Emel Kandaş, M. Edremitlioğlu, U. Demir, G. Erbil, M. H. Sehitoglu
{"title":"Healing effects of L-carnitine on experimental colon anastomosis wound","authors":"Emel Kandaş, M. Edremitlioğlu, U. Demir, G. Erbil, M. H. Sehitoglu","doi":"10.5472/marumj.1307971","DOIUrl":"https://doi.org/10.5472/marumj.1307971","url":null,"abstract":"Objective: The purpose of this study is to examine the effects of L-carnitine on healing of experimental colon anastomosis injury in \u0000early and late period. \u0000Materials and Methods: Forty female Wistar-Albino rats were used in this study. The rats were divided into 4 groups (CONT-3, CONT- \u00007, CARN-3, and CARN-7). Injury healing was evaluated for CONT-3 group on the 3rd day and for CONT-7 group on the 7th day \u0000following the anastomosis. Following the operation, CARN-3 and CARN-7 groups were intraperitoneally administered with 100 mg/ \u0000kg/day L-carnitine and injury healing was evaluated on the 3rd and 7th days. Injury strength, histological evaluation and antioxidant \u0000enzyme activities and oxidant damage were determined in tissue samples of anastomosis area. \u0000Results: Bursting pressure levels and histological scoring values of CARN-3 group were found to be higher than the CONT-3 group \u0000(p","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46348049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Kaya, Hakan Hatirli, Muhammed Azad Şahi̇n, Samet Genez, M. Okçu
{"title":"Incidental findings detected on magnetic resonance imaging scans of the cervical, thoracic and lumbar spine of patients prediagnosed with discopathy","authors":"S. Kaya, Hakan Hatirli, Muhammed Azad Şahi̇n, Samet Genez, M. Okçu","doi":"10.5472/marumj.1307952","DOIUrl":"https://doi.org/10.5472/marumj.1307952","url":null,"abstract":"Objective: To determine the frequency and types of incidental findings on magnetic resonance imaging (MRI) scans of the cervical, \u0000thoracic, and lumbar spine in patients with intervertebral discopathy. \u0000Patients and Methods: This retrospective study included 1000 patients (513 females and 487 males, with a mean age of 50.5 years) \u0000with clinically suspected intervertebral discopathy who underwent MRI. Any abnormal findings and congenital anomalies/anatomical \u0000variations unrelated to the primary complaint were referred to as incidental findings. Frequency distributions of the assessed imaging \u0000characteristics were calculated. \u0000Results: Of the 1000 patients, 192 (19.2%) patients were presented with incidental findings. The positive findings in the thoracic spine \u0000(26%) were higher than those in the lumbar (19.8%) and cervical spine (13.7%). The study found vertebral haemangioma to be the \u0000most common finding, followed by Schmorl’s nodes in the thoracic and lumbar spine. Thyroid nodules constituted the most common \u0000finding in the cervical spine, followed by vertebral haemangioma. Renal cysts in the thoracic and lumbar spine and thyroid nodules in \u0000the cervical spine were the most frequent extraspinal findings. \u0000Conclusion: Incidental findings are commonly detected during MRI examination of intervertebral discs, and most are benign findings. \u0000However, incidental findings including clinically essential findings can alter the patient’s treatment or affect the patient’s life. Therefore, \u0000it is crucial to systematically evaluate MRIs without focusing solely on the spine and report incidental findings detected on MRI.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41548184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Necati Yurdakul, Esra CIKLER1,3, H. Toklu, S. Şirvancı
{"title":"The effects of alpha-lipoic acid (ALA) on the urinary bladder injury in rats exposed to chronic stress: A histochemical study","authors":"Necati Yurdakul, Esra CIKLER1,3, H. Toklu, S. Şirvancı","doi":"10.5472/marumj.1191211","DOIUrl":"https://doi.org/10.5472/marumj.1191211","url":null,"abstract":"Objective: In the present study, we aimed to investigate the morphological and biochemical effects of alpha-lipoic acid (ALA) on \u0000bladder injury caused by water avoidance stress (WAS) and to show its effect on the number of degranulated mast cells, which \u0000increase after stress. \u0000Materials and Methods: Wistar albino rats were subjected to WAS and the animals in the treatment group were injected ALA. After \u0000the urinary bladder tissues were subjected to routine tissue processing, hematoxylin-eosin staining and periodic acid-Schiff reaction \u0000were applied to observe general morphology and acidic toluidine blue method to investigate mast cells. Biochemical assessments \u0000of malondialdehyde (MDA) and glutathione (GSH) were also obtained. Transmission electron microscope was used for the \u0000ultrastructural, and scanning electron microscope for the topographical analyses. \u0000Results: The experiments showed that chronic stress caused injury in the bladder, increased degranulated and total number of mast \u0000cells and decreased GSH and increased MDA levels. ALA treatment after WAS ameliorated bladder injury in most areas, decreased \u0000degranulated and total mast cell number and increased GSH and decreased MDA levels. \u0000Conclusion: It was concluded that ALA can be a useful agent in the treatment of interstitial cystitis.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45311085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Toptas, Kubra Bercem Kahraman, Zilan Topcu, H. Bostan, P. Kadıoğlu
{"title":"Thyroid diseases in patients with active endogenous Cushing’s syndrome","authors":"T. Toptas, Kubra Bercem Kahraman, Zilan Topcu, H. Bostan, P. Kadıoğlu","doi":"10.5472/marumj.1186788","DOIUrl":"https://doi.org/10.5472/marumj.1186788","url":null,"abstract":"Objective: Data about the impact of Cushing’s syndrome (CS) on thyroid is scarce. We aimed to identify the prevalence of thyroid \u0000diseases in patients with CS. \u0000Patients and Methods: Nineteen patients with CS and 40 healthy participants were included in the study. All patients were tested \u0000for free tri-iodothyronine (fT3), free thyroxine (fT4), thyroid-stimulating hormone (TSH), anti-thyroglobulin (anti-Tg), and antithyroid \u0000peroxidase (anti-TPO) levels, and thyroid ultrasonography (US). \u0000Results: Overt hypothyroidism, subclinical hypothyroidism, and subclinical hyperthyroidism was evident in 5.3%, 5.3%, and 21.1% of \u0000patients with CS; and 2.5%, 7.5%, and 15% of healthy subjects, respectively. fT3 and fT4 levels were lower in patients with CS. None \u0000of the patients with CS and 27.5% of the control group had autoimmune thyroid disease (AITD), which was demonstrated by both \u0000US findings and anti-TPO positivity (P=0.01). Frequency of thyroid nodule was 52.6% and 52.5% in patients with CS and controls, \u0000respectively (P=0.99). \u0000Conclusion: The prevalence of thyroid dysfunction, nodular thyroid disease, and goiter is comparable to healthy population. However, \u0000AITD is less prevalent among patients with CS. Although, hypercortisolism has an impact on hypothalamic-hypophyseal-thyroid \u0000axis, its clinical implication does not seem to be significant.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44868532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of the changes in pulmonary artery diameters with clinical outcomes in hospitalized patients with COVID-19 infection: A crosssectional study","authors":"Aybuke Selcuk, C. Ilgın, S. Karakurt","doi":"10.5472/marumj.1195539","DOIUrl":"https://doi.org/10.5472/marumj.1195539","url":null,"abstract":"Objective: Enlarged pulmonary artery diameter (PAD) can be associated with mortality risk in coronavirus disease 2019 (COVID-19) patients. Our aim is to find the factors that cause changes in PAD and the relationship between radiological findings and clinical outcomes in COVID-19 patients. Patients and Methods: In this descriptive, retrospective, and single centered study, among the hospitalized 3264 patients, 209 patients with previous chest computed tomography (CT) were included. Findings of current chest CTs of patients obtained during COVID-19 were compared with that of previous chest CTs. Pulmonary involvements, World Health Organization (WHO) Clinical Progression Scale scores and laboratory variables were recorded. Intensive Care Unit (ICU) admission, intubation and mortality were clinical outcomes that were evaluated by using uni – and multivariate analyses. Results: Patients with high D-dimer had significantly increased risk for enlarged PAD and increase in PAD compared to previous chest CT (ΔPAD) (OR=1.18, p","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47607373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of respiratory morbidity in late preterm infants and intrauterine growth retarded infants at school-age","authors":"M. Us, U. Vatansever, R. Duran, B. Acunaş","doi":"10.5472/marumj.1195309","DOIUrl":"https://doi.org/10.5472/marumj.1195309","url":null,"abstract":"Objective: We aimed to determine respiratory morbidity of late preterm infants versus infants with intrauterine growth retardation \u0000(IUGR) at school-age. \u0000Patients and Methods: Late preterm appropriate for gestational age (AGA) infants (34-36, 6/7 weeks) (Group 1), IUGR infants (Group \u00002), extremely preterm AGA (Group 3) and term AGA infants (Group 4) born between 2004 and 2008 were included in this casecontrol \u0000study and assessed for respiratory morbidity at school-age. We evaluated the impact of late preterm compared with IUGR and \u0000term gestation on respiratory morbidity by using validated American Thoracic Society – Division of Lung Diseases (ATS-DLD-78-C) \u0000and the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaires. Questionnaires on wheezing, infectious \u0000respiratory morbidity, and physician-diagnosed asthma panels were constituted and groups were compared. \u0000Results: A total of 160 patients were enrolled in the study and 97 (60.6%) of them were boys. Respiratory morbidities at schoolage \u0000were found to be significantly higher in both late preterm and IUGR groups when compared to term controls. Each weekly \u0000increase in gestational age reduced the risk for wheezing episodes (OR perGW:0.82,95%CI:0.71-0.97, p:0.02). Regarding \u0000infectious respiratory morbidities, there was a significant increase when the number of people living at home increased (OR \u0000perperson:1.79,95%CI:1.12-2.87, p:0.01), and a decrease in female gender (OR:0.41,95%CI:0.17-0.99, p:0.04) and in the week of \u0000gestation (OR perGW:0.84,95%CI:0.71-1.00, p:0.04). Atopic dermatitis (OR:5.26,95%CI:1.57-17.69, p","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47058368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systemic immune-inflammation index and other inflammatory parameters in patients receiving biological or targeted synthetic DMARDs for inflammatory rheumatic disease","authors":"H. H. Gezer, O. Pehlivan","doi":"10.5472/marumj.1186732","DOIUrl":"https://doi.org/10.5472/marumj.1186732","url":null,"abstract":"Objective: To investigate the short – and long-term dynamics in inflammation markers [systemic immune-inflammation index (SII), \u0000neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and lymphocyte/ monocyte ratio (LMR)] before and after \u0000biological disease-modifying antirheumatic drugs (bDMARD) or targeted synthetic DMARD (tsDMARD) treatment. \u0000Patients and Methods: wo hundred twenty-six patients (115 women, 47±13.8 years) were included. Age, gender, disease duration, and \u0000treatments were recorded retrospectively. Complete blood counts including neutrophil, lymphocyte, platelet, monocyte and acute \u0000phase reactants were noted at the visit before the biological treatment, at the 3rd month, 6th month, and the last visit on medication. \u0000SII, NLR, PLR and LMR were calculated, and their dynamics over time were compared. \u0000Results: Significant changes were observed over time in all parameters reflecting inflammation (SII, NLR, PLR, LMR, ESR, and CRP) \u0000(p","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41366289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kardelen Gençer Atalay, Merve Demirci, Ozgur Baysal, Canan Şanal Toprak
{"title":"Assessment of the factors affecting the loss of workforce in patients with traumatic hand injury","authors":"Kardelen Gençer Atalay, Merve Demirci, Ozgur Baysal, Canan Şanal Toprak","doi":"10.5472/marumj.1186710","DOIUrl":"https://doi.org/10.5472/marumj.1186710","url":null,"abstract":"Objective: This study aimed to examine the factors affecting the loss of workforce, including the time to return to work and workrelated \u0000situations in patients with traumatic hand injury who were taken to a hand rehabilitation program. \u0000Materials and Methods: The patients aged between 18-65 years with a history of traumatic hand injury in the last five years were \u0000analyzed retrospectively. Demographic and clinic data were taken from the medical records, and work-related problems were obtained \u0000by telephone calls. The severity of hand injury was assessed with Modified Hand Injury Severity Score (MHISS). \u0000Results: A total of 147 patients (129 males, 18 females; mean age 39.83±10.4 years) were included. The duration of return to work \u0000was correlated with total MHISS (rho=0.262 p=0.003) while not related to age, education level, gender, or injured hand’s dominance \u0000(p>0.05). Duration of return to work after hand injury and total MHISS were lower in the patients who had job modifications \u0000(p","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49421954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Yavuz, A. T. Toksoz Yildirim, Feruze Yilmaz Enc, I. Tuncer
{"title":"Parvovirus-induced autoimmune hepatitis: First case in the literature","authors":"A. Yavuz, A. T. Toksoz Yildirim, Feruze Yilmaz Enc, I. Tuncer","doi":"10.5472/marumj.1195421","DOIUrl":"https://doi.org/10.5472/marumj.1195421","url":null,"abstract":"Parvovirus B19 infection is usually self-limiting in immunocompetent individuals. Twenty-five percent of infected individuals are \u0000completely asymptomatic during infection, with 50% of them presenting flu-like symptoms and the remaining patients presenting \u0000erythema infectiosum, arthralgia, or arthritis. More rarely, transient aplastic crisis is seen in individuals with chronic haemolytic \u0000disorders. Chronic pure red cell aplasia and aplastic anaemia may also be observed in immunocompromised patients. There is \u0000sufficient evidence in the literature suggesting that B19 infections can also cause a spectrum of liver diseases, ranging from elevated \u0000transaminase levels to acute hepatitis, fulminant liver failure, and even chronic hepatitis. This case report discusses a patient with \u0000acute parvovirus infection and newly diagnosed autoimmune hepatitis (AIH) and the role of this viral infection in the disease.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41676232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurdan Senturk Durmus, Furkan C Çiçek, Cagla Eyupler, Can Omur, Ozge Yetginoglu, K. Ak, D. Kocakaya
{"title":"Radial arterial thrombosis in COVID-19: A case report","authors":"Nurdan Senturk Durmus, Furkan C Çiçek, Cagla Eyupler, Can Omur, Ozge Yetginoglu, K. Ak, D. Kocakaya","doi":"10.5472/marumj.1191199","DOIUrl":"https://doi.org/10.5472/marumj.1191199","url":null,"abstract":"Thrombosis due to hypercoagulable state is an important cause of morbidity and mortality in coronavirus disease 2019 (COVID-19). \u0000. Increased D-dimer levels are an important marker of the presence and risk of thrombosis. In this report, we present that a 59-yearold \u0000male patient developed thrombosis in the distal radial arteries despite normal D-dimer level. The patient was treated with \u0000enoxaparin, iloprost infusion, and cilostazol. This","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45555651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}