Northern clinics of Istanbul最新文献

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Exploring the phenomenon of social appearance anxiety in individuals suffering from seborrheic dermatitis: Comprehensive insights derived from a case-control study. 探讨患有脂溢性皮炎的个体的社会外观焦虑现象:来自病例对照研究的全面见解。
Northern clinics of Istanbul Pub Date : 2025-04-24 eCollection Date: 2025-01-01 DOI: 10.14744/nci.2025.26928
Mustafa Tumturk, Nazli Caf, Faruk Kurhan
{"title":"Exploring the phenomenon of social appearance anxiety in individuals suffering from seborrheic dermatitis: Comprehensive insights derived from a case-control study.","authors":"Mustafa Tumturk, Nazli Caf, Faruk Kurhan","doi":"10.14744/nci.2025.26928","DOIUrl":"https://doi.org/10.14744/nci.2025.26928","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of our meticulously designed study is to thoroughly investigate and delineate the extent to which individuals afflicted with seborrheic dermatitis, particularly those exhibiting facial manifestations of this dermatological condition, experience significant psychological distress that may adversely impact their self-perception as measured by the Social Appearance Anxiety Scale (SAAS), while simultaneously comparing these findings against a group of healthy individuals serving as controls.</p><p><strong>Methods: </strong>In the framework of our research, we meticulously recruited a sample comprising 120 individuals diagnosed with seborrheic dermatitis characterized by facial involvement, whose ages ranged from 18 to 65 years, alongside 118 healthy control participants who were strategically matched for key demographic variables, including age, gender, and educational attainment to ensure the integrity of our comparative analysis. Both the patient participants and the healthy controls underwent a systematic administration of a range of validated psychometric tools, particularly the SAAS and the Hospital Anxiety and Depression (HAD) scale. Further, the Dermatology Life Quality Index (DLQI) and Visual Analog Scales (VAS) were exclusively utilized for the subset of individuals within the patient population.</p><p><strong>Results: </strong>Through comprehensive statistical analysis, the mean scores acquired from the Social Appearance Anxiety Scale (SAAS) for the patient and control groups were 52.10 and 21.35 points, respectively. Accordingly, it was concluded that the average SAAS score observed in the patient group was substantially higher than that recorded in the control group, with a p-value of less than 0.01 reflecting a statistically significant observation.</p><p><strong>Conclusion: </strong>The presence of seborrheic dermatitis lesions located on visible areas of the skin engenders a notable degree of anxiety among affected individuals, primarily stemming from concerns regarding their physical appearance. This investigation underscores the critical need for individuals experiencing such dermatological manifestations to receive holistic treatment that addresses their psychiatric and dermatological needs.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"12 2","pages":"216-221"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative analysis of single-dose platelet-rich plasma and hyaluronic acid therapies in knee osteoarthritis: A 12-week follow-up study. 单剂量富血小板血浆和透明质酸治疗膝关节骨关节炎的比较分析:一项为期12周的随访研究。
Northern clinics of Istanbul Pub Date : 2025-04-22 eCollection Date: 2025-01-01 DOI: 10.14744/nci.2024.89587
Caglar Karabas, Ezgi Akyildiz Tezcan
{"title":"Comparative analysis of single-dose platelet-rich plasma and hyaluronic acid therapies in knee osteoarthritis: A 12-week follow-up study.","authors":"Caglar Karabas, Ezgi Akyildiz Tezcan","doi":"10.14744/nci.2024.89587","DOIUrl":"https://doi.org/10.14744/nci.2024.89587","url":null,"abstract":"<p><strong>Objective: </strong>Osteoarthritis (OA) is a prevalent and disabling joint condition that affects millions worldwide, particularly in the knee joint, and it presents limited therapeutic options. Platelet-rich plasma (PRP) and hyaluronic acid (HA) have emerged as promising intra-articular treatments. This study aimed to compare the effects of single-dose PRP and HA on pain, functionality, and stiffness in patients with knee OA over a 12-week follow-up period.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 64 patients who underwent single-dose intra-articular HA or PRP treatment for knee OA between December 2021 and June 2022. Pain and functional outcomes were assessed using the Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. Patient satisfaction was evaluated using a Likert scale. Appropriate statistical analyses were performed to compare treatment outcomes and p<0.05 was considered statistically significant.</p><p><strong>Results: </strong>Both PRP and HA treatments led to significant improvements in pain, functionality, and stiffness over the 12-week follow-up period. VAS pain scores decreased significantly in both groups, but a greater reduction was observed in the HA group. Additionally, the HA group exhibited superior improvement in the WOMAC physical function score at the 4-week mark (p=0.047).</p><p><strong>Conclusion: </strong>This study is another novel contribution to the growing literature on treatment of PRP and HA treatments for knee OA, where we highlighted the potential benefits of single-dose HA in alleviating pain and enhancing physical function.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"12 2","pages":"204-210"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stair-climbing test as a physical performance tool in chronic heart failure: Association with left ventricular ejection fraction and pulmonary functions. 爬楼梯试验作为慢性心力衰竭的体能测试工具:与左心室射血分数和肺功能的关系。
Northern clinics of Istanbul Pub Date : 2025-04-22 eCollection Date: 2025-01-01 DOI: 10.14744/nci.2023.66743
Busra Alkan, Sevgi Ozalevli
{"title":"Stair-climbing test as a physical performance tool in chronic heart failure: Association with left ventricular ejection fraction and pulmonary functions.","authors":"Busra Alkan, Sevgi Ozalevli","doi":"10.14744/nci.2023.66743","DOIUrl":"https://doi.org/10.14744/nci.2023.66743","url":null,"abstract":"<p><strong>Objective: </strong>The cardiopulmonary exercise test (CPET), which is used as the gold standard in the evaluation of exercise capacity in patients with chronic heart failure (CHF), is not always possible to perform in clinics and field tests are preferred. The aim of this study was to determine the effectiveness of the symptom-limited stair climbing test (SLSCT) in patients with CHF.</p><p><strong>Methods: </strong>Thirty-one patients (mean age: 65.52±7.57 years) with New York Heart Association (NYHA) Classification stage II-III CHF were included. Exercise capacity was assessed by SLSCT, 6-minute walk test (6MWT), and CPET. Predicted peak oxygen consumption (VO<sub>2peak</sub>), heart rate (HR), blood pressure (BP), and left ventricular ejection fraction (LVEF), pulmonary functions were measured.</p><p><strong>Results: </strong>The predicted VO<sub>2peak</sub> calculated from SLCT was significantly higher than that of 6MWT and CPET (p<0.05). On analyzing the HR changes, SLSCT increased HR by more than 6MWT and less than CPET (p<0.05). There were significant correlations between the predicted VO<sub>2peak</sub> values by SLSCT and LVEF, BMI (Body Mass Index), FEV1 (Forced Expiratory Volume in One Second), and FVC (Forced Vital Capacity), predicted VO<sub>2peak</sub> of CPET (r=0.36-0.55, p≤0.05).</p><p><strong>Conclusion: </strong>SLSCT was found to be effective and easy to use in assessing exercise capacity in CHF patients. Compared with 6MWT, SLSCT gives better results in determining the clinical status and hemodynamic responses of the patients. SLSCT can be an alternative method for assessing exercise capacity in the absence of CPET.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"12 2","pages":"196-203"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Histopathological and molecular analysis in dermis and epidermis of patients with systemic and localized scleroderma. 系统性和局限性硬皮病患者真皮和表皮的组织病理学和分子分析。
Northern clinics of Istanbul Pub Date : 2025-04-22 eCollection Date: 2025-01-01 DOI: 10.14744/nci.2024.45389
Betul Sozeri, Seyma Turkmen, Basak Yildiz Atikan, Huseyin Aktug
{"title":"Histopathological and molecular analysis in dermis and epidermis of patients with systemic and localized scleroderma.","authors":"Betul Sozeri, Seyma Turkmen, Basak Yildiz Atikan, Huseyin Aktug","doi":"10.14744/nci.2024.45389","DOIUrl":"https://doi.org/10.14744/nci.2024.45389","url":null,"abstract":"<p><strong>Objective: </strong>Scleroderma has a wide range of clinical manifestations due to vasculopathy, autoimmunity, altered endothelium function, and abnormal fibrosis, which are accused in the pathogenesis of the disease. The aim of this study is to shed light on the pathogenesis of the disease in childhood via dermal immunohistochemical analysis of the cases.</p><p><strong>Methods: </strong>A single-blind clinical trial is conducted with evaluation of the tissue samples obtained from patients. The samples are stained with PAS, hematoxylin and eosin, E-Cadherin, Connective tissue growth factor (CTGF), Tunnel, and staining for Transforming growth factor beta 1 (TGF-β1) and evaluated by light microscopy. In addition, both TGF-β1 level and mRNA expression analyses in plasma and tissue samples from patients are performed. A total of 15 patients (systemic, n=8 or localized; n=7) were enrolled in the study.</p><p><strong>Results: </strong>The mean age of onset of the disease was 9.2±1.2 years, and the mean age of diagnosis was 15.3±3.2 years. Antinuclear antibody (ANA) titer was between 1/160-1/640 in all patients with systemic sclerosis. There was no ANA positivity in patients with localized scleroderma. A total of 22 tissue samples (15 diseased tissues, 7 healthy tissues) were examined. Histopathological examination has shown that two clinically different subgroups have different characteristics at the tissue level.</p><p><strong>Conclusion: </strong>TGF-β1 levels, which play a fundamental role in the pathogenesis of the disease, are found in both plasma and skin have been shown high. This elevation was found particularly in patients with systemic scleroderma to be more pronounced. Also, in patients with localized scleroderma, skin fibroblasts have been shown to limit the pathologic response.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"12 2","pages":"189-195"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regional distribution of intratesticular varicoceles accompanying extratesticular varicocele cases. 睾丸内精索静脉曲张伴睾丸外精索静脉曲张的区域分布。
Northern clinics of Istanbul Pub Date : 2025-04-21 eCollection Date: 2025-01-01 DOI: 10.14744/nci.2023.54614
Yusuf Aksu
{"title":"Regional distribution of intratesticular varicoceles accompanying extratesticular varicocele cases.","authors":"Yusuf Aksu","doi":"10.14744/nci.2023.54614","DOIUrl":"https://doi.org/10.14744/nci.2023.54614","url":null,"abstract":"<p><strong>Objective: </strong>Only few cases of intratesticular varicocele (ITV) have been reported in the literature, mostly as single cases or a case series. In this study, we aimed to describe the topographic distribution of ITVs in the testicular parenchyma and the correlation between ITV accompanying extratesticular varicocele (ETV) and age.</p><p><strong>Methods: </strong>Approximately 10,537 patients with scrotal pain and swelling who visited our hospital between August 2014 and May 2020 and underwent scrotal colour Doppler ultrasonography were included in this study. Of these patients, 2285 had ETV, and the remaining patients (n=8252) had other testicular pathologies such as acute-chronic torsion, testicular mass, orchitis, significant testicular atrophy, or isolated extratesticular varicocele, and were thus excluded from the study. Among the 2285 patients, only 20 had ITV.</p><p><strong>Results: </strong>Of the 20 patients with ITV, 2 had isolated ITV, and the remaining had ITV accompanying ETV, of whom only one had a right ETV. One patient had left testicular atrophy accompanying an isolated ITV. Among the ITV cases, subcapsular ITV was the most common (n=13), followed by central ITV (n=4) and subcapsular and hilar ITV (n=3). The patients' ages ranged from 18 to 30 years.</p><p><strong>Conclusion: </strong>ITV is a rare clinical entity that occurs only in young men, with most cases accompanying ETV. ITV is generally peripherally located in the testicular parenchyma. In this study, no correlations were found between ITV, ETV, and age. As in this study, testicular atrophy is rarely observed in patients with ITV. No studies have presented ITV cases with spermiogram analysis results. Thus, the effect of ITV on male reproductive fertility is still unknown, and further study on this topic is needed.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"12 2","pages":"173-178"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigating the correlations between nutrition literacy of mothers and offspring physical growth and development, dietary diversity and quality, and vitamin levels. 调查母亲营养素养与子女身体生长发育、饮食多样性和质量以及维生素水平之间的关系。
Northern clinics of Istanbul Pub Date : 2025-04-21 eCollection Date: 2025-01-01 DOI: 10.14744/nci.2023.32067
Sakina Mammadova, Ozlem Tezol, Gulhan Temel
{"title":"Investigating the correlations between nutrition literacy of mothers and offspring physical growth and development, dietary diversity and quality, and vitamin levels.","authors":"Sakina Mammadova, Ozlem Tezol, Gulhan Temel","doi":"10.14744/nci.2023.32067","DOIUrl":"https://doi.org/10.14744/nci.2023.32067","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between nutrition literacy (NL) of mothers and physical growth and development, dietary diversity and quality, and vitamin levels of their children aged 24-59 months.</p><p><strong>Methods: </strong>A cross-sectional survey-based study was conducted at well-child outpatient clinic. Eighty-eight mother-child pairs included. Mother's Evaluation Instrument of Nutrition Literacy for Adults (EINLA) scores and child anthropometric z-scores, age when reaching six gross motor milestones, dietary diversity and the Mediterranean Diet Quality Index scores, and serum vitamin A, B1, B2, B12, C, D, and E levels were measured. Two independent groups comparison statistics and Spearman rank correlations were performed.</p><p><strong>Results: </strong>Thirty-four mothers (38.6%) had borderline and 54 mothers (61.4%) had adequate NL level. The percentages of wasted and acutely malnourished children were higher in the borderline NL group (17.6% vs. 1.9%, p=0.005 and 14.7% vs. 1.9%, p=0.030, respectively). There was no significant correlation between maternal EINLA score and child motor skill acquisition, dietary diversity, or serum vitamin status (p>0.05). There was a correlation between maternal EINLA score and child dietary quality score (r=0.218, p=0.041).</p><p><strong>Conclusion: </strong>Increasing NL of mothers may be a step toward improving the dietary quality of children and reducing the burden of child undernutrition.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"12 2","pages":"179-188"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A study on leadership, organizational culture and digital transformation in dentistry. 牙科行业领导力、组织文化与数字化转型研究。
Northern clinics of Istanbul Pub Date : 2025-03-26 eCollection Date: 2025-01-01 DOI: 10.14744/nci.2025.48897
Orhan Comlek
{"title":"A study on leadership, organizational culture and digital transformation in dentistry.","authors":"Orhan Comlek","doi":"10.14744/nci.2025.48897","DOIUrl":"https://doi.org/10.14744/nci.2025.48897","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the impact of leadership support, organizational culture and digital transformation on employee satisfaction, employee motivation, patient satisfaction, organizational learning capacity and innovative performance in the dental sector. Employee and patient satisfaction is critical to improve service quality and ensure a sustainable healthcare system. Leadership support promotes job satisfaction and motivation, while organizational culture supports collaboration and communication. Digital transformation increases operational efficiency, streamlines workflows and improves patient satisfaction. The study aims to provide theoretical and practical insights into health management and organizational development in dental clinics.</p><p><strong>Methods: </strong>A quantitative research design was used involving 300 participants from dental clinics in Istanbul. Data were collected through questionnaires and analyzed using SPSS software. Statistical methods including factor, correlation and regression analyses were applied to test the hypotheses. The study examined the relationships between leadership, organizational culture, digital transformation and their effects on the dependent variables.</p><p><strong>Results: </strong>The results show that leadership support significantly increases employee satisfaction, motivation, patient satisfaction, innovative performance, and organizational learning capacity. In addition, organizational culture and digital transformation showed positive but statistically insignificant effects on these variables. While digital transformation increased operational efficiency, it did not significantly affect employee motivation or patient satisfaction. The findings emphasize the importance of leadership in driving innovation and improving service quality in dental clinics.</p><p><strong>Conclusion: </strong>Leadership significantly promotes employee and patient satisfaction, employee motivation, organizational learning and innovative performance. Organizational culture contributes positively to the dependent variables, but its effects are less pronounced. Digital transformation positively affects patient satisfaction. The study underlines the need for effective leadership strategies and the integration of digital technologies to improve dental service outcomes. These findings provide valuable guidance for developing management strategies in dentistry. Future research should investigate the long-term effects of digital transformation and innovative technologies on satisfaction, motivation and organizational performance.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"12 2","pages":"153-161"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic review of survey/questionnaire-based drug utilization studies in Turkiye. 土耳其基于调查/问卷的药物利用研究的系统回顾。
Northern clinics of Istanbul Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.14744/nci.2024.60252
Onur Gultekin, Nazim Haspolat, Bahar Cicek, Dieudonné Havyarimana, Ahmet Akici, Volkan Aydin
{"title":"Systematic review of survey/questionnaire-based drug utilization studies in Turkiye.","authors":"Onur Gultekin, Nazim Haspolat, Bahar Cicek, Dieudonné Havyarimana, Ahmet Akici, Volkan Aydin","doi":"10.14744/nci.2024.60252","DOIUrl":"10.14744/nci.2024.60252","url":null,"abstract":"<p><strong>Objective: </strong>Drug utilization studies (DUS), providing insights into various aspects of pharmacoepidemiology from prescribing to medication use, can be conducted through real-world data from health records and survey-based data. In this study, we aimed to describe survey/questionnaire-based DUS conducted in Turkiye.</p><p><strong>Methods: </strong>We searched online databases for the most frequently used keywords in DUS from January 1993 till May 2023 and identified 180 survey-based DUS conducted in Turkiye. We described DUS by their populations, sociodemographic characteristics, timeframe, setting and provinces, data collection method, medication categories, and article-specific variables were evaluated.</p><p><strong>Results: </strong>We identified that 68.3% of the DUS were in English and 91.7% were indexed in Web of Science (median 1 [interquartile range: 1-2] citation). We found that 21.7% of the articles (n=39) had pharmacology affiliation. Adults are the target population in 37.8% of the studies and age and gender were not reported in 27.2% and 16.7%, respectively. The response rate was not stated in 55.0%. We determined that 48.3% of the studies were focused on a single medication/medication group. The mean time from data collection to publication was 2.5±1.9 years, and the highest number of articles (10.6%) were published in 2021.</p><p><strong>Conclusion: </strong>Our systematic review shows that the majority of DUS were listed in well-known international indices, suggesting that our local studies invoke global interest and hold a valuable position in health research. Nevertheless, lack of reporting of methodological characteristics in substantial part of the studies can be considered an important room for improvement of DUS.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"11 6","pages":"525-533"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can HALP (Hemoglobin, albumin, lymphocyte, and platelet) score distinguish malignant and benign causes of extrahepatic cholestasis in patients with extrahepatic bile duct obstruction? HALP(血红蛋白、白蛋白、淋巴细胞和血小板)评分能否区分肝外胆管梗阻患者肝外胆汁淤积的良恶性原因?
Northern clinics of Istanbul Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.14744/nci.2024.23169
Ibrahimhalil Dusunceli, Zeynep Gok Sargin, Umut Celik, Fatih Sargin
{"title":"Can HALP (Hemoglobin, albumin, lymphocyte, and platelet) score distinguish malignant and benign causes of extrahepatic cholestasis in patients with extrahepatic bile duct obstruction?","authors":"Ibrahimhalil Dusunceli, Zeynep Gok Sargin, Umut Celik, Fatih Sargin","doi":"10.14744/nci.2024.23169","DOIUrl":"10.14744/nci.2024.23169","url":null,"abstract":"<p><strong>Objective: </strong>Cholestatic diseases are common and classified as benign or malignant based on their etiology. HALP is a unique nutritional immune marker that combines indicators of nutritional status, including hemoglobin and albumin, with immune function markers like lymphocyte and platelet counts. We investigated the HALP score's ability to differentiate between benign and malignant causes in extrahepatic cholestasis patients.</p><p><strong>Methods: </strong>This research was designed as cross-sectional and retrospective. Between 1 January 2020-1 January 2022, patients diagnosed with extrahepatic cholestasis were included. The diagnoses were confirmed using non-invasive imaging methods, ERCP (endoscopic retrograde cholangiopancreatography), and tissue biopsy results. Based on the type of extrahepatic biliary obstruction, either benign or malignant, the patients were divided into two groups. The HALP score was calculated by multiplying the patient's albumin (g/L), hemoglobin (g/L), and lymphocyte count (/L) and dividing by the platelet count (/L).</p><p><strong>Results: </strong>In 121 of 216 patients, extrahepatic cholestasis was caused by benign factors, mostly choledocholithiasis, while malignant causes, predominantly pancreatic head cancer, were responsible for extrahepatic cholestasis in 95 patients. The malignant cholestasis group had significantly higher bilirubin levels (p<0.001), lower hemoglobin levels (p=0.005), lower albumin levels (p<0.001), higher lymphocyte counts (p<0.001), and higher platelet levels (p=0.001) compared to the benign cholestasis group. There was no considerable difference in the HALP score between the two groups, as indicated by a p-value of 0.741.</p><p><strong>Conclusion: </strong>The HALP score could not distinguish between benign and malignant causes of extrahepatic cholestasis.</p>","PeriodicalId":94347,"journal":{"name":"Northern clinics of Istanbul","volume":"11 6","pages":"555-559"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do we know about dynapenia? 我们知道动力缺失吗?
Northern clinics of Istanbul Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.14744/nci.2024.48642
Ridvan Sivritepe, Ozge Kiran Siyer, Serhat Mert Tiril, Sema Ucak Basat
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