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Turgut E, Taner Z, Bayram M, Karçaaltincaba D. SUCCESSFUL PREGNANCY OUTCOME IN PATIENT WITH NIEMANN-PICK DISEASE TYPE B AND REVIEW OF THE LITERATURE. Acta Endocrinol (Buchar) 2023; 19:108-111. [PMID: 37601707 PMCID: PMC10439333 DOI: 10.4183/aeb.2023.108] [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: 08/22/2023]
Abstract
Niemann-Pick disease (NPD), is a rare autosomal recessive lysosomal storage disorder. Niemann-Pick A and B are caused by homozygous or compound heterozygous mutations in the sphingomyelin phosphodiesterase-1 (SMPD1) gene on chromosome 11p15. Type B is panethnic, although its frequency is increased in Turkish, Arabic and North African populations. Clinical features vary significantly among patients. It is a rare condition and information about its management an outcome during pregnancy and labor is limited. Both maternal mortality and morbidity due to severe postpartum hemorrhage has been reported. We represent a case of successful pregnancy outcome in patient with NPD type B. Type of mutations in SMPD 1 gene and severity of disease before pregnancy can predict the prognosis of pregnancy.
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Affiliation(s)
- E. Turgut
- Gazi University Medical Faculty, Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey
| | - Z. Taner
- Gazi University Medical Faculty, Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey
| | - M. Bayram
- Gazi University Medical Faculty, Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey
| | - D. Karçaaltincaba
- Gazi University Medical Faculty, Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey
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Okut G, Turgut E, Kaplan K, Bag YM, Akbas S, Sumer F, Kayaalp C. Does laparoscopic-guided transversus abdominis plane block have an effect on postoperative pain and recovery after sleeve gastrectomy? Eur Rev Med Pharmacol Sci 2022; 26:5406-5412. [PMID: 35993635 DOI: 10.26355/eurrev_202208_29408] [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: 06/15/2023]
Abstract
OBJECTIVE Postoperative pain management is thought to have an effect on patient comfort, morbidity, and mortality after bariatric surgery. Local anesthetic agents are frequently used for this purpose. Local anesthetics can be used in many different ways. In this study, we aimed to investigate the effect of transversus abdominis plane (TAP) block on postoperative pain by laparoscopic method. PATIENTS AND METHODS A prospective randomized clinical trial was performed. While TAP block was applied to one group with bupivacaine, no action was taken for the other group. Postoperative analgesia was given to both patient groups with the "patient-controlled analgesia (PCA)" device. Demographic, operational, and postoperative clinical and pain data of the patients were recorded. RESULTS TAP block and non-TAP block groups consisted of 30 patients each. Visual analog scale (VAS) scores of the patients at 6, 12, and 24 hours were lower in the TAP group compared to the non-TAP group (p=0.015, 0.018, 0.04, respectively). According to the PCA device data, the analgesic requirement was lower in the TAP group at 6, 12, and 24 hours (p <0.001). Rescue analgesia was required more in the non-TAP group (p=0.04). There was no statistically significant difference between the two groups in terms of gas discharge time (p=0.102), stool discharge occurred earlier in the TAP group (p=0.02). Oral intake times (p=0.554) and length of stay hospital (p=0.551) were similar. CONCLUSIONS Laparoscopic TAP block using bupivacaine can be safely administered in morbidly obese patients and reduces postoperative analgesic requirements. Thus, side effects that may develop secondary to the use of analgesics are avoided.
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Affiliation(s)
- G Okut
- Gastroenterology Surgery Department, Bozyaka Research and Training Hospital, Izmir, Turkey.
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Yildiz H, Sünnetçioğlu A, Ekin S, Baran Aİ, Özgökçe M, Aşker S, Üney İ, Turgut E, Akyüz S. Delftia acidovorans pneumonia with lung cavities formation. Colomb Med (Cali) 2019; 50:215-221. [PMID: 32284666 PMCID: PMC7141147 DOI: 10.25100/cm.v50i3.4025] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Case Description A 52-year-old female patient was admitted to our clinic with complaints of cough, sputum, fever and fatigue. The patient has been receiving immunosuppressive therapy for thrombocytopenic purpura for 5 years. Clinical Finding Inspiratory crackles were heard on both hemithorax. Oxygen saturation measured with the pulse oximeter was 97%. Chest X-ray showed diffuse reticular opacities that were more prominent in the upper zones of both lungs. WBC counts were 17,600 mm3 and Platelet counts were 29,000 mm3. Thorax CT showed that there were many thin-walled cavities and millimetric nodules accompanied by ground-glass infiltrates in the upper and middle lobes. Gram staining of bronchial fluid, taken by bronchoscopy, revealed Gram-negative bacilli and intense polymorphonuclear leukocytes. The bacteria were defined as Delftia acidovorans by BD Phoenix automated system. Treatment and outcomes The patient was hospitalized with suspicion of opportunistic pulmonary infections and cavitary lung disease. After the empirical treatment of intravenous piperacillin-tazobactam and oral clarithromycin, her clinical and radiological findings significantly regressed, and she was discharged with outpatient follow-up. Clinical Relevance This is the first example of cavitary pneumonia due to Delftia acidovorans in an immunocompromised patient. We would like to emphasize that Delftia pneumonia should be considered in the differential diagnosis of pulmonary cavitary involvement in such patients.
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Affiliation(s)
- Hanifi Yildiz
- Van Yuzuncu Yil University, Faculty of Medicine, Department of Chest Medicine, Tuşba/Van, Turkey
| | - Aysel Sünnetçioğlu
- Van Yuzuncu Yil University, Faculty of Medicine, Department of Chest Medicine, Tuşba/Van, Turkey
| | - Selami Ekin
- Van Yuzuncu Yil University, Faculty of Medicine, Department of Chest Medicine, Tuşba/Van, Turkey
| | - Ali İrfan Baran
- Van Yuzuncu Yil University, Faculty of Medicine, Department of Infectious Disease, Tuşba/Van, Turkey
| | - Mesut Özgökçe
- Van Yuzuncu Yil University, Faculty of Medicine, Department of Radiology, Tuşba/Van, Turkey
| | - Selvi Aşker
- Van Yuzuncu Yil University, Faculty of Medicine, Department of Chest Medicine, Tuşba/Van, Turkey
| | - İbrahim Üney
- Van Yuzuncu Yil University, Faculty of Medicine, Department of Chest Medicine, Tuşba/Van, Turkey
| | - Engin Turgut
- Van Yuzuncu Yil University, Faculty of Medicine, Department of Internal Medicine, Tuşba/Van, Turkey
| | - Sümeyye Akyüz
- Van Yuzuncu Yil University, Faculty of Medicine, Medical Microbiology Department, Tuşba/Van, Turkey
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Savcun Demirci C, Turgut E, Ayvat E, Onursal Ö, Ayvat F, Yıldız TI, Düzgün I, Kılınç M, Aksu Yıldırım S. Kinematic analysis of scapular movements in patients with facioscapulohumeral muscular dystrophy. J Electromyogr Kinesiol 2017; 38:88-93. [PMID: 29179028 DOI: 10.1016/j.jelekin.2017.11.007] [Citation(s) in RCA: 3] [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] [Received: 08/29/2017] [Revised: 11/02/2017] [Accepted: 11/11/2017] [Indexed: 11/30/2022] Open
Abstract
The purpose of this study is to evaluate scapular movements by the three-dimensional electromagnetic system during shoulder elevation in FSHMD patients, and to compare the results with healthy individuals. 10 patients with FSHMD and 10 healthy individuals were included in the study. Scapular anterior-posterior tilt, upward-downward rotation and internal-external rotation at 30°, 60° and 90° were evaluated using the three-dimensional electromagnetic system during the elevation of the upper limbs in the scapular plane. Humerothoracic elevation levels on the dominant and non-dominant sides were found to be lower in the patients than healthy individuals (p < .001). Both scapula were rotated downwards at 30° (dominant/non-dominant p < .001) and 60° (dominant p = .009, non-dominant p = .04) of humerothoracic elevation, the scapula was rotated internally at 30° of humerothoracic elevation on the non-dominant side (p = .03), and the scapula was tilted posteriorly at 90° of humerothoracic elevation on the non-dominant side (p = .009) in patients. These existing abnormal patterns of the scapula in the patients increase the risk of impairment, pain, impingement and instability especially in the activities that require arm elevation. It is thought that physiotherapy approaches should first be emphasized to improve scapular stabilization and strengthening exercises should then be performed for the shoulder girdle muscles.
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Affiliation(s)
| | | | - E Ayvat
- Hacettepe University, Turkey
| | | | - F Ayvat
- Hacettepe University, Turkey
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Korkmaz V, Kurdoglu Z, Alisik M, Turgut E, Sezgın OO, Korkmaz H, Ergun Y, Erel O. Thiol/disulfide homeostasis in postmenopausal osteoporosis. J Endocrinol Invest 2017; 40:431-435. [PMID: 27858341 DOI: 10.1007/s40618-016-0585-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [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: 09/07/2016] [Accepted: 11/09/2016] [Indexed: 12/23/2022]
Abstract
AIM To evaluate the impact of postmenopausal osteoporosis on thiol/disulfide homeostasis. MATERIALS AND METHODS A total of 75 participants were divided into two groups: Group 1 (n = 40) was composed of healthy postmenopausal women, and group 2 (n = 35) was composed of women with postmenopausal osteoporosis. Clinical findings and thiol/disulfide homeostasis were compared between the two groups. RESULTS The disulfide/native thiol ratio was 8.6% ± 3.6 in group 1 and 12.7% ± 8.4 in group 2 (p = 0.04). The disulfide/native thiol percent ratio was significantly higher in group 2 after adjustment for the years since menopause and age (p < 0.05). The native thiol/total thiol percent ratio was 85.6% ± 4.8 in group 1 and 73.8% ± 24.9 in group 2 (p = 0.01). The native thiol/total thiol percent ratio was significantly lower in group 2 after adjustment for the years since menopause and age (p < 0.05). CONCLUSION Thiol/disulfide homeostasis shifted to the disulfide side independent of age and years since menopause in postmenopausal osteoporosis.
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Affiliation(s)
- V Korkmaz
- Department of Obstetrics and Gynecology, Ankara Training and Research Hospital, Ankara, Turkey.
| | - Z Kurdoglu
- Department of Obstetrics and Gynecology, Ankara Training and Research Hospital, Ankara, Turkey
| | - M Alisik
- Department of Biochemistry, Yıldırım Beyazıt University, Ankara, Turkey
| | - E Turgut
- Department of Obstetrics and Gynecology, Ankara Training and Research Hospital, Ankara, Turkey
| | - O O Sezgın
- Department of Biochemistry, Ankara Training and Research Hospital, Ankara, Turkey
| | - H Korkmaz
- Department of Physiology, Hacettepe University, Ankara, Turkey
| | - Y Ergun
- Department of Obstetrics and Gynecology, Ankara Training and Research Hospital, Ankara, Turkey
| | - O Erel
- Department of Biochemistry, Yıldırım Beyazıt University, Ankara, Turkey
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Necioglu Orken D, Kuloglu-Pazarcı N, Turgut E. Atherosclerotic carotid artery diseases and atrial fibrillation in ischemic stroke patients. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.840] [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: 11/29/2022]
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Necioglu Orken D, Gundogdu-Celebi L, Turgut E, Mumcu S. Are stable patients on warfarin treatment actually stable? J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.1016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Arkan DC, Kaplanoğlu M, Kran H, Ozer A, Coşkun A, Turgut E. Adolescent pregnancies and obstetric outcomes in southeast Turkey: data from two regional centers. CLIN EXP OBSTET GYN 2010; 37:144-147. [PMID: 21077509] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
PURPOSE OF INVESTIGATION To evaluate adolescent pregnancy and obstetric outcomes. METHODS This retrospective cohort study was performed by analysis of patient files and birth records of pregnant women who delivered in two cities in Southeast Anatolia, Turkey. Pregnant women aged 19 years old and younger were included in the study group. Women between 20 and 35 years of age constituted the control group. RESULTS The incidence of adolescent pregnancy during the study period was 11%. Birth weight and hemoglobin level were significantly higher in the control group (p < 0.05). The majority of the women in the study group delivered vaginally (p < 0.05). The incidence of preterm labor, intrauterine growth retardation, and stillbirth was significantly higher in the study group (p < 0.05). Adolescent mothers were most likely to have low birth weight and very low birth weight babies (p < 0.05). CONCLUSION Adolescent pregnancies were associated with adverse pregnancy outcomes in our study population. Possible grounds for such increase warrant further evaluation and discussion.
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Affiliation(s)
- D C Arkan
- Department of Obstetrics and Gynecology, Kahramanmaras Sutcuimam University School of Medicine, Kahramanmaras, Turkey.
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Abstract
OBJECTIVE The first case reports of infection with penicillin-resistant pneumococci were made in Australia in 1967 and South Africa in 1977. Since this time the increasing emergence of penicillin- resistant strains of Streptococcus pneumoniae have been a serious therapeutic problem. Therefore, the aim of the present study was to determine the penicillin resistance of S. pneumoniae strains isolated in the laboratory. The effect of procaine penicillin treatment against these strains was also investigated. METHODS Sensitivity testing was done by disc diffusion method using oxacillin discs. Minimal inhibitory concentration (MIC) values were determined in tests with penicillin by the use of E-test (AB Biodisc, Solna, Sweden). Patients were treated with 2 x 800,000 U of i.m. procaine penicillin every 12 h for 10 days. RESULTS Thirty-seven strains of S. pneumoniae were isolated from the sputa of adult patients who had pneumonia. Moderately resistant (0.12-1.00 microg/mL) and penicillin-sensitive (< or = 0.06 microg/mL) strains were identified in nine (24.3%) and 28 (75.7%) isolates, respectively. There were no high-level penicillin-resistant strains in the study. There was no therapeutic failure. CONCLUSION These results suggest that procaine penicillin may still be useful in the empirical therapy of pneumococcal pneumonia.
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Affiliation(s)
- U Sahin
- Department of Chest Disease, Süleyman Demirel University, School of Medicine, Turkey
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Turgut E, Shinn AP, Wootten R, Yeomans WE. Gyrodactylus sommervillae n. sp. (Monogenea) from Abramis brama (L.) and Rutilus rutilus (L.) (Cyprinidae) in Oxfordshire, UK. Syst Parasitol 1999; 43:59-63. [PMID: 10613531 DOI: 10.1023/a:1006121210676] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Gyrodactylus sommervillae n. sp. (Monogenea) is described from the skin, fins and gills of Abramis brama (L.) and Rutilus rutilus (L.) from Blenheim Palace Lake, Oxfordshire, UK. G. sommervillae n. sp. closely resembles G. aphyae Malmberg, 1957, G. kearni Ergens, 1990 and G. lamberti Ergens, 1990 in the approximate shape of the marginal hook sickle and the anchors, but can be separated on the precise shape of the marginal hooks and the ventral bar.
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Affiliation(s)
- E Turgut
- Institute of Aquaculture, University of Stirling, UK
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Abstract
The potential for the increased risk of transmission of HIV (Human Immunodeficiency Virus) from patients to dental health care workers (DHCWs) in the workplace is examined. Based on published and hypothetical risk estimates, the authors conclude that in certain world communities with high prevalence rates of HIV infection (e.g. Central Africa), the potential yearly incidence rate and cumulative long-term incidence rate of HIV transmission in the dental workplace could place these workers in a high risk subgroup similar to that of homosexuals. Reported high levels of noncompliance with infection control procedures in the dental care workplace in the United States by these workers suggests the potential for increased risk in communities with high prevalence rates of this disease. Present and past educational efforts toward protection of the DHCW in the United States may be considered inadequate, and even more so when these educational efforts are applied in the world community. Additional efforts should be made by the public health community to alert and educate DHCWs worldwide to the potential for increased HIV transmission in the workplace.
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Affiliation(s)
- R E Morris
- Ministry of Public Health, Kuwait, Arabian Gulf
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Tuncer M, Turgut E, Taser H, al-Jasim JM. X-ray toothless patients. Middle East Health 1987; 11:33D-34D. [PMID: 3474511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Yarkut E, Turgut E. [Modified technic for the treatment of gingival hyperplasia in epileptic patients]. J Istanb Univ Fac Dent 1969; 3:151-68. [PMID: 5265430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
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