosed with PHPT, had an indication for surgery following the current guidelines and had no identified lesion on 99mTc-MIBI SPECT/CT, USG, or other imaging methods than 18F-FCH PET/CT, included in the study. Results While lesions were detected in 26 patients via 18F-FCH PET/CT among 28 patients [92.9% (95% CI: 76.6%-99.1%)], the lesion detection rate was 95.7% (95% CI: 78.1%-99.9%) in 23 patients who underwent a repeated USG. The sensitivity and the accuracy of both 18F-FCH PET/CT and repeated USG were 95.2% (95% CI: 76.2%-99.9%) and 95.0 (95% CI: 75.1%-99.9%), respectively. Conclusions This study supports that the combination of 18F-FCH PET/CT and repeated USG has promising potential for being an imaging technique for early detection and localization of HPGs.
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Affiliation(s)
- R. Yildiz
- Department of General Surgery,Memorial Ankara Hospital, Ankara, Turkey
| | - H. Şan
- Department of Nuclear Medicine,Ankara City Hospital, Ankara, Turkey
| | - E. Alagöz
- Department of Nuclear Medicine,Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
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Corum O, Coskun D, Durna Corum D, Ider M, Yildiz R, Ok M, Uney K. Pharmacokinetics of carprofen following single and repeated intravenous administrations of different doses in sheep. J Vet Pharmacol Ther 2022; 45:481-487. [PMID: 35748159 DOI: 10.1111/jvp.13079] [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: 01/17/2022] [Revised: 06/01/2022] [Accepted: 06/06/2022] [Indexed: 11/26/2022]
Abstract
The aim of this study was to determine the pharmacokinetics of carprofen following single and repeated intravenous (IV) administrations at 1.4 and 4 mg/kg doses in sheep. The study was carried out on twelve sheep in two experiments as single- and multiple-dose pharmacokinetics. In experiment 1, carprofen was administered via IV at single doses of 1.4 (n = 6) and 4 mg/kg (n = 6) in a randomized parallel design. In experiment 2, the same dose groups in experiment 1 following the 21-day washout period received intravenously carprofen every 24 h for 5 days. Plasma concentrations were measured using high-performance liquid chromatography-UV and analyzed by a two-compartment open model. After the single administration of 1.4 mg/kg dose, the t1/2α , t1/2el , MRT, ClT , Vdss , and AUC were 0.62 h, 27.57 h, 38.78 h, 2.72 ml/h/kg, 105.26 ml/kg, and 515.12 h*μg/ml, respectively. Carprofen at a single dose of 4 mg/kg showed prolonged t1/2el and MRT, and increased Vdss . On day 5 after the repeated administration of the 1.4 mg/kg dose, the t1/2α , t1/2el , MRT, ClT , Vdss , and AUC were 1.12 h, 57.48 h, 82.18 h, 0.55 ml/h/kg, 45.43 ml/kg, and 2532 h*μg/ml, respectively. Carprofen at a repeated dose of 4 mg/kg showed increased ClT and Vdss and decreased AUC/dose. Although the long t1/2ʎz in single and multiple IV dose studies suggest the possibility of its effective use, the IV route may not be practical in sheep. Therefore, oral and subcutaneous routes of carprofen in sheep would be more valuable in clinical settings.
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Affiliation(s)
- Orhan Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Hatay Mustafa Kemal, Hatay, Turkiye
| | - Devran Coskun
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Siirt, Siirt, Turkiye
| | - Duygu Durna Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Hatay Mustafa Kemal, Hatay, Turkiye
| | - Merve Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
| | - Ramazan Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, Burdur, Turkiye
| | - Mahmut Ok
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
| | - Kamil Uney
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
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Tras B, Ok M, Parlak TM, Ider M, Yildiz R, Eser Faki H, Ozdemir Kutahya Z, Uney K. Can diarrhea affect the pharmacokinetics of racecadotril in neonatal calves? J Vet Pharmacol Ther 2022; 45:426-431. [PMID: 35706330 DOI: 10.1111/jvp.13078] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 04/11/2022] [Accepted: 05/31/2022] [Indexed: 11/30/2022]
Abstract
This study was aimed to determine the pharmacokinetics of antisecretory-acting racecadotril, used in the treatment of diarrhea in humans and dogs, following oral administration in both neonatal calves with healthy and neonatal calves with infectious diarrhea. The study was carried out on a total of 24 Holstein calves (2-20 days), of which 6 were healthy and 18 were infectious diarrhea. Calves with infectious diarrhea were divided into 3 groups according to the infectious agent (Escherichia coli, Cryptosporidium parvum, and rotavirus/coronavirus). Racecadotril was administered orally at 2.5 mg/kg dose to calves. The plasma concentrations of racecadotril and its main active metabolite (thiorphan) were determined using HPLC-UV. The pharmacokinetic parameters were analyzed using the non-compartmental method. In healthy calves, the t1/2ʎz , Cmax , Tmax, and AUC0-12 of racecadotril were determined 4.70 h, 377 ng/ml, 0.75 h, and 1674 h × ng/ml, respectively. In the plasma of calves with infectious diarrhea, racecadotril and thiorphan were only detected at the sampling time from 0.25 to 1.5 h. As in calves with infectious diarrhea, thiorphan in plasma was only detected in healthy calves from 0.25 to 1.5 h. Racecadotril showed a large distribution volume, rapid elimination, and low metabolism to thiorphan in healthy calves.
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Affiliation(s)
- Bunyamin Tras
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
| | - Mahmut Ok
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
| | - Tugba Melike Parlak
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
| | - Merve Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
| | - Ramazan Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, Burdur, Turkiye
| | - Hatice Eser Faki
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
| | - Zeynep Ozdemir Kutahya
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Cukurova, Adana, Turkiye
| | - Kamil Uney
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkiye
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11
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Hodnik JJ, Acinger-Rogić Ž, Alishani M, Autio T, Balseiro A, Berezowski J, Carmo LP, Chaligiannis I, Conrady B, Costa L, Cvetkovikj I, Davidov I, Dispas M, Djadjovski I, Duarte EL, Faverjon C, Fourichon C, Frössling J, Gerilovych A, Gethmann J, Gomes J, Graham D, Guelbenzu M, Gunn GJ, Henry MK, Hopp P, Houe H, Irimia E, Ježek J, Juste RA, Kalaitzakis E, Kaler J, Kaplan S, Kostoulas P, Kovalenko K, Kneževič N, Knific T, Koleci X, Madouasse A, Malakauskas A, Mandelik R, Meletis E, Mincu M, Mõtus K, Muñoz-Gómez V, Niculae M, Nikitović J, Ocepek M, Tangen-Opsal M, Ózsvári L, Papadopoulos D, Papadopoulos T, Pelkonen S, Polak MP, Pozzato N, Rapaliuté E, Ribbens S, Niza-Ribeiro J, Roch FF, Rosenbaum Nielsen L, Saez JL, Nielsen SS, van Schaik G, Schwan E, Sekovska B, Starič J, Strain S, Šatran P, Šerić-Haračić S, Tamminen LM, Thulke HH, Toplak I, Tuunainen E, Verner S, Vilček Š, Yildiz R, Santman-Berends IMGA. Corrigendum: Overview of Cattle Diseases Listed Under Category C, D or E in the Animal Health Law for Which Control Programmes Are in Place Within Europe. Front Vet Sci 2022; 9:902559. [PMID: 35529840 PMCID: PMC9070405 DOI: 10.3389/fvets.2022.902559] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 03/23/2022] [Indexed: 11/24/2022] Open
Affiliation(s)
- Jaka Jakob Hodnik
- Clinic for Reproduction and Large Animals - Section for Ruminants, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Žaklin Acinger-Rogić
- Veterinary and Food Safety Directorate, Ministry of Agriculture, Zagreb, Croatia
| | - Mentor Alishani
- Department of Veterinary Medicine, Faculty of Agriculture and Veterinary, University of Prishtina "Hasan Prishtina", Prishtina, Albania
| | - Tiina Autio
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Kuopio, Finland
| | - Ana Balseiro
- Animal Health Department, University of León, León, Spain.,Animal Health Department, Instituto de Ganadería de Montaña Consejo Superior de Investigaciones Científicas-University of León, León, Spain
| | - John Berezowski
- Veterinary Public Health Institute, Vetsuisse, University of Bern, Bern, Switzerland
| | - Luís Pedro Carmo
- Veterinary Public Health Institute, Vetsuisse, University of Bern, Bern, Switzerland
| | - Ilias Chaligiannis
- School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Beate Conrady
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.,Complexity Science Hub Vienna, Vienna, Austria
| | - Lina Costa
- Department of Agrarian and Veterinary Sciences, Agrarian School of Elvas, Polytechnic Institute of Portalegre, Portalegre, Portugal
| | - Iskra Cvetkovikj
- Faculty of Veterinary Medicine in Skopje, Ss Cyril and Methodius University in Skopje, Skopje, Macedonia
| | - Ivana Davidov
- Faculty of Agriculture, University of Novi Sad, Novi Sad, Serbia
| | | | - Igor Djadjovski
- Faculty of Veterinary Medicine in Skopje, Ss Cyril and Methodius University in Skopje, Skopje, Macedonia
| | - Elsa Leclerc Duarte
- Departamento de Medicina Veterinária, Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal
| | | | | | - Jenny Frössling
- Department of Disease Control and Epidemiology, National Veterinary Institute (SVA), Uppsala, Sweden.,Department of Animal Environment and Health, Swedish University of Agricultural Sciences, Skara, Sweden
| | - Anton Gerilovych
- National Scientific Centre, Institute for Experimental and Clinical Veterinary Medicine, Kharkiv, Ukraine
| | - Jörn Gethmann
- Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Institute of Epidemiology, Greifswald, Germany
| | - Jacinto Gomes
- Animal Health and Production Unit, National Institute for Agrarian and Veterinary Research, Oeiras, Portugal
| | - David Graham
- Animal Health Ireland, Carrick on Shannon, Ireland
| | | | - George J Gunn
- Epidemiology Research Unit, Department of Veterinary and Animal Science, Northern Faculty, Scotland's Rural College, Inverness, United Kingdom
| | - Madeleine K Henry
- Epidemiology Research Unit, Department of Veterinary and Animal Science, Northern Faculty, Scotland's Rural College, Inverness, United Kingdom
| | - Petter Hopp
- Section of Epidemiology, Norwegian Veterinary Institute (NVI), Oslo, Norway
| | - Hans Houe
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Elena Irimia
- Research and Development Institute for Bovine Balotesti, Balotesti, Romania
| | - Jožica Ježek
- Clinic for Reproduction and Large Animals - Section for Ruminants, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Ramon A Juste
- Department of Animal Health, NEIKER-Basque Institute for Agricultural Research and Development, Basque Research and Technology Alliance, Derio, Spain
| | - Emmanouil Kalaitzakis
- Clinic of Farm Animals, Veterinary Faculty, Aristotle University Thessaloniki, Thessaloniki, Greece
| | - Jasmeet Kaler
- School of Veterinary Medicine and Science, University of Nottingham, Nottingham, United Kingdom
| | - Selcuk Kaplan
- Department of Genetics, Faculty of Veterinary Medicine, Tekirdag Namik Kemal University, Tekirdag, Turkey
| | - Polychronis Kostoulas
- Laboratory of Epidemiology, Faculty of Public and One (Integrated) Health, School of Health Sciences, University of Thessaly, Karditsa, Greece
| | - Kaspars Kovalenko
- Faculty of Veterinary Medicine, Latvia University of Lifesciences and Technologies, Jelgava, Latvia
| | - Nada Kneževič
- Podravka Food Industry, Research and Development, Koprivnica, Croatia
| | - Tanja Knific
- Veterinary Faculty, Institute of Food Safety, Feed and Environment, University of Ljubljana, Ljubljana, Slovenia
| | - Xhelil Koleci
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Agricultural University of Tirana, Tirana, Albania
| | | | - Alvydas Malakauskas
- Department of Veterinary Pathobiology, Lithuanian University of Health Sciences, Veterinary Academy, Kaunas, Lithuania
| | - Rene Mandelik
- Department of Epizootiology, Parasitology and Protection of One Health, University of Veterinary Medicine and Pharmacy, Kosice, Slovakia
| | - Eleftherios Meletis
- Laboratory of Epidemiology, Faculty of Public and One (Integrated) Health, School of Health Sciences, University of Thessaly, Karditsa, Greece
| | - Madalina Mincu
- Research and Development Institute for Bovine Balotesti, Balotesti, Romania
| | - Kerli Mõtus
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Tartu, Estonia
| | - Violeta Muñoz-Gómez
- Section of Epidemiology, Vetsuisse Faculty, University of Zürich, Zurich, Switzerland
| | - Mihaela Niculae
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, Cluj-Napoca, Romania
| | - Jelena Nikitović
- Institute for Genetic Resources, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Matjaž Ocepek
- Veterinary Faculty, National Veterinary Institute, University of Ljubljana, Ljubljana, Slovenia
| | | | - László Ózsvári
- Department of Veterinary Forensics and Economics, University of Veterinary Medicine Budapest, Budapest, Hungary
| | - Dimitrios Papadopoulos
- Department of Microbiology, Faculty of Veterinary Medicine, Aristoteles University of Thessaloniki, Thessaloniki, Greece
| | - Theofilos Papadopoulos
- Department of Microbiology, Faculty of Veterinary Medicine, Aristoteles University of Thessaloniki, Thessaloniki, Greece
| | - Sinikka Pelkonen
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Kuopio, Finland
| | | | - Nicola Pozzato
- Laboratorio di Medicina Forense Veterinaria, Struttura Complessa Territoriale 1 - Verona e Vicenza, Istituto Zooprofilattico Sperimentale Delle Venezie, Vicenza, Italy
| | - Eglé Rapaliuté
- Department of Veterinary Pathobiology, Lithuanian University of Health Sciences, Veterinary Academy, Kaunas, Lithuania
| | | | - João Niza-Ribeiro
- Department of Population Studies, Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - Franz-Ferdinand Roch
- Unit of Food Microbiology, Institute for Food Safety, Food Technology and Veterinary Public Health, University of Veterinary Medicine Vienna, Vienna, Austria
| | - Liza Rosenbaum Nielsen
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Jose Luis Saez
- Ministry of Agriculture, Fisheries and Food, Madrid, Spain
| | - Søren Saxmose Nielsen
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Gerdien van Schaik
- Department of Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.,Royal GD, Deventer, Netherlands
| | | | - Blagica Sekovska
- Faculty of Veterinary Medicine in Skopje, Ss Cyril and Methodius University in Skopje, Skopje, Macedonia
| | - Jože Starič
- Clinic for Reproduction and Large Animals - Section for Ruminants, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Sam Strain
- Animal Health and Welfare Northern Ireland, Dungannon, United Kingdom
| | - Petr Šatran
- State Veterinary Administration, Prague, Czechia
| | - Sabina Šerić-Haračić
- Animal Health Economics Department, Veterinary Faculty of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | | | - Hans-Hermann Thulke
- Department of Ecological Modelling, Helmholtz Centre for Environmental Research - UFZ, Leipzig, Germany
| | - Ivan Toplak
- Department of Virology, Veterinary Faculty, Institute of Microbiology and Parasitology, University of Ljubljana, Ljubljana, Slovenia
| | | | - Sharon Verner
- Animal Health and Welfare Northern Ireland, Dungannon, United Kingdom
| | - Štefan Vilček
- Department of Epizootiology, Parasitology and Protection of One Health, University of Veterinary Medicine and Pharmacy, Kosice, Slovakia
| | - Ramazan Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, Burdur Mehmet Akif Ersoy University, Burdur, Turkey
| | - Inge M G A Santman-Berends
- Department of Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.,Royal GD, Deventer, Netherlands
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12
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Maden M, Yildiz R, Çöl R, Arican M, Ider M, Parlak K, Tras B. The clinical efficacy of pentoxifylline and l-glutamine on ischemia and reperfusion injury in cattle with displaced abomasum: a longitudinal study. Pol J Vet Sci 2021; 24:595-605. [PMID: 35179847 DOI: 10.24425/pjvs.2021.139985] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
This study aimed to assess the clinical efficacy of pentoxifylline (PTX) and L-glutamine (L-Gln) treatment on ischemia and reperfusion (I/R) injury in the abomasal tissue, acute phase response (APR), oxidative stress (OS), cytokine response, hemostatic, and coagulation disorders in the 96-h period before and after surgery in displaced abomasum (DA) cases. The study sample consisted of 48 dairy cows with DA that were categorized into four groups as group S (Sham group) (9 Left displaced abomasum (LDA)+3 Right displaced abomasum (RDA), group P (PTX) (10 LDA+2 RDA), group G (L-Gln) (10 LDA+2 RDA), and group P+G (PTX+L-Gln) (10 LDA+2 RDA). Acute-phase protein (Haptoglobin), oxidative stress indicators (malondialdehyde, nitric oxide, and glutathione), cytokines (tumor necrosis factor (TNF)-α and interleukin-1β (IL-1β), coagulation factors (D-Dimer, Antithrombin (ATIII), Thrombin-antithrombin complex, Plasminogen activator inhibitor-1), and enzyme activities (lactate dehydrogenase, gamma- -glutamyl transferase, sorbitol dehydrogenase, glutamate dehydrogenase, adenosine deaminase, myeloperoxidase, and creatine phosphokinase) in blood serum samples and coagulometric analyses of blood plasma were performed in samples taken before the operation and at 30 and 60 min and 2, 5, 10, 24, 48, 72, and 96 h after the operation. In DA cases, while post-operative treatment procedures with PTX and L-Gln were effective in decreasing APR and OS, these were ineffective in prohibiting the inflammatory response coordinated by cytokines. For the treatment and prevention of I/R injury in the DA cases, PTX and L-Gln procedures hold promise with their effects on APR, OS, and hemostatic dysfunction. Additional treatment procedures are required for the suppression of inflammatory response, and the effectiveness of preconditioning treatment may be evaluated.
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Affiliation(s)
- M Maden
- Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - R Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, Burdur Mehmet Akif Ersoy University, 15030, Burdur, Turkey
| | - R Çöl
- Department of Physiology, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - M Arican
- Department of Surgery, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - M Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - K Parlak
- Department of Surgery, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - B Tras
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
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13
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Hodnik JJ, Acinger-Rogić Ž, Alishani M, Autio T, Balseiro A, Berezowski J, Carmo LP, Chaligiannis I, Conrady B, Costa L, Cvetkovikj I, Davidov I, Dispas M, Djadjovski I, Duarte EL, Faverjon C, Fourichon C, Frössling J, Gerilovych A, Gethmann J, Gomes J, Graham D, Guelbenzu M, Gunn GJ, Henry MK, Hopp P, Houe H, Irimia E, Ježek J, Juste RA, Kalaitzakis E, Kaler J, Kaplan S, Kostoulas P, Kovalenko K, Kneževič N, Knific T, Koleci X, Madouasse A, Malakauskas A, Mandelik R, Meletis E, Mincu M, Mõtus K, Muñoz-Gómez V, Niculae M, Nikitović J, Ocepek M, Tangen-Opsal M, Ózsvári L, Papadopoulos D, Papadopoulos T, Pelkonen S, Polak MP, Pozzato N, Rapaliuté E, Ribbens S, Niza-Ribeiro J, Roch FF, Rosenbaum Nielsen L, Saez JL, Nielsen SS, van Schaik G, Schwan E, Sekovska B, Starič J, Strain S, Šatran P, Šerić-Haračić S, Tamminen LM, Thulke HH, Toplak I, Tuunainen E, Verner S, Vilček Š, Yildiz R, Santman-Berends IMGA. Overview of Cattle Diseases Listed Under Category C, D or E in the Animal Health Law for Which Control Programmes Are in Place Within Europe. Front Vet Sci 2021; 8:688078. [PMID: 34395571 PMCID: PMC8361752 DOI: 10.3389/fvets.2021.688078] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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: 03/30/2021] [Accepted: 07/01/2021] [Indexed: 12/20/2022] Open
Abstract
The COST action “Standardising output-based surveillance to control non-regulated diseases of cattle in the European Union (SOUND control),” aims to harmonise the results of surveillance and control programmes (CPs) for selected cattle diseases to facilitate safe trade and improve overall control of cattle infectious diseases. In this paper we aimed to provide an overview on the diversity of control for these diseases in Europe. A selected cattle disease was defined as an infectious disease of cattle with no or limited control at EU level, which is not included in the European Union Animal health law Categories A or B under Commission Implementing Regulation (EU) 2020/2002. A CP was defined as surveillance and/or intervention strategies designed to lower the incidence, prevalence, mortality or prove freedom from a specific disease in a region or country. Passive surveillance, and active surveillance of breeding bulls under Council Directive 88/407/EEC were not considered as CPs. A questionnaire was designed to obtain country-specific information about CPs for each disease. Animal health experts from 33 European countries completed the questionnaire. Overall, there are 23 diseases for which a CP exists in one or more of the countries studied. The diseases for which CPs exist in the highest number of countries are enzootic bovine leukosis, bluetongue, infectious bovine rhinotracheitis, bovine viral diarrhoea and anthrax (CPs reported by between 16 and 31 countries). Every participating country has on average, 6 CPs (min–max: 1–13) in place. Most programmes are implemented at a national level (86%) and are applied to both dairy and non-dairy cattle (75%). Approximately one-third of the CPs are voluntary, and the funding structure is divided between government and private resources. Countries that have eradicated diseases like enzootic bovine leukosis, bluetongue, infectious bovine rhinotracheitis and bovine viral diarrhoea have implemented CPs for other diseases to further improve the health status of cattle in their country. The control of the selected cattle diseases is very heterogenous in Europe. Therefore, the standardising of the outputs of these programmes to enable comparison represents a challenge.
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Affiliation(s)
- Jaka Jakob Hodnik
- Clinic for Reproduction and Large Animals - Section for Ruminants, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Žaklin Acinger-Rogić
- Veterinary and Food Safety Directorate, Ministry of Agriculture, Zagreb, Croatia
| | - Mentor Alishani
- Department of Veterinary Medicine, Faculty of Agriculture and Veterinary, University of Prishtina "Hasan Prishtina", Prishtina, Albania
| | - Tiina Autio
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Kuopio, Finland
| | - Ana Balseiro
- Animal Health Department, University of León, León, Spain.,Animal Health Department, Instituto de Ganadería de Montaña Consejo Superior de Investigaciones Científicas-University of León, León, Spain
| | - John Berezowski
- Veterinary Public Health Institute, Vetsuisse, University of Bern, Bern, Switzerland
| | - Luís Pedro Carmo
- Veterinary Public Health Institute, Vetsuisse, University of Bern, Bern, Switzerland
| | - Ilias Chaligiannis
- School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Beate Conrady
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.,Complexity Science Hub Vienna, Vienna, Austria
| | - Lina Costa
- Department of Agrarian and Veterinary Sciences, Agrarian School of Elvas, Polytechnic Institute of Portalegre, Portalegre, Portugal
| | - Iskra Cvetkovikj
- Faculty of Veterinary Medicine in Skopje, Ss Cyril and Methodius University in Skopje, Skopje, Macedonia
| | - Ivana Davidov
- Faculty of Agriculture, University of Novi Sad, Novi Sad, Serbia
| | | | - Igor Djadjovski
- Faculty of Veterinary Medicine in Skopje, Ss Cyril and Methodius University in Skopje, Skopje, Macedonia
| | - Elsa Leclerc Duarte
- Departamento de Medicina Veterinária, Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal
| | | | | | - Jenny Frössling
- Department of Disease Control and Epidemiology, National Veterinary Institute (SVA), Uppsala, Sweden.,Department of Animal Environment and Health, Swedish University of Agricultural Sciences, Skara, Sweden
| | - Anton Gerilovych
- National Scientific Centre, Institute for Experimental and Clinical Veterinary Medicine, Kharkiv, Ukraine
| | - Jörn Gethmann
- Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Institute of Epidemiology, Greifswald, Germany
| | - Jacinto Gomes
- Animal Health and Production Unit, National Institute for Agrarian and Veterinary Research, Oeiras, Portugal
| | - David Graham
- Animal Health Ireland, Carrick on Shannon, Ireland
| | | | - George J Gunn
- Epidemiology Research Unit, Department of Veterinary and Animal Science, Northern Faculty, Scotland's Rural College, Inverness, United Kingdom
| | - Madeleine K Henry
- Epidemiology Research Unit, Department of Veterinary and Animal Science, Northern Faculty, Scotland's Rural College, Inverness, United Kingdom
| | - Petter Hopp
- Section of Epidemiology, Norwegian Veterinary Institute (NVI), Oslo, Norway
| | - Hans Houe
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Elena Irimia
- Research and Development Institute for Bovine Balotesti, Balotesti, Romania
| | - Jožica Ježek
- Clinic for Reproduction and Large Animals - Section for Ruminants, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Ramon A Juste
- Department of Animal Health, NEIKER-Basque Institute for Agricultural Research and Development, Basque Research and Technology Alliance, Derio, Spain
| | - Emmanouil Kalaitzakis
- Clinic of Farm Animals, Veterinary Faculty, Aristotle University Thessaloniki, Thessaloniki, Greece
| | - Jasmeet Kaler
- School of Veterinary Medicine and Science, University of Nottingham, Nottingham, United Kingdom
| | - Selcuk Kaplan
- Department of Genetics, Faculty of Veterinary Medicine, Tekirdag Namik Kemal University, Tekirdag, Turkey
| | - Polychronis Kostoulas
- Laboratory of Epidemiology, Faculty of Public and One (Integrated) Health, School of Health Sciences, University of Thessaly, Karditsa, Greece
| | - Kaspars Kovalenko
- Faculty of Veterinary Medicine, Latvia University of Lifesciences and Technologies, Jelgava, Latvia
| | - Nada Kneževič
- Podravka Food Industry, Research and Development, Koprivnica, Croatia
| | - Tanja Knific
- Veterinary Faculty, Institute of Food Safety, Feed and Environment, University of Ljubljana, Ljubljana, Slovenia
| | - Xhelil Koleci
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Agricultural University of Tirana, Tirana, Albania
| | | | - Alvydas Malakauskas
- Department of Veterinary Pathobiology, Lithuanian University of Health Sciences, Veterinary Academy, Kaunas, Lithuania
| | - Rene Mandelik
- Department of Epizootiology, Parasitology and Protection of One Health, University of Veterinary Medicine and Pharmacy, Kosice, Slovakia
| | - Eleftherios Meletis
- Laboratory of Epidemiology, Faculty of Public and One (Integrated) Health, School of Health Sciences, University of Thessaly, Karditsa, Greece
| | - Madalina Mincu
- Research and Development Institute for Bovine Balotesti, Balotesti, Romania
| | - Kerli Mõtus
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Tartu, Estonia
| | - Violeta Muñoz-Gómez
- Section of Epidemiology, Vetsuisse Faculty, University of Zürich, Zürich, Switzerland
| | - Mihaela Niculae
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, Cluj-Napoca, Romania
| | - Jelena Nikitović
- Institute for Genetic Resources, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Matjaž Ocepek
- Veterinary Faculty, National Veterinary Institute, University of Ljubljana, Ljubljana, Slovenia
| | | | - László Ózsvári
- Department of Veterinary Forensics and Economics, University of Veterinary Medicine Budapest, Budapest, Hungary
| | - Dimitrios Papadopoulos
- Department of Microbiology, Faculty of Veterinary Medicine, Aristoteles University of Thessaloniki, Thessaloniki, Greece
| | - Theofilos Papadopoulos
- Department of Microbiology, Faculty of Veterinary Medicine, Aristoteles University of Thessaloniki, Thessaloniki, Greece
| | - Sinikka Pelkonen
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Kuopio, Finland
| | | | - Nicola Pozzato
- Laboratorio di Medicina Forense Veterinaria, Struttura Complessa Territoriale 1 - Verona e Vicenza, Istituto Zooprofilattico Sperimentale Delle Venezie, Vicenza, Italy
| | - Eglé Rapaliuté
- Department of Veterinary Pathobiology, Lithuanian University of Health Sciences, Veterinary Academy, Kaunas, Lithuania
| | | | - João Niza-Ribeiro
- Department of Population Studies, Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - Franz-Ferdinand Roch
- Unit of Food Microbiology, Institute for Food Safety, Food Technology and Veterinary Public Health, University of Veterinary Medicine Vienna, Vienna, Austria
| | - Liza Rosenbaum Nielsen
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Jose Luis Saez
- Ministry of Agriculture, Fisheries and Food, Madrid, Spain
| | - Søren Saxmose Nielsen
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Gerdien van Schaik
- Department of Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.,Royal GD, Deventer, Netherlands
| | | | - Blagica Sekovska
- Faculty of Veterinary Medicine in Skopje, Ss Cyril and Methodius University in Skopje, Skopje, Macedonia
| | - Jože Starič
- Clinic for Reproduction and Large Animals - Section for Ruminants, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Sam Strain
- Animal Health and Welfare Northern Ireland, Dungannon, United Kingdom
| | - Petr Šatran
- State Veterinary Administration, Prague, Czechia
| | - Sabina Šerić-Haračić
- Animal Health Economics Department, Veterinary Faculty of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | | | - Hans-Hermann Thulke
- Department of Ecological Modelling, Helmholtz Centre for Environmental Research - UFZ, Leipzig, Germany
| | - Ivan Toplak
- Department of Virology, Veterinary Faculty, Institute of Microbiology and Parasitology, University of Ljubljana, Ljubljana, Slovenia
| | | | - Sharon Verner
- Animal Health and Welfare Northern Ireland, Dungannon, United Kingdom
| | - Štefan Vilček
- Department of Epizootiology, Parasitology and Protection of One Health, University of Veterinary Medicine and Pharmacy, Kosice, Slovakia
| | - Ramazan Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, Burdur Mehmet Akif Ersoy University, Burdur, Turkey
| | - Inge M G A Santman-Berends
- Department of Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.,Royal GD, Deventer, Netherlands
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Gulersoy E, Ok M, Yildiz R, Koral E, Ider M, Sevinc M, Zhunushova A. Assessment of intestinal and cardiac-related biomarkers in dogs with parvoviral enteritis. Pol J Vet Sci 2021; 23:211-219. [PMID: 32627989 DOI: 10.24425/pjvs.2020.133635] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The aim of this study was to evaluate the intestinal and cardiac biomarkers in the determination of intestinal and cardiac damage in dogs with parvoviral enteritis. The material of this study consisted of 10 healthy dogs (control group) and 30 dogs with parvoviral enteritis (experimental group) admitted to the Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University.Serum samples were extracted from the collected blood samples taken from vena cephalicavenipuncture for analysis of blood gases, haemogram and to measure the levels of intestinal-fatty acid-binding protein (I-FABP), trefoil factor 3 (TFF-3), claudin-3 (CLDN-3), heart-type fatty acid-binding protein (H-FABP), cardiac troponin I (cTnI), and creatine kinase-myocardial band (CK-MB) by enzyme linked immunosorbent assay (ELISA) test kits. Statistically significant decreases in the blood gas hydrogen ion concentration (pH), partial pressure of oxygen (pO2), sodium (Na), bicarbonate (HCO3), and oxygen saturation (SatO2) levels and significant increase in the levels of I-FABP, TFF-3, CK-MB, cTnI and also in the haemogram, a decrease in leukocyte (WBC) level and an increase in platelet (THR) level were detected in parvoviral dogs compared to the control group (p⟨0.05). Also ROC analysis revealed on 0th hour for the utility of I-FABP and on 48th hour for TFF-3 in differentiating in the experimental group between the survivor and non-survivor dogs. Other intestinal-related biomarker (CLDN-3) and none of the cardiac-related biomarkers (H-FABP, CK-MB and cTnI) are not high enough for prediction of mortality.In conclusion, it was determined that I-FABP and TFF-3 for the intestinal injury and morta-lity prediction, and CK-MB and cTnI for the cardiac injury were useful and reliable biomarkers to determine the damage caused by parvovirus in dogs.
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Affiliation(s)
- E Gulersoy
- Department of Internal Medicine, Veterinary Faculty, Selcuk University, Konya, 42003, Turkey
| | - M Ok
- Department of Internal Medicine, Veterinary Faculty, Selcuk University, Konya, 42003, Turkey
| | - R Yildiz
- Department of Internal Medicine, Veterinary Faculty, Mehmet Akif Ersoy University, Burdur, 15030, Turkey
| | - E Koral
- Department of Internal Medicine, Veterinary Faculty, Selcuk University, Konya, 42003, Turkey
| | - M Ider
- Department of Internal Medicine, Veterinary Faculty, Selcuk University, Konya, 42003, Turkey
| | - M Sevinc
- Department of Internal Medicine, Veterinary Faculty, Selcuk University, Konya, 42003, Turkey
| | - A Zhunushova
- Veterinary Faculty, Kyrgyz-Turkish Manas University, Bishkek, 720044, Kyrgyzstan
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15
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Yildiz A, Yildiz R, Celik HI, Manzak OF, Elbasan B. Construct and discriminative validity and reliability of the Selective Control of the Upper Extremity Scale (SCUES) in children with unilateral cerebral palsy. Physiother Theory Pract 2020; 38:919-927. [DOI: 10.1080/09593985.2020.1805832] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Ayse Yildiz
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Ramazan Yildiz
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Halil Ibrahim Celik
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Omer Faruk Manzak
- Defne Duru Special Education and Rehabilitation Center, Ankara, Turkey
| | - Bulent Elbasan
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
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16
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Ok M, Yildiz R, Hatipoglu F, Baspinar N, Ider M, Üney K, Ertürk A, Durgut MK, Terzi F. Use of intestine-related biomarkers for detecting intestinal epithelial damage in neonatal calves with diarrhea. Am J Vet Res 2020; 81:139-146. [PMID: 31985285 DOI: 10.2460/ajvr.81.2.139] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To evaluate the usefulness of intestinal biomarkers in determining the presence of intestinal epithelial damage in neonatal calves with diarrhea caused by 4 etiologic agents. ANIMALS 40 neonatal calves that were healthy (n = 10) or had diarrhea (30). PROCEDURES The study was a cross-sectional study. Results of hematologic analyses and serum concentrations of intestinal fatty acid-binding protein (I-FABP), liver fatty acid-binding protein (L-FABP), trefoil factor 3 (TFF-3), Claudin-3 (CLDN-3), γ-enteric smooth muscle actin (ACTG2), intestinal alkaline phosphatase (IAP), interleukin-8 (IL-8), platelet-activating factor (PAF), and leptin (LP) were compared among calves grouped according to whether they were healthy (control group; G-1) or had diarrhea caused by K99 Escherichia coli (G-2; n = 10), bovine rota- or coronavirus (G-3; 5 each), or Cryptosporidium spp (G-4; 10). RESULTS Across the 3 time points at which blood samples were obtained and evaluated, the groups of calves with diarrhea generally had markedly higher mean serum concentrations of L-FABP, TFF-3, IAP, IL-8, and LP, compared with the control group. In addition, G-2 also consistently had markedly higher mean serum concentrations of I-FAB and ACTG2 and lower mean serum concentrations of CLDN-3, compared with the control group. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that degree of intestinal epithelial damage differed among calves grouped by the etiologic agent of diarrhea and that such damage might have been more severe in calves with diarrhea caused by K99 E coli. Additionally, our results indicated that serum concentrations of I-FABP, L-FABP, TFF-3, IAP, IL-8, ACTG2, LP, and CLDN-3 were useful biomarkers of intestinal epithelial damage in calves of the present study.
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Durna Corum D, Corum O, Yildiz R, Eser Faki H, Ider M, Cetin G, Uney K. Influences of tolfenamic acid and flunixin meglumine on the disposition kinetics of levofloxacin in sheep. Acta Vet Hung 2020; 68:65-70. [PMID: 32384070 DOI: 10.1556/004.2020.00015] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2019] [Accepted: 01/19/2020] [Indexed: 11/19/2022]
Abstract
The pharmacokinetics of levofloxacin (4 mg/kg), administered both alone and in combination with tolfenamic acid (2 mg/kg) and flunixin meglumine (2.2 mg/kg), was established after intravenous administration in sheep. Plasma levofloxacin concentrations were assayed by high-performance liquid chromatography and analysed according to the two-compartment open model. Following the administration of levofloxacin alone, the mean distribution half-life, elimination half-life, total clearance, volume of distribution at steady state and area under the plasma concentration-time curve were 0.20 h, 1.82 h, 0.39 L/h/kg, 0.96 L/kg and 10.40 h × µg/mL, respectively. Tolfenamic acid and flunixin meglumine caused a slow elimination and increased plasma concentrations of levofloxacin in combination administration. Levofloxacin, with an alteration in the dosage regimen, can be used effectively with tolfenamic acid and flunixin meglumine for the therapy of infections and inflammatory conditions in sheep.
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Affiliation(s)
- Duygu Durna Corum
- 1Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, 3700, Kastamonu, Turkey
| | - Orhan Corum
- 1Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, 3700, Kastamonu, Turkey
| | - Ramazan Yildiz
- 2Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, Burdur, Turkey
| | - Hatice Eser Faki
- 3Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Merve Ider
- 4Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Gul Cetin
- 5Department of Pharmacology, Faculty of Pharmacy, University of Erzincan Binali Yildirim, Erzincan, Turkey
| | - Kamil Uney
- 3Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
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Altan F, Corum O, Yildiz R, Eser Faki H, Ider M, Ok M, Uney K. Intravenous pharmacokinetics of moxifloxacin following simultaneous administration with flunixin meglumine or diclofenac in sheep. J Vet Pharmacol Ther 2020; 43:108-114. [PMID: 32043623 DOI: 10.1111/jvp.12841] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 12/27/2019] [Accepted: 01/13/2020] [Indexed: 01/07/2023]
Abstract
In this study, the pharmacokinetics of moxifloxacin (5 mg/kg) was determined following a single intravenous administration of moxifloxacin alone and co-administration with diclofenac (2.5 mg/kg) or flunixin meglumine (2.2 mg/kg) in sheep. Six healthy Akkaraman sheep (2 ± 0.3 years and 53.5 ± 5 kg of body weight) were used. A longitudinal design with a 15-day washout period was used in three periods. In the first period, moxifloxacin was administered by an intravenous (IV) injection. In the second and third periods, moxifloxacin was co-administered with IV administration of diclofenac and flunixin meglumine, respectively. The plasma concentration of moxifloxacin was assayed by high-performance liquid chromatography. The pharmacokinetic parameters were calculated using a two-compartment open pharmacokinetic model. Following IV administration of moxifloxacin alone, the mean elimination half-life (t1/2β ), total body clearance (ClT ), volume of distribution at steady state (Vdss ) and area under the curve (AUC) of moxifloxacin were 2.27 hr, 0.56 L h-1 kg-1 , 1.66 L/kg and 8.91 hr*µg/ml, respectively. While diclofenac and flunixin meglumine significantly increased the t1/2β and AUC of moxifloxacin, they significantly reduced the ClT and Vdss . These results suggest that anti-inflammatory drugs could increase the therapeutic efficacy of moxifloxacin by altering its pharmacokinetics.
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Affiliation(s)
- Feray Altan
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Dicle, Diyarbakir, Turkey
| | - Orhan Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, Kastamonu, Turkey
| | - Ramazan Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, Burdur, Turkey
| | - Hatice Eser Faki
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Merve Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Mahmut Ok
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Kamil Uney
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
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Yildiz R, Ok M, Ider M, Aydogdu U, Ertürk A. Heart-type fatty acid-binding protein (H-FABP), pentraxin-3 (PTX-3) and thrombomodulin in bovine traumatic pericarditis. Acta Vet Hung 2019; 67:505-516. [PMID: 31842598 DOI: 10.1556/004.2019.050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The aim of this study was to evaluate the biomarkers of cardiac damage such as heart-type fatty acid-binding protein (H-FABP), pentraxin-3 (PTX-3), and thrombomodulin (TM) for the detection and prognosis of bovine traumatic pericarditis (TP). Spontaneous TP was diagnosed on the basis of history, clinical signs, complete blood count, glutaraldehyde test, ultrasonography, and pericardiocentesis findings. H-FABP, PTX-3 and TM levels in serum were compared between 25 Holstein cows diagnosed with spontaneous TP and 10 healthy control cows using bovine-specific ELISA kits. Serum H-FABP in cattle with TP was significantly (P < 0.05) higher than in the control group and positively correlated with cardiac troponin-I (cTnI), creatine kinase myocardial band (CK-MB), PTX-3 and TM (r = 0.683, 0.342, 0.448 and 0.424, respectively; P < 0.05). The serum levels of PTX-3 (P < 0.05) and TM (P < 0.05) in cattle with TP were significantly higher than in the control group. Cardiac damage biomarkers H-FABP, PTX-3 and TM may be useful in the diagnosis of bovine TP.
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Affiliation(s)
- Ramazan Yildiz
- 1Department of Internal Medicine, Faculty of Veterinary Medicine, Mehmet Akif Ersoy University, 15030, Burdur, Turkey
| | - Mahmut Ok
- 2Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey
| | - Merve Ider
- 2Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey
| | - Ugur Aydogdu
- 3Department of Internal Medicine, Faculty of Veterinary Medicine, Balikesir University, Balikesir, Turkey
| | - Alper Ertürk
- 4Department of Internal Medicine, Faculty of Veterinary Medicine, Mustafa Kemal University, Hatay, Turkey
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Corum O, Yildiz R, Ider M, Altan F, Ok M, Uney K. Pharmacokinetics and bioavailability of cefquinome and ceftriaxone in premature calves. J Vet Pharmacol Ther 2019; 42:632-639. [PMID: 31197850 DOI: 10.1111/jvp.12789] [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: 01/30/2019] [Revised: 04/25/2019] [Accepted: 05/21/2019] [Indexed: 12/01/2022]
Abstract
The aim of this study was to evaluate the pharmacokinetics and bioavailability of cefquinome (CFQ) and ceftriaxone (CTX) following intravenous (IV) and intramuscular (IM) administrations in premature calves. Using a parallel design, 24 premature calves were randomly divided into the two antibiotic groups. Each of the six animals in the first group received CFQ (2 mg/kg) through IV or IM administration. The second group received CTX (20 mg/kg) via the same administration route. Plasma concentrations of the drugs were analyzed by high-performance liquid chromatography and noncompartmental methods. Mean pharmacokinetic parameters of CFQ and CTX following IV administration were as follows: elimination half-life (t1/2λz ) 1.85 and 3.31 hr, area under the plasma concentration-time curve (AUC0-∞ ) 15.74 and 174 hr * μg/ml, volume of distribution at steady-state 0.37 and 0.45 L/kg, and total body clearance 0.13 and 0.12 L hr-1 kg-1 , respectively. Mean pharmacokinetic parameters of CFQ and CTX after IM injection were as follows: peak concentration 4.56 and 25.04 μg/ml, time to reach peak concentration 1 and 1.5 hr, t1/2λz 4.74 and 3.62 hr, and AUC0-∞ 22.75 and 147 hr * μg/ml, respectively. The bioavailability of CFQ and CTX after IM injection was 141% and 79%, respectively. IM administration of CFQ (2 mg/kg) and CTX (20 mg/kg) can be recommended at 12-hr interval for treating infections caused by susceptible bacteria, with minimum inhibitory concentration values of ≤0.5 and ≤4 μg/ml, respectively, in premature calves. However, further research is indicated to assess the pharmacokinetic parameters following multiple doses of the drug in premature calves.
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Affiliation(s)
- Orhan Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, Kastamonu, Turkey
| | - Ramazan Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, Burdur, Turkey
| | - Merve Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Feray Altan
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Dicle, Diyarbakir, Turkey
| | - Mahmut Ok
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Kamil Uney
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
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21
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Corum O, Altan F, Yildiz R, Ider M, Ok M, Uney K. Pharmacokinetics of enrofloxacin and danofloxacin in premature calves. J Vet Pharmacol Ther 2019; 42:624-631. [PMID: 31190327 DOI: 10.1111/jvp.12787] [Citation(s) in RCA: 7] [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: 04/05/2019] [Revised: 05/05/2019] [Accepted: 05/14/2019] [Indexed: 01/02/2023]
Abstract
The aim of this study was to determine the pharmacokinetics/pharmacodynamics of enrofloxacin (ENR) and danofloxacin (DNX) following intravenous (IV) and intramuscular (IM) administrations in premature calves. The study was performed on twenty-four calves that were determined to be premature by anamnesis and general clinical examination. Premature calves were randomly divided into four groups (six premature calves/group) according to a parallel pharmacokinetic (PK) design as follows: ENR-IV (10 mg/kg, IV), ENR-IM (10 mg/kg, IM), DNX-IV (8 mg/kg, IV), and DNX-IM (8 mg/kg, IM). Plasma samples were collected for the determination of tested drugs by high-pressure liquid chromatography with UV detector and analyzed by noncompartmental methods. Mean PK parameters of ENR and DNX following IV administration were as follows: elimination half-life (t1/2λz ) 11.16 and 17.47 hr, area under the plasma concentration-time curve (AUC0-48 ) 139.75 and 38.90 hr*µg/ml, and volume of distribution at steady-state 1.06 and 4.45 L/kg, respectively. Total body clearance of ENR and DNX was 0.07 and 0.18 L hr-1 kg-1 , respectively. The PK parameters of ENR and DNX following IM injection were t1/2λz 21.10 and 28.41 hr, AUC0-48 164.34 and 48.32 hr*µg/ml, respectively. The bioavailability (F) of ENR and DNX was determined to be 118% and 124%, respectively. The mean AUC0-48CPR /AUC0-48ENR ratio was 0.20 and 0.16 after IV and IM administration, respectively, in premature calves. The results showed that ENR (10 mg/kg) and DNX (8 mg/kg) following IV and IM administration produced sufficient plasma concentration for AUC0-24 /minimum inhibitory concentration (MIC) and maximum concentration (Cmax )/MIC ratios for susceptible bacteria, with the MIC90 of 0.5 and 0.03 μg/ml, respectively. These findings may be helpful in planning the dosage regimen for ENR and DNX, but there is a need for further study in naturally infected premature calves.
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Affiliation(s)
- Orhan Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, Kastamonu, Turkey
| | - Feray Altan
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Dicle, Diyarbakir, Turkey
| | - Ramazan Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, Burdur, Turkey
| | - Merve Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Mahmut Ok
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Kamil Uney
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
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Yildiz R, Corum O, Atik O, Durna Corum D, Altan F, Ok M, Uney K. Changes in novel gastrointestinal and renal injury markers in the blood plasma of sheep following increasing intravenous doses of tolfenamic acid. Acta Vet Hung 2019; 67:87-97. [PMID: 30922094 DOI: 10.1556/004.2019.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The administration of high doses of non-steroidal anti-inflammatory drugs (NSAID), such as tolfenamic acid (TA), has undesirable effects on different organs. Some novel biomarkers have been reported that can determine the gastrointestinal and renal injury caused by a high dose of NSAIDs or other toxic substances. This study was aimed at determining the changes in gastrointestinal (TFF2 and HYP), renal (NGAL and KIM-1) and cardiac (cTn-I, CK-MB) injury markers after the use of increasing intravenous doses of TA in sheep. TA was administered intravenously to groups of six sheep each, at the dose levels of 0 (Group 0, i.e., G0), 2 (G2), 4 (G4), 8 (G8) and 16 (G16) mg/kg. The concentrations of the studied biomarkers were measured at 3, 9, 18 and 36 h after administration of TA. The TFF2 and NGAL concentrations in G16 were found to be significantly higher (P < 0.05) than in the other groups except for G8 at different sampling times. HYP concentration in G16 was observed to be significantly (P < 0.05) lower than that in all other groups at 36 h. KIM-1 level in G16 was significantly (P < 0.05) higher than in all other groups at different sampling times. An increase in the renal markers, KIM-1 and NGAL, in G8 was observed before any change in plasma creatinine and urea. The cardiac marker cTn-I in G16 was significantly (P < 0.05) higher than in other groups at different sampling times. The results showed that the novel biomarkers (HYP, TFF2, NGAL, and KIM-1) can be used to determine gastric and renal injury in sheep.
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Affiliation(s)
- Ramazan Yildiz
- 1 Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, 15030, Burdur, Turkey
| | - Orhan Corum
- 2 Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, Kastamonu, Turkey
| | - Orkun Atik
- 3 Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Afyon Kocatepe, Afyonkarahisar, Turkey
| | - Duygu Durna Corum
- 2 Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, Kastamonu, Turkey
| | - Feray Altan
- 5 Department of Internal Medicine, Konya, Turkey
| | - Mahmut Ok
- 5 Department of Internal Medicine, Konya, Turkey
| | - Kamil Uney
- 6 Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
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Aydogdu U, Yildiz R, Guzelbektes H, Naseri A, Akyuz E, Sen I. Effect of combinations of intravenous small-volume hypertonic sodium chloride, acetate Ringer, sodium bicarbonate, and lactate Ringer solutions along with oral fluid on the treatment of calf diarrhea. Pol J Vet Sci 2019; 21:273-280. [PMID: 30450865 DOI: 10.24425/119048] [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] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The aim of this study was to compare effect of combinations of intravenous isotonic sodium bicarbonate (NaHCO3), acetate Ringer, lactate Ringer and small-volume hypertonic sodium chloride (NaCI) solutions along with oral electrolyte solutions (OES) on the treatment of neonatal calf diarrhea with moderate dehydration and metabolic acidosis. Thirty-two calves with diarrhea were used in the study. Calves were randomly assigned to receive acetate Ringer solution (n=8), lactate Ringer solution (n=8), isotonic NaHCO3 (n=8) and 7.2% saline solutions (n=8), and two liters of OES were administrated to all calves orally at the end of intravenous administration. Blood samples for blood gas and biochemical analyses were collected at 0 hours and at 0.5, 1, 2, 4, 6 and 24 hours intervals. All the calves had mild to moderate metabolic acidosis on admission. Increased plasma volume and sodium concentration, but decreased serum total protein were observed within 0.5 hours following administration of hypertonic 7.2% NaCI + OES, compared to other 3 groups. In conclusion, administration of intravenous hypertonic 7.2% NaCI solution in small volume along with OES provided fast and effective improvement of dehydration and acid-base abnormalities within short time in treatment of calf diarrhea with moderate dehydration and metabolic acidosis.
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Affiliation(s)
- U Aydogdu
- Balikesir University, Faculty of Veterinary Medicine, Department of Internal Medicine, 10145, Balikesir, Turkey
| | - R Yildiz
- Mehmet Akif Ersoy University, Faculty of Veterinary Medicine, Department of Internal Medicine, 15030, Burdur, Turkey
| | - H Guzelbektes
- Selcuk University, Faculty of Veterinary Medicine, Department of Internal Medicine, Campus, 42075, Konya, Turkey.,Department of Internal Medicine, Faculty of Veterinary Medicine, Kyrgyz Turkish Manas University, Bishkek, Kyrgyzstan
| | - A Naseri
- Selcuk University, Faculty of Veterinary Medicine, Department of Internal Medicine, Campus, 42075, Konya, Turkey
| | - E Akyuz
- Kafkas University, Faculty of Veterinary Medicine, Department of Internal Medicine, 36300, Kars, Turkey
| | - I Sen
- Selcuk University, Faculty of Veterinary Medicine, Department of Internal Medicine, Campus, 42075, Konya, Turkey.,Near East University, Faculty of Veterinary Medicine, Department of Internal Medicine, Nicosia, North Cyprus, Turkey
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Aydogdu U, Coskun A, Yildiz R, Guzelbektes H, Sen I. Clinical importance of lipid profile in neonatal calves with sepsis. J HELL VET MED SOC 2019. [DOI: 10.12681/jhvms.15926] [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: 11/03/2022]
Abstract
In this study, it was aimed to determine of diagnostic importance blood lipid levels in neonatal calves with sepsis. The study was carried out on a total of 70 calves, 60 with sepsis and 10 healthy calves. The calves with sepsis were included in the study, according to clinical and hematological findings. After routine clinical examinations of all the calves, blood samples were taken from the V. jugularis for hematological, lipid profile and biochemical analyzes. There were significantly (P < 0.05) decreased in body temperature, increased in respiration rate and capillary refill time in the calves with sepsis, compared to control group calves. The levels of blood urea nitrogen, creatinine concentrations of calves with sepsis were significantly higher (P < 0.05), however, levels of total cholesterol, HDL, LDL and albumin concentrations were significantly lower (P < 0.05) than control group. In addition, blood triglyceride and VLDL concentrations of calves with sepsis were higher than control group, however there was no statistical difference.In conclusion, serum total cholesterol, HDL and LDL in neonatal calves with sepsis could be used in evaluation of the sepsis.
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Maden M, Yildiz R, Çöl R, Arican M, Ider M, Garip M, Tras B. The evaluation of hemostatic dysfunction and disseminated intravascular coagulation in dairy cows with abomasal displacement. Pol J Vet Sci 2019; 21:769-778. [PMID: 30605273 DOI: 10.24425/pjvs.2018.125590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Disseminated intravascular coagulation (DIC) is a complex, dynamic and hemostatic disorder which develops secondarily to a disease characterized with an imbalance in the pro-coagulant and anti-coagulant components of hemostasis. The aim of the study is to evaluate hemostatic dysfunc- tion and the DIC syndrome in cattle with displaced abomasum (DA), with using the hematologic analyses and an extensive coagulation profile in the 96 hour-period including before and after surgery. The animal material of the study consisted of 12 dairy cows diagnosed with displaced abomasum (9 LDA and 3 RDA without volvulus) in the 2-4 week period after parturation and with no other post-partum disease. In dairy cows diagnosed with DA, hematological, coagulomet- ric (PT, APTT, Fibrinogen) and coagulation factor analyses [D-Dimer, TAT (thrombin-anti- thrombin complex), ATIII (antithrombin III), PAI-1 (plazminogen activator inhibitor-1] were performed in blood samples obtained before the operation as well as 30 minutes, 60 minutes and 2, 5, 10, 24, 48, 72 and 96 hours after the operation. In the DA cases, abnormalities were found in 6 of the 8 coagulation parameters. In the LDA and RDA groups, prolonged PT (sec), PT (INR) and APTT, hypofibrinogenemia, an increase in serum D-Dimer concentration at 72 and 96 hours after the operation and an increase in serum ATIII concentrations before and 30, 60 minutes and 2, 5, 72 and 96 hours after the operation was found (p⟨0.05). Hemostatic dysfunction and the risk of DIC developing in DA cases and continuing in the post-operative period was determined.
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Affiliation(s)
- M Maden
- Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - R Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, Mehmet Akif University, 15030, Burdur, Turkey
| | - R Çöl
- Department of Physiology, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - M Arican
- Department of Surgery, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - M Ider
- Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - M Garip
- Department of Animal Breeding, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
| | - B Tras
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, Selcuk University, 42003, Konya, Turkey
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Uney K, Tras B, Corum O, Yildiz R, Maden M. Pharmacokinetics of pentoxifylline and its 5-hydroxyhexyl metabolite following intravenous administration in cattle. Trop Anim Health Prod 2018; 51:435-441. [DOI: 10.1007/s11250-018-1710-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Accepted: 09/10/2018] [Indexed: 10/28/2022]
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Corum O, Corum DD, Er A, Yildiz R, Uney K. Pharmacokinetics and bioavailability of tolfenamic acid in sheep. J Vet Pharmacol Ther 2018; 41:871-877. [PMID: 30084126 DOI: 10.1111/jvp.12702] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 07/05/2018] [Accepted: 07/10/2018] [Indexed: 11/27/2022]
Abstract
The pharmacokinetics, bioavailability, and tolerability of tolfenamic acid (TA) were determined after treating sheep with TA via different routes and doses. This crossover study was carried out with a washout period of 15 days. In the study, 16 clinically healthy sheep were randomly assigned to two equal groups. In the first group (n = 8), animals received TA by intravenous (IV), intramuscular (IM), subcutaneous (SC), or oral (OR) routes at 2 mg/kg. In the second group (n = 8), TA was administered intravenously to each sheep at 2, 4, 8, and 16 mg/kg. Plasma samples were analyzed with a high-performance liquid chromatography assay. Noncompartmental pharmacokinetic analyses were used to evaluate the data. The area under the concentration-time curves (AUC0-∞ ), elimination half-life (t1/2ʎz ), and the mean residence time (MRT) significantly differed among the administration routes at 2 mg/kg of TA. Following IM, SC, and OR administrations, TA demonstrated different peak concentrations (Cmax ) and time to reach Cmax (Tmax ), with a bioavailability of 163%, 127%, and 107%, respectively. The dose-normalized AUC0-∞ revealed a significant difference among the dose groups; however, the relationship between dose and AUC0-∞ was linear. Both t1/2ʎz and MRT increased depending on the dose. Although the total clearance (ClT ) decreased depending on dose, the volume of distribution at steady-state (Vss ) increased. Tolfenamic acid indicated a long half-life and high bioavailability following IM, SC, and OR administrations at 2 mg/kg. TA exhibited linear kinetics and was well tolerated by the animals, except at 16 mg/kg. Thus, TA may be used in different routes and doses (≤8 mg/kg) in sheep; however, further studies are needed to determine the clinical efficacy of TA during the inflammatory and painful conditions and the pharmacokinetics and safety of repeated administration in sheep.
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Affiliation(s)
- Orhan Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, Kastamonu, Turkey
| | - Duygu Durna Corum
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Kastamonu, Kastamonu, Turkey
| | - Ayse Er
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
| | - Ramazan Yildiz
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Mehmet Akif Ersoy, Burdur, Turkey
| | - Kamil Uney
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Selcuk, Konya, Turkey
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Aydogdu U, Isik N, Ekici OD, Yildiz R, Sen I, Coskun A. Comparison of the Effectiveness of Halofuginone Lactate and Paromomycin in the Treatment of Calves Naturally Infected with Cryptosporidium parvum. ACTA SCI VET 2018. [DOI: 10.22456/1679-9216.81809] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Background: Cryptosporidiosis is one of the most important problems among neonatal ruminants. Cryptosporidium parvum is the agent causing the disease. Cryptosporidium infection, responsible for diarrhea, dehydration, weight loss and death in neonatal ruminants, leads to significant economic losses for producers. In calves naturally or experimentally infected with cryptosporidiosis, many agents have been reported to have therapeutic and protective effects. The objective of this study was to compare the effectiveness of halofuginone lactate and paromomycin in the treatment of calves naturally infected with Cryptosporidium parvum.Materials, Methods & Results: Twenty calves between 7 and 20 days of age and naturally infected were included in the study. There were two different treatment groups in the study. The first group of calves were administered 100 µg/kg/day halofuginone lactate for 7 days and the second group of calves were administered 100 mg/kg/day paromomycin for 7 days. In addition, antibiotic and vitamin C were applied to all calves. Jugular venous blood samples were obtained pre-treatment and on the 7th day after the treatment. Routine clinical examinations of the calves were performed on days 0, 1, 3, 5 and 7 and rectal stool samples were collected for the detection of Cryptosporidium oocysts. Severe diarrhea, dehydration, depression and weight loss were observed in calves in both treatment groups. A significant decrease (P < 0.05) was observed for both groups in oocyst count on days 3, 5 and 7 compared to days 0 and 1. Improvements in blood parameters, stool characters and clinical scoring of both groups were observed in post-treatment.Discussion: Many pharmaceuticals or compounds have been tested for animal with cryptosporidiosis and only very few of them have shown a partial protective activity in ruminants when used prophylactically. Halofuginone lactate and paromomycin are commonly recommended as both therapeutic and protective agents. However, the effectiveness of the two therapeutic agents in natural infections has not been compared and, in the meantime, recommendations for a rational use are also not sufficiently documented in calves with cryptosporidiosis. Paromomycin is an aminoglycoside antibiotic used to control C. parvum infection in animals. Paromomycin reduces oocyst shedding and the number of days with diarrhea in experimentally infected calves when used prophylactically. Halofuginone lactate is a synthetic quinazolinone with cryptosporidial activity in the merozoite and sporozoite stages of C. parvum. It is recommended for both therapeutic and prophylactic use in cryptosporidiosis. In this study, although paromomycin (100 mg/kg/day for 7 days) and halofuginone lactate (100 µg/kg/day for 7 days) led to a decrease in oocyst shedding from day 1, a statistically significant decrease (P < 0.05) was observed from day 3. The results of this study show that the decrease in oocyst shedding in both treatment groups, improvements in clinical findings and recoveries in hematologic, blood gas and serum biochemistry values are similar. Even though these drugs do not eliminate the infection, they decrease both the severity of diarrhea and contribute to recovery. In conclusion, the results of this study indicated that halofuginone lactate and paromomycin were effective in the treatment of calves naturally infected with cryptosporidiosis. Therefore, we recommend that both drugs should be used in the treatment of calves naturally infected with Cryptosporidium parvum.
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Yalçın Ş, Yildiz R, Dane F, Karaoğlu A, Öksüzoğlu B, Özyılkan Ö, Sevinç A, Özdemir F, Turna H, Uslu R, Ulay E. A national, multicenter, non-interventional, observational study on treatment patterns in patients with metastatic renal cell carcinoma in Turkey - NOTES study. Onco Targets Ther 2018; 11:1223-1228. [PMID: 29551901 PMCID: PMC5843136 DOI: 10.2147/ott.s148917] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction The introduction of targeted therapies in renal cell carcinoma has significantly improved its prognosis and treatment outcomes in recent years. Such treatment options are targeted therapies of the vascular endothelial growth factor (VEGF) pathway and the mammalian target of the rapamycin pathway. With the use of tyrosine kinase inhibitors (TKIs) and mammalian target of the rapamycin inhibitors, overall survival has increased up to 2 years. In Turkey, due to applicable reimbursement conditions for patients with metastatic renal cell carcinoma (mRCC), interferon use is mandated as a first-line treatment, thus providing information on the use of everolimus only after initial interferon and second-line VEGF-targeted treatments such as VEGF-TKI. Patients and methods To provide a first real-life data set in Turkey, we conducted a prospective, non-interventional, observational study and assessed the efficacy and safety of everolimus after two lines of treatment including interferon. A total of 100 patients with histologically confirmed mRCC were enrolled in the study from 11 centers between June 2012 and March 2014 (70 males and 30 females). Efficacy was assessed on the basis of progression-free survival and overall survival; safety of everolimus was assessed on the basis of adverse event occurrence. Results The study results showed that the median progression-free survival with everolimus treatment was 8.1 months (95% CI: 5.1–11.1) and the median overall survival was 17.6 months (95% CI: 10.1–25.1), thus indicating a better overall response based on survival durations than those from the randomized Phase III REnal Cell cancer treatment with Oral RAD001 given Daily study results (4.9 and 14.8 months, respectively). Conclusion The study showed that everolimus treatment is a safe and effective treatment option in the treatment of mRCC after VEGF-TKI, with an acceptable safety and tolerability profile in real-life settings.
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Affiliation(s)
- Şuayib Yalçın
- Hacettepe University, Department of Medical Oncology, Ankara, Turkey
| | - Ramazan Yildiz
- Gazi University, Department of Medical Oncology, Ankara, Turkey
| | - Faysal Dane
- Marmara University, Department of Medical Oncology, İstanbul, Turkey
| | - Aziz Karaoğlu
- Dokuz Eylül University, Department of Medical Oncology, İzmir, Turkey
| | - Berna Öksüzoğlu
- Ankara Oncology Hospital, Clinic of Medical Oncology, Ankara, Turkey
| | - Özgür Özyılkan
- Başkent University, Department of Medical Oncology, Ankara, Turkey
| | - Alper Sevinç
- Medical Park Gaziantep Hospital, Medical Oncology Unit, Gaziantep, Turkey
| | - Feyyaz Özdemir
- Karadeniz Technical University, Department of Medical Oncology, Trabzon, Turkey
| | - Hande Turna
- İstanbul University, Department of Medical Oncology, İstanbul, Turkey
| | - Rüçhan Uslu
- Ege University, Department of Medical Oncology, İzmir, Turkey
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Yaman E, Buyukberber S, Uner A, Coskun U, Yamac D, Ozturk B, Kaya AO, Yildiz R. Carboplatin and oral cyclophosphamide combination after temozolomide failure in malignant gliomas. Tumori 2018; 94:674-80. [DOI: 10.1177/030089160809400505] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background Temozolomide is a novel cytotoxic agent for malignant gliomas. However, treatment failure occurs approximately in half of patients, and the optimal regimen in this setting has yet to be defined. In the present study, we assessed retrospectively the efficacy and toxicity of the combination of carboplatin and oral cyclophosphamide in temozolomide-resistant patients. Methods We evaluated the medical records of 30 patients with malignant gliomas. After failure of temozolomide therapy, patients were treated with a combination of carboplatin and oral cyclophosphamide. Treatment consisted of intravenous carboplatin AUC 6 (based on the Calvert Formula) on day 1 and oral cyclophosphamide 75 mg/m2 daily on days 1 to 14, followed by 14 days of rest, with the treatment repeated every 4 weeks. Results All patients were evaluated for response and toxicity. The objective response rate was 30%, including 9 partial responses. Median time to disease progression and median overall survival was 7 months and 8 months, respectively. Clinically responsive patients had statistically significant longer progression-free survival and overall survival than unresponsive patients. Hematological side effects were commonly observed toxicities, with neutropenia the most frequent. Conclusions Our data suggest that carboplatin and oral cyclophosphamide therapy is a convenient regimen after failure of temozolomide therapy in patients with malignant gliomas because of its activity, feasibility and tolerability. Further prospective studies are needed in this setting.
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Affiliation(s)
| | - Emel Yaman
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Suleyman Buyukberber
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Aytug Uner
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Ugur Coskun
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Deniz Yamac
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Banu Ozturk
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Ali Osman Kaya
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Ramazan Yildiz
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
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Yildiz R, Aydogdu U, Guzelbektes H, Coskun A, Sen I. Venous lactate, pH and partial pressure of carbon dioxide levels as prognostic indicators in 110 premature calves with respiratory distress syndrome. Vet Rec 2017; 180:611. [DOI: 10.1136/vr.103730] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2017] [Indexed: 11/04/2022]
Affiliation(s)
- R. Yildiz
- Department of Internal Medicine; Mehmet Akif Ersoy University; Burdur Turkey
| | - U. Aydogdu
- Department of Internal Medicine; Cumhuriyet University; Sivas Turkey
| | | | - A. Coskun
- Department of Internal Medicine; Cumhuriyet University; Sivas Turkey
| | - I. Sen
- Department of Internal Medicine; Selcuk University; Konya Turkey
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Pal SK, Motzer RJ, Fishman MN, McDermott RS, Passos-Coelho J, Kopyltsov E, Garcia del Muro X, Donas JG, Yildiz R, Wood L, Zalewski P, Costello BA, Stadler WM, Kuzel TM, Williamson SK, Kondo TA, Markby DW, Escudier B, Powles T, Choueiri TK. Analysis of overall survival (OS) based on tumor target lesion change in the phase 3 METEOR trial of cabozantinib (cabo) versus everolimus (eve) in advanced renal cell carcinoma (RCC). J Clin Oncol 2017. [DOI: 10.1200/jco.2017.35.6_suppl.522] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
522 Background: In the METEOR study (NCT01865747), cabo demonstrated improved progression-free survival (median 7.4 vs. 3.8 mo; HR 0.58, 95% CI 0.45–0.74; p<0.0001), OS (median 21.4 vs. 16.5 mo; HR 0.66, 95% CI 0.53-0.83, p=0.0003), and objective response rate (17% vs. 3%; p<0.0001) compared with eve in patients (pts) with advanced RCC who had received prior VEGFR TKI therapy (Choueiri NEJM 2015, Lancet Oncol 2016). Here we evaluate the impact of changes in target lesion size from baseline on OS. Methods: 658 pts were randomized 1:1 to receive cabo (60 mg qd) or eve (10 mg qd). Stratification factors were MSKCC risk group and number of prior VEGFR TKIs. Target lesion size was assessed per independent radiology review by CT/MRI scans at baseline, every 8 weeks for the first 12 months, and every 12 weeks thereafter. Three subgroups were defined by best change in target lesion size from baseline: decrease ≥30%, decrease <30%, and any increase. Results: The rate of target lesion regression was higher in the cabo arm (75%) compared with the eve arm (48%). A higher fraction of pts had a decrease ≥30% in target lesion size in the cabo arm, while a higher fraction of pts had an increase in target lesion size in the eve arm (Table). Medians for OS with cabo were not estimable (NE) (95% CI, NE‒NE), 20.8 mo (95% CI, 18.1‒NE), and 11.1 mo (95% CI, 7.6‒15.2) for the ≥30% decrease, <30% decrease, and any increase subgroups, respectively. Medians for OS with eve were NE (95% CI, 19.3‒NE), 18.0 mo (95% CI, 15.9‒20.4), and 14.0 mo (95% CI, 10.5‒16.3) for the ≥30% decrease, <30% decrease, and any increase subgroups, respectively. Median duration of follow-up for OS was 18.7 mo (IQR 16.1–21.1) for cabo and 18.8 mo (16.0–21.2) for eve. A higher proportion of pts received subsequent anticancer therapy in the any increase subgroup compared with the other subgroups. Conclusions: Cabo demonstrated a higher rate of tumor target lesion regression than eve, and greater target lesion regression was associated with improved OS in pts with advanced RCC. Clinical trial information: NCT01865747. [Table: see text]
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Lori Wood
- QEII Health Sciences Centre, Halifax, NS, Canada
| | | | | | | | | | | | | | | | | | - Thomas Powles
- Barts Cancer Institute, Queen Mary University of London, London, United Kingdom
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Abstract
The aim of this study was to determine the clinical relevance of cardiac biomarkers [troponin I and T, creatine kinase-MB fraction (CK-MB) and lactate dehydrogenase (LDH)] in premature calves with respiratory distress syndrome. Seventy premature calves were admitted to the clinic within 24 h after birth. Respiratory distress syndrome was diagnosed in premature calves by clinical examination and venous blood gas analysis. Ten healthy calves, aged 5 days, were used as control. Cardiac troponin I and T were analysed using ELISA and ELFA, respectively. Serum CK-MB and LDH were also analysed in an automatic analyser. The calves had low venous pH, pO2, O2 saturation and high pCO2 values consistent with dyspnoea, hypoxaemia, and inadequate oxygen delivery. Mean serum troponin I, troponin T, CK-MB and LDH levels were increased in the premature calves compared to the control group. In conclusion, the results in this study demonstrated that serum CK-MB, troponin I and troponin T concentrations could be used for evaluating myocardial injury in premature calves with respiratory distress syndrome.
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Affiliation(s)
- Ugur Aydogdu
- 1Department of Internal Medicine, Faculty of Veterinary Medicine, Cumhuriyet University, Sivas, Turkey
| | - Ramazan Yildiz
- 2Department of Internal Medicine, Faculty of Veterinary Medicine, Mehmet Akif Ersoy University, Burdur, Turkey
| | - Hasan Guzelbektes
- 3Department of Internal Medicine, Faculty of Veterinary Medicine, Kyrgyz Turkish Manas University, Bishkek, Kyrgyzstan
- 4Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University, 42075 Konya, Turkey
| | - Alparslan Coskun
- 1Department of Internal Medicine, Faculty of Veterinary Medicine, Cumhuriyet University, Sivas, Turkey
| | - Ismail Sen
- 4Department of Internal Medicine, Faculty of Veterinary Medicine, Selcuk University, 42075 Konya, Turkey
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Sener Dinc N, Aydın K, Odabas H, Ercelep O, Tufan G, Seker M, Yasar N, Aydin D, Yuksel S, Mert A, Ozcelik M, Korkmaz T, Yildiz R, Aliustaoglu M, Mayadagli A, Dane F, Gumus M. Pretreatment PET/CT Standardized Uptake Values Play a Role in Predicting Response to Treatment and Survival in Patients with Small Cell Lung Cancer. Oncol Res Treat 2016; 39:130-4. [DOI: 10.1159/000444272] [Citation(s) in RCA: 6] [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: 02/13/2015] [Accepted: 01/20/2016] [Indexed: 11/19/2022]
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Guvenc I, Akay S, Ince S, Yildiz R, Kilbas Z, Oysul FG, Tasar M. Apparent diffusion coefficient value in invasive ductal carcinoma at 3.0 Tesla: is it correlated with prognostic factors? Br J Radiol 2016; 89:20150614. [PMID: 26853508 DOI: 10.1259/bjr.20150614] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
OBJECTIVE To investigate the correlation between apparent diffusion coefficient (ADC) values and prognostic factors in patients with invasive ductal carcinoma (IDC). METHODS 48 lesions belonging to 47 patients with histopathologically proven IDC were examined using conventional MR and diffusion-weighted imaging at a 3.0-T system. All of the patients had modified radical mastectomies or breast-sparing surgery plus axillary lymph node dissection. The ADC values acquired from the ADC maps consisted of six different b-values (0, 50, 100, 500, 1000 and 1500 s mm(-2)) and were compared with the patients' ages, tumour size, histological grade of the lesions, tumour localization, lesions' distance to skin surface and nipples, the existence of axillary lymph node involvement, the number of involved axillary lymph nodes, oestrogen/progesterone receptor status, peritumoral lymphovascular invasion status and the existence of human epidermal growth factor 2 (c-erbB-2) overexpression. RESULTS A statistically significant relationship was found regarding axillary lymph node involvement (p = 0.027), and oestrogen/progesterone receptor status (p = 0.013). No significant relationship was detected regarding other prognostic factors (p > 0.05). CONCLUSION Among various prognostic factors, ADC values were significantly correlated with only axillary lymph node positivity and oestrogen/progesterone receptor status. ADVANCES IN KNOWLEDGE In the present study, the relationship between ADC values of IDC lesions that are acquired at a high magnetic field (3.0 T) system by using multiple b-values and some specific prognostic factors that were not evaluated before in the medical literature was investigated.
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Affiliation(s)
- Inanc Guvenc
- 1 Department of Radiology, Gulhane Military Medical School, Ankara, Turkey
| | - Sinan Akay
- 2 Department of Radiology, Sirnak Military Hospital, Sirnak, Turkey
| | - Selami Ince
- 1 Department of Radiology, Gulhane Military Medical School, Ankara, Turkey
| | - Ramazan Yildiz
- 3 Department of General Surgery, Gulhane Military Medical School, Ankara, Turkey
| | - Zafer Kilbas
- 3 Department of General Surgery, Gulhane Military Medical School, Ankara, Turkey
| | - Fahrettin G Oysul
- 4 Department of Public Health, Gulhane Military Medical School, Ankara, Turkey
| | - Mustafa Tasar
- 1 Department of Radiology, Gulhane Military Medical School, Ankara, Turkey
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Ayhan H, Tastan S, Iyigün E, Oztürk E, Yildiz R, Görgülü S. The Effectiveness of Neck Stretching Exercises Following Total Thyroidectomy on Reducing Neck Pain and Disability: A Randomized Controlled Trial. Worldviews Evid Based Nurs 2016; 13:224-31. [DOI: 10.1111/wvn.12136] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/01/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Hatice Ayhan
- Faculty Member, Department of Surgical Nursing, School of Nursing; Gulhane Military Medical Academy; Turkey
| | - Sevinc Tastan
- Associate Professor, Department of Surgical Nursing, School of Nursing; Gulhane Military Medical Academy; Turkey
| | - Emine Iyigün
- Associate Professor, Department of Surgical Nursing, School of Nursing; Gulhane Military Medical Academy; Turkey
| | - Erkan Oztürk
- Associate Professor, Department of General Surgery; Gulhane Military Medical Academy; Turkey
| | - Ramazan Yildiz
- Assistant Professor, Department of General Surgery; Gulhane Military Medical Academy; Turkey
| | - Semih Görgülü
- Professor, Department of General Surgery; Gulhane Military Medical Academy; Turkey
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Algin E, Ozet A, Gumusay O, Yilmaz G, Buyukberber S, Coskun U, Baykara M, Cetin B, Yildiz R, Benekli M. 2212 Liver metastases from adenocarcinomas of unknown primary site: Management and prognosis in 68 consecutive patients. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31128-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kaplan MA, Urakci Z, Gumus M, Yalçintas Arslan Ü, Geredeli C, Ozdemir N, Koca D, Oruc Z, Uysal M, Dane F, Sevinc A, Seker MM, Aksoy A, Kucukoner M, Pilanci KN, Topcu TO, Karaagac M, Yildiz R, Isikdogan A. What are the differences between young (≤25 years) and adults (>25 years) colorectal cancer (CRC)? An Anatolian Society of Medical Oncology Study. J Clin Oncol 2015. [DOI: 10.1200/jco.2015.33.15_suppl.e14657] [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] [Indexed: 11/20/2022] Open
Affiliation(s)
| | - Zuhat Urakci
- Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Mahmut Gumus
- Bezmialem Vakif University, Faculty of Medicine, Department of Medical Oncology, Istanbul, Turkey
| | | | - Caglayan Geredeli
- Department of Medical Oncology, Konya Numune Training and Research Hospital, Konya, Turkey
| | - Nuriye Ozdemir
- Ankara Numune Education and Research Hospital, Department of Medical Oncology, Ankara, Turkey
| | | | - Zeynep Oruc
- Dicle University, Department of Medical Oncology, Diyarbakir, Turkey
| | - Mukremin Uysal
- Department of Medical Oncology, Afyon Kocatepe University, Afyonkarahisar, Turkey
| | - Faysal Dane
- Marmara University, Medical Oncology, Istanbul, Turkey
| | - Alper Sevinc
- Gaziantep University Faculty of Medicine, Department of Medical Oncology, Gaziantep, Turkey
| | - Mehmet Metin Seker
- Cumhuriyet University Faculty of Medicine Medical Oncology Department, Sivas, Turkey
| | - Asude Aksoy
- Department of Medical Oncology, Faculty of Medicine, Inonu University,, Malatya, Turkey
| | | | | | | | - Mustafa Karaagac
- Konya Necmeddin Erbakan University, Meram School of Medicine, Diyarbakir, Turkey
| | - Ramazan Yildiz
- Gazi University Faculty of Medicine, Department of Medical Oncology, Ankara, Turkey
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Ulger S, Kizilarslanoglu M, Gokce D, Kilic M, Yildiz R, Aksakal A, Gocun P, Ulger Z. Kaposi's sarcoma in a geriatric patient following low-dose steroid therapy for polymyalgia rheumatica. Eur Geriatr Med 2015. [DOI: 10.1016/j.eurger.2014.08.007] [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: 11/25/2022]
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Unal OU, Oztop I, Kos T, Assoc, Turan N, Kucukoner M, Helvaci K, Berk V, Sevinc A, Yildiz R, Cinkir HY, Tonyali O, Demirci U, Aktas B, Balakan O, Yilmaz AU. Prognostic factors and adjuvant treatments for surgically treated cancers of the biliary tract: a multicentre study of the Anatolian Society of Medical Oncology (ASMO). Asian Pac J Cancer Prev 2014; 15:9687-92. [PMID: 25520089 DOI: 10.7314/apjcp.2014.15.22.9687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Biliary tract cancers are rare, and surgical resection is the standard treatment at early stages. However, reports on the benefits of adjuvant treatment following surgical resection are conflicting. This study aimed to evaluate the factors affecting survival and adjuvant treatments in patients with surgically treated biliary tract cancers. MATERIALS AND METHODS Patient clinical features, adjuvant treatments, and efficacy and prognostic factor data were evaluated. Survival analyses were performed using SPSS 15.0. RESULTS The median overall survival was 30.7 months (95% confidence interval [CI], 18.4-42.9 months). Median survival was 19 months (95% CI, 6-33) for patients treated with fluorouracil based chemotherapy and 53 months (95% CI, 33.2-78.8) with gemcitabine based chemotherapy (p=0.033). On univariate analysis, poor prognostic factors for survival were galbladder localization, perineural invasion, hepatic invasion, a lack of adjuvant chemoradiotherapy treatment, and a lack of lymph node dissection. On multivariate analysis, perineural invasion was a poor prognostic factor (p=0.008). CONCLUSIONS Biliary tract cancers generally have poor prognoses. The main factors affecting survival are tumour localization, perineural invasion, hepatic invasion, adjuvant chemoradiotherapy, and lymph node dissection. Gemcitabine-based adjuvant chemotherapy is more effective than 5-fluorouracil-based chemotherapy.
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Affiliation(s)
- Olcun Umit Unal
- Department of Medical Oncology, Ataturk University Faculty of Medicine, Erzurum, Turkey E-mail :
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Unlu A, Kaya E, Guvenc I, Kaymak S, Cetinkaya RA, Lapsekili EO, Ozer MT, Guler A, Yildiz R, Petrone P, Harlak A, Kilic S. An evaluation of combat application tourniquets on training military personnel: changes in application times and success rates in three successive phases. J ROY ARMY MED CORPS 2014; 161:332-5. [PMID: 25388480 DOI: 10.1136/jramc-2014-000339] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2014] [Accepted: 10/16/2014] [Indexed: 11/04/2022]
Abstract
INTRODUCTION Haemorrhage from the injured extremity is a significant cause of preventable death in military settings. This study evaluated the effect of training on the efficacy of the combat application tourniquet (CAT) and to define standards for military personnel. METHOD Participants from a training tank battalion were randomised. Data collected included age, body mass index, mean arterial pressure, hand dominance, femoral artery diameter and skin thickness. The study involved tourniquet application times (AT) and application success rates in basic, after-training and eyes-closed phases. Doppler ultrasound was used to identify the presence or absence of popliteal, radial and ulnar artery pulses. RESULTS A total of 102 trainees participated. In the after-training phase, the left and right upper extremity ATs were 35 ± 13.1 s, and 34.8 ± 13.5 s and the right and left lower extremity ATs were 20.6 ± 6.0 s and 20.5 ± 5.5 s, respectively. The overall tourniquet success rates in three successive study phases were 69.6%, 82.4% and 91.2%, respectively. A negative significant relationship was found between extremity circumference and tourniquet success. DISCUSSION The results show that the efficacy of CAT application increases with training. Further studies are required to investigate the reasons underlying application failures. This single group prospective randomised study involves level of evidence 4.
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Affiliation(s)
- Aytekin Unlu
- Department of General Surgery, GATA Military Medical Academy, Ankara, Turkey
| | - E Kaya
- Department of Cardiovascular Surgery, GATA Military Medical Academy, Ankara, Turkey
| | - I Guvenc
- Department of Radiology, GATA Military Medical Academy, Ankara, Turkey
| | - S Kaymak
- Department of General Surgery, GATA Military Medical Academy, Ankara, Turkey
| | - R A Cetinkaya
- Department of Blood Banking, Department of Infectious Disease, GATA Military Medical Academy, Ankara, Turkey
| | - E O Lapsekili
- Department of General Surgery, GATA Military Medical Academy, Ankara, Turkey
| | - M T Ozer
- Department of General Surgery, GATA Military Medical Academy, Ankara, Turkey
| | - A Guler
- Department of Cardiovascular Surgery, GATA Military Medical Academy, Ankara, Turkey
| | - R Yildiz
- Department of General Surgery, GATA Military Medical Academy, Ankara, Turkey
| | - P Petrone
- Division of Trauma Surgery & Surgical Critical Care, Department of Surgery, Westchester Medical Center University Hospital, New York Medical College, Valhalla, New York, USA
| | - A Harlak
- Department of General Surgery, GATA Military Medical Academy, Ankara, Turkey
| | - S Kilic
- Department Community Health, GATA Military Medical Academy, Ankara, Turkey
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Gumusay O, Cetin B, Ozet A, Demirci U, Buyukberber S, Coskun U, Algin E, Uner A, Yildiz R, Kurt G, Benekli M. Factors predicting recurrence in patients with grade III glial tumors: impact of adjuvant temozolomide on recurrence. J BUON 2014; 19:1035-1040. [PMID: 25536613] [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: 06/04/2023]
Abstract
PURPOSE The purpose of this study was to evaluate the clinicopathological features of patients with grade III glial tumors associated with recurrence after treatment. METHODS A retrospective analysis was carried out on 67 patients with grade III glial tumors between May 2007 and June 2013. Data were retrieved from patient electronic medical records and paper charts. RESULTS The patient median age was 43 years (range 19-707 rpar;. Of these, 50.7% (N=34) had anaplastic astrocytoma, 29.9% (N=20) anaplastic oligoastrocytoma and 19.4% (N=13) anaplastic oligodendroglioma. Among these 67 patients, 41 (61.2%) developed local recurrence. Fifty seven of them (80.6%) received radiotherapy (RT) with concomitant temozolomide. Of these patients, 14 (20.9%) received RT with concomitant temozolomide alone, and 43 (64.2%) were treated with concomitant chemoradiotherapy followed by adjuvant temozolomide. Time to recurrence (TTR) of patients who received adjuvant temozolomide after concomitant chemoradiation (TTR=14 months, 95% CI 9.3-22.77 rpar; as initial treatment for grade III glial tumors was not superior to RT with concomitant temozolomide alone (TTR=21 months, 95% CI 14.8-35.2; p=0.224) In multivariate analysis, histologic subtype (p=0.015), age (p=0.019) and presence of neurologic symptoms (p=0.021) were independent predictive factors of recurrence. CONCLUSION This analysis demonstrated that histologic subtype, age and presence of neurologic symptoms were significantly associated with recurrence in patients with grade III glial tumors. Adjuvant temozolomide was not significantly associated with recurrence in patients with grade III glial tumors. The identification of these predictors may be important for the patient follow-up and better treatment modifications.
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Affiliation(s)
- Ozge Gumusay
- Department of Internal Medicine, Division of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
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Rordorf T, Hassan AA, Azim H, Alexandru E, Er O, Gokmen E, Güral Z, Mardiak J, Minchev V, Peintinger F, Szendroi M, Takac I, Tesarova P, Vorobiof D, Vrbanec D, Yildiz R, Yücel S, Zekri J, Oyan B. Bone health in breast cancer patients: a comprehensive statement by CECOG/SAKK Intergroup. Breast 2014; 23:511-25. [PMID: 24986766 DOI: 10.1016/j.breast.2014.05.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [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: 11/11/2013] [Revised: 04/16/2014] [Accepted: 05/15/2014] [Indexed: 01/07/2023] Open
Abstract
Bone is the most common site of distant metastases in breast cancer that can cause severe and debilitating skeletal related events (SRE) including hypercalcemia of malignancy, pathologic fracture, spinal cord compression and the need for palliative radiation therapy or surgery to the bone. SRE are associated with substantial pain and morbidity leading to frequent hospitalization, impaired quality of life and poor prognosis. The past 25 years of research on the pathophysiology of bone metastases led to the development of highly effective treatment options to delay or prevent osseous metastases and SRE. Management of bone metastases has become an integral part of cancer treatment requiring expertise of multidisciplinary teams of medical and radiation oncologists, surgeons and radiologists in order to find an optimal treatment for each individual patient. A group of international breast cancer experts attended a Skeletal Care Academy Meeting in November 2012 in Istanbul and discussed current preventive measures and treatment options of SRE, which are summarized in this evidence-based consensus for qualified decision- making in clinical practice.
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Affiliation(s)
- Tamara Rordorf
- Department of Oncology, University Hospital, Zürich, Switzerland.
| | | | - Hamdy Azim
- Department of Oncology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Eniu Alexandru
- Institute of Oncology "Prof. Dr. Ion Chiricuta" (IOCN), Cluj-Napoca, Romania
| | - Ozlem Er
- Acibadem University, Acibadem Maslak Hospital, Istanbul, Turkey
| | | | - Zeynep Güral
- I.T.F. Radyasyon Onkolojisi Anabilim Dalı, Istanbul, Turkey
| | | | - Velko Minchev
- University Multiprofile Hospital for Active Treatment and Emergency Medicine, Plovdiv, Bulgaria
| | | | | | - Itzok Takac
- Maribor Teaching Hospital, Maribor, Slovenia
| | | | | | | | | | - Serap Yücel
- Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
| | - Jamal Zekri
- Jeddah King Faisal Specialist Hospital & Research Centre, Khaldia, Saudi Arabia
| | - Basak Oyan
- Yeditepe University Hospital, Istanbul, Turkey
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Sevinc A, Seker M, Yildiz R, Cihan S, Kaplan MA, Dane F, Karaca H, Uyeturk U, Bilici A, Ozdemir N, Uncu D, Salepci T, Isikdogan A, Benekli M, Ozkan M, Gumus M, Oksuzoglu B. The clinical and pathologic characteristics of 400 gastrointestinal stromal tumor patients from Turkey: The final results of the Turkish Anatolian Society of Medical Oncology Multicenter Registery. J Clin Oncol 2014. [DOI: 10.1200/jco.2014.32.15_suppl.e15176] [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] [Indexed: 11/20/2022] Open
Affiliation(s)
- Alper Sevinc
- Department of Medical Oncology, Gaziantep University, Gaziantep, Turkey
| | - Mesut Seker
- Department of Medical Oncology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey
| | - Ramazan Yildiz
- Gazi University Faculty of Medicine, Department of Medical Oncology, Ankara, Turkey
| | - Sener Cihan
- Department of Medical Oncology, Okmeydani Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Ali Kaplan
- Dicle University, Department of Medical Oncology, Diyarbakir, Turkey
| | - Faysal Dane
- Marmara University Hospital, Istanbul, Turkey
| | - Halit Karaca
- Medical Oncology Department of Erciyes University, Kayseri, Turkey
| | - Ummugul Uyeturk
- Ankara Oncology Research and Training Hospital Department of Medical Oncology, Ankara, Turkey
| | - Ahmet Bilici
- Department of Medical Oncology, Istanbul Medipol University, Medical Faculty, Istanbul, Turkey
| | - Nuriye Ozdemir
- Ankara Numune Education and Research Hospital, Department of Medical Oncology, Ankara, Turkey
| | - Dogan Uncu
- Ankara Numune Training and Research Hospital, Department of Medical Oncology, Ankara, Turkey
| | - Taflan Salepci
- Department of Medical Oncology, Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey
| | | | - Mustafa Benekli
- Medical Oncology Department of Gazi University, Ankara, Turkey
| | - Metin Ozkan
- Medical Oncology Department, Erciyes University, Kayseri, Turkey
| | - Mahmut Gumus
- Dr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Medical Oncology, Istanbul, Turkey
| | - Berna Oksuzoglu
- Ankara Oncology Research and Training Hospital Department of Medical Oncology, Ankara, Turkey
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Sevinc F, Sevinc M, Koc Y, Alkan F, Ekici OD, Yildiz R, Isik N, Aydogdu U. The effect of 12 successive blood passages on the virulence of Babesia ovis in splenectomized lambs: A preliminary study. Small Rumin Res 2014. [DOI: 10.1016/j.smallrumres.2013.10.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Uygun K, Bilici A, Kaya S, Oven Ustaalioglu BB, Yildiz R, Temiz S, Seker M, Aksu G, Cabuk D, Gumus M. XELIRI plus bevacizumab compared with FOLFIRI plus bevacizumab as first-line setting in patients with metastatic colorectal cancer: experiences at two-institutions. Asian Pac J Cancer Prev 2013; 14:2283-8. [PMID: 23725128 DOI: 10.7314/apjcp.2013.14.4.2283] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Efficacy of chemotherapy plus bevacizumab has been shown in patients with metastatic colorectal cancer (mCRC) compared with chemotherapy alone. The aim of the present study was to evaluate the efficacy and safety of FOLFIRI or XELIRI regimens in combination with bevacizumab for mCRC patients in a first-line setting. MATERIALS AND METHODS A total of 132 patients with previously untreated and histologically confirmed mCRC were included. They were treated with either FOLFIRI-Bevacizumab (Bev) or XELIRI-Bev according to physician preference. The efficacy and safety of the two regimens were compared. RESULTS Between 2006 and 2010, 68 patients were treated with the XELIRI-Bev regimen, while the remaining 64 patients received the FOLFIRI-Bev regimen. The median age was 58.5 years (53.6 years in the FOLFIRI-Bev and 59.7 years in the XELIRI-Bev arm, p=0.01). Objective response rate was 51.6% for FOLFIRI-Bev versus 41.2% for XELIRI-Bev (p=0.38). At the median follow-up of 24.5 months, the median progression-free survival (PFS) was not different between two groups (14.2 months in FOLFIRI-Bev vs. not reached in the XELIRI-Bev, p=0.30). However, median overall survival time for the FOLFIRI-Bev arm was better than that for patients treated with XELIRI- Bev, but these differences was not statistically significant (37.8 months vs. 28.7 months, respectively, p=0.58). Most commonly reported grade 3-4 toxicities (FOLFIRI-Bev vs XELIRI-Bev) were nausea/vomiting (7.8% vs. 14.7%, p=0.27), diarrhea (10.9% vs 22.1%, p=0.10), hand-foot syndrome (0% vs 8.8%, p=0.02) and neutropenia (18.7% vs 27.9%, p=0.22). CONCLUSION Our results showed that FOLFIRI-Bev and XELIRI-Bev regimens were similarly effective treatments in a first-line setting for patients with untreated mCRC, with manageable adverse event profiles.
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Affiliation(s)
- Kazim Uygun
- Department of Medical Oncology, Kocaeli University, Medical Faculty, Kocaeli, Turkey
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Yetisyigit T, Arpaci E, Seber ES, Kucukoner M, Kos FT, Sonmez OU, Alici S, Akman T, Aktas B, Yildiz R, Gunaydin Y, Inanc M, Demirci U, Alkis N, Gumus M. Salvage Treatment Experience in Advanced Synovial Sarcoma: a Multicenter Retrospective Analysis of the Anatolian Society of Medical Oncology. Asian Pac J Cancer Prev 2013; 14:5185-8. [DOI: 10.7314/apjcp.2013.14.9.5185] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Kefeli U, Benekli M, Sevinc A, Yildiz R, Kaplan MA, Ciltas A, Balakan O, Isikdogan A, Coskun U, Dane F, Harputluoglu H, Karaca H, Yazilitas D, Durnali A, Kaya AO, Demirci U, Gumus M, Buyukberber S. Efficacy of sorafenib in patients with gastrointestinal stromal tumors in the third- or fourth-line treatment: A retrospective multicenter experience. Oncol Lett 2013; 6:605-611. [PMID: 24137379 PMCID: PMC3789037 DOI: 10.3892/ol.2013.1408] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2012] [Accepted: 06/05/2013] [Indexed: 01/14/2023] Open
Abstract
Sorafenib is a multi-targeted tyrosine kinase receptor inhibitor used to treat patients with advanced gastrointestinal stromal tumors (GISTs). The present study evaluated the efficacy and tolerability of sorafenib therapy for patients with GISTs. Between January 2001 and November 2012, 25 patients, from multiple centers, who had received sorafenib as the third- or fourth-line treatment for GISTs were investigated retrospectively. In total, 17 patients were male and eight were female. The median age was 54.0 years (range, 16–82 years). From the patients, 21 received imatinib for longer than six months and four received it for less than six months. The clinical benefit rate of sorafenib was 40.0%. Treatment-related adverse events were reported in 72% of patients. These adverse events were generally mild to moderate in intensity. The median progression-free survival (PFS) and overall survival (OS) times of the patients who received sorafenib were 7.2 and 15.2 months, respectively. The duration of imatinib usage was an independent prognostic factor for PFS and OS. Sorafenib is an effective treatment in patients with GISTs showing a clinical benefit rate of 40.0% and an acceptable tolerability.
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Affiliation(s)
- Umut Kefeli
- Department of Medical Oncology, Medeniyet University Goztepe Training and Research Hospital, Istanbul
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Kefeli U, Buyuberber S, Akyol M, Yildiz R, Kaplan MA, Ciltas A, Sevinc A, Karaca H, Seker M, Ozdemir N, Alacacioglu A, Coskun U, Isikdogan A, Dane F, Gumus M, Ozkan M, Suner A, Tarhan MO, Benekli M. Efficacy of sunitinib in Turkish patients with gastrointestinal stromal tumors; retrospective multicenter experience. Hepatogastroenterology 2013; 60:647-52. [PMID: 23165189 DOI: 10.5754/hge12692] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS Sunitinib is a multi-targeted thyrosine kinase receptor inhibitor used in patients with advanced gastrointestinal stromal tumours (GISTs). We evaluated the efficacy and tolerability of sunitinib therapy in Turkish patients with GISTs. METHODOLOGY Between January 2001 and April 2012, 57 patients who had progressive disease or experienced unacceptable toxicity during imatinib treatment from multiple centers were investigated retrospectively. RESULTS Thirty-three patients were male and 24 were female. The median age was 55 years (range; 16-84 years). Thirty-eight of the patients received imatinib for longer than 12 months, 13 patients received for 6-12 months, and 6 patients received for less than six months. The clinical benefit of sunitinib was 73.7%. Treatment-related adverse events were reported in 78% of the patients. Adverse events were generally mild to moderate in intensity. The median progression free survival (PFS) and overall survival (OS) of the patients that received sunitinib were 10.8 months and 23.9 months, respectively. The time of imatinib usage and response to sunitinib were independent prognostic factors for PFS and OS. Also, tumor size was an independent prognostic factor for PFS. CONCLUSIONS Sunitinib is an effective treatment in Turkish patients with GISTs, with a clinical benefit of 73.7% and shows an acceptable tolerability.
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Affiliation(s)
- Umut Kefeli
- Department of Medical Oncology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey
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Yildiz R, Buyukberber S, Koca D, Koral L, Ciltas A, Unal OU, Gumus M, Ozdemir N, Dane F, Berk V, Kaplan MA, Elkiran T, Boruban MC, Coskun U, Aydin D, Uncu D, Ozkan M, Isikdogan A, Benekli M. The efficacy and safety of first-line and salvage therapies with bevacizumab combination chemotherapy regimens in metastatic colorectal cancer: A retrospective ASMO experience. J Clin Oncol 2013. [DOI: 10.1200/jco.2013.31.15_suppl.e14705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e14705 Background: The addition of bevacizumab to chemotherapy significantly shows survival advantage in metastatic colorectal cancer (mCRC), but with limited data about irinotecan combination in salvage therapy. Efficacy and toxicity of bevacizumab combination regimens were assessed in first-line and salvage therapies. Methods: Total of 1011 (659 in first-line and 352 in salvage) patients were retrospectively evaluated. Results: In first-line therapy, the ORR was 36.4%. Median PFS was 7 months for FOLFIRI, 6 months for IFL and 6 months for other chemotherapy regimens with a median overall PFS of 7 months. Median survival was 29 months for FOLFIRI, 28 months for IFL and 21 months for others with a median overall survival of 28 months. In salvage therapy, the ORR was 25.2%. Median PFS was 7 months for FOLFIRI, 7 months for IFL and 6 months for others with a median overall PFS of 7 months. Median survival was 19 months for FOLFIRI, 13 months for IFL and 21 months for others with a median overall survival of 19 months. The main toxicities in first-line and salvage therapy were neutropenia, febrile neutropenia, nausea and vomiting, diarrhea, mucositis, bleeding, hypertension, thromboembolism, fistulization and bowel perforation. Conclusions: Bevacizumab combination chemotherapy regimens are effective with a tolerable safety profile in mCRC patients in first-line and salvage therapy.
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Affiliation(s)
- Ramazan Yildiz
- Gazi University Faculty of Medicine, Department of Medical Oncology, Ankara, Turkey
| | | | - Dogan Koca
- Faculty of Medicine, Department of Medical Oncology, Dokuz Eylul University, Izmir, Turkey
| | - Lokman Koral
- Deparment of Medical Oncology, Faculty of Medicine, Selcuk University Cancer Center, Konya, Turkey
| | - Aydin Ciltas
- Gazi University, Department of Medical Oncology, Ankara, Turkey
| | - Olcun Umit Unal
- Faculty of Medicine, Department of Medical Oncology, Dokuz Eylul University, Izmir, Turkey
| | - Mahmut Gumus
- Dr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Medical Oncology, Istanbul, Turkey
| | - Nuriye Ozdemir
- Ankara Numune Education and Research Hospital, Department of Medical Oncology, Ankara, Turkey
| | - Faysal Dane
- Marmara University Hospital, Istanbul, Turkey
| | - Veli Berk
- Faculty of Medicine, Department of Medical Oncology, Erciyes University, Kayseri, Turkey
| | - Mehmet Ali Kaplan
- Dicle University, Department of Medical Oncology, Diyarbakir, Turkey
| | - Tamer Elkiran
- Inonu University Faculty of Medicine, Malatya, Turkey
| | - Melih Cem Boruban
- Konya University Meram Medical Faculty Department of Medical Oncology, Konya, Turkey
| | - Ugur Coskun
- Department of Medical Oncology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Dincer Aydin
- Dr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Medical Oncology, Istanbul, Turkey
| | - Dogan Uncu
- Ankara Numune Training and Research of Medical Oncology, Ankara, Turkey
| | - Metin Ozkan
- Erciyes University Faculty of Medicine Department of Medical Oncology, Kayseri, Turkey
| | | | - Mustafa Benekli
- Faculty of Medicine, Department of Medical Oncology, Gazi University, Ankara, Turkey
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