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Yesilkaya S, Acikel C, Fidanci BE, Sozeri B, Ayaz NA, Akıncı N, Kavukçu S, Özçelik G, Aydogan U, Ozenç S, Emre S, Donmez O, Delibaş A, Yüksel S, Berdelli A, Poyrazoğlu H, Saldır M, Çakar N, Peru H, Bakkaloğlu S, Tabel Y, Sarı O, Polat A, Basbozkurt G, Unsal E, Kasapcopur O, Gok F, Ozen S, Demirkaya E. Developing of a new scale for assessing the adherence to colchicine treatment in pediatric patients with FMF. Pediatr Rheumatol Online J 2015. [PMCID: PMC4599882 DOI: 10.1186/1546-0096-13-s1-p109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Aydogdu A, Tasci I, Tapan S, Sonmez A, Aydogan U, Akbulut H, Uckaya G, Aydogdu S, Basaran Y, Meric C, Taslipinar A, Kurt I, Azal O. Women with polycystic ovary syndrome have increased plasma chitotriosidase activity: a pathophysiological link between inflammation and impaired insulin sensitivity? Exp Clin Endocrinol Diabetes 2012; 120:261-5. [PMID: 22549343 DOI: 10.1055/s-0032-1309010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Polycystic ovary syndrome (PCOS) is characterized by insulin resistance. Chronic low grade inflammation has been reported to participate in the pathogenesis of insulin resistance. Chitotriosidase (ChT), a protein secreted by activated macrophages, has been shown to be involved in chronic inflammatory responses. In the present study, serum chitotriosidase activity and its relationship with insulin resistance were determined in patients with PCOS.34 patients with PCOS and 44 age and body mass index (BMI) matched healthy controls were enrolled in the study. ChT activity was measured by the fluorescence method. High sensitivity C reactive protein (hs-CRP) and adiponectin levels were determined by enzyme immunoassay (EIA). Insulin resistance was calculated by the homeostasis model assessment of insulin resistance (HOMA-IR) formula.Plasma ChT activity, hs-CRP level and HOMA-IR score were significantly higher (p=0.024, p=0.002, p=0.001, respectively) while plasma adiponectin concentration was significantly lower (p=0.018) in women with PCOS compared to healthy controls. Blood ChT activity correlated positively with age, waist-to-hip ratio (WHR), BMI, hs-CRP, HOMA-IR and negatively with blood adiponectin level. After adjustment for age and BMI, ChT activity, total testosterone level and WHR remained as the independent predictors of HOMA-IR score in logistic regression analysis.ChT activity is increased in patients with PCOS in concordance with insulin resistance. These findings may reflect the pronounced risk for metabolic syndrome and atherosclerotic diseases in this particular patient group.
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Affiliation(s)
- A Aydogdu
- Department of Endocrinology and Metabolism, Gulhane School of Medicine, Etlik, Ankara, Turkey.
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Aydogan U, Akbulut H, Gok DE, Yilmaz MI, Yuksel S, Sari O, Doganer YC, Senses Z, Baltaci D, Kara IH, Saglam K, Qidwai W, Waheed S. To study the correlation between carrier status of nasal Staphylococcus aureus in patients on haemodialysis with hepatitis C, hepatitis B and their sociodemographic features. W INDIAN MED J 2012; 61:139-144. [PMID: 23155958] [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: 06/01/2023]
Abstract
AIM To study the correlation of nasal Staphylococcus aureus carrier status in patients on haemodialysis, infected by hepatitis C virus (HCV), hepatitis B virus (HBV), and their sociodemographic features. SUBJECTS AND METHODS A survey, including patients' sociodemographic features, was applied to patients by physicians in face to face interviews. Medical records regarding their serologic data were recorded from haemodialysis centres. Nasal swab samples of 2 cm depth from both nostrils of patients were obtained for nasal culture. Samples were inoculated in 5% sheep blood agar and incubated in an incubator at a temperature of 37 degrees C for 24 hours. The results were studied by the same microbiologist. RESULTS A total of 185 patients were enrolled in the study. According to culture results, 14.1% of patients (n = 26) had methicillin sensitive Staphylococcus aureus (MSSA) and 1.1% (n = 2) had methicillin resistant Staphylococcus aureus (MRSA). Status of viral hepatitis was 3.8% (n = 8), 10.8% (n = 20) for HBV and HCV respectively. Forty per cent (n = 8) of patients with HBV (+) had MSSA carrier status. Statistically significant positive correlation between MSSA and HCV carrier was detected (r = 0.325, p = 0.001) but not between HBV carrier and MSSA (p = 0.255). CONCLUSION In the present study, significant positivity was detected between MSSA carrier status and HCV in patients on haemodialysis and who have lived together with < or = 2 family members at home. Particularly, statistically significant correlation between HCV(+) and MSSA carrier was observed.
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Affiliation(s)
- U Aydogan
- Department of Family Medicine, Gulhane Military Medical Academy, Ankara, Turkey
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Ugurlucan M, Sayin OA, Nisli K, Aydogan U, Dayioglu E, Tireli E. Modified central aortopulmonary shunt with end-to-end anastomosis of the shunt to the pulmonary trunk: Early results of a novel shunt procedure for first-stage palliation of infants with pulmonary atresia and hypoplastic pulmonary arteries. Thorac Cardiovasc Surg 2009; 57:85-90. [PMID: 19241309 DOI: 10.1055/s-2008-1039045] [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: 10/21/2022]
Abstract
OBJECTIVE The aim was to investigate a novel palliative shunt performed between the ascending aorta and the main pulmonary artery in patients with pulmonary atresia. PATIENTS AND METHODS Thirteen patients with intracardiac defects [tetralogy of Fallot (seven patients); tetralogy of Fallot and major aortopulmonary collateral arteries (one patient); ventricular septal defect and major aortopulmonary collateral arteries (two patients); tricuspid atresia (three patients)] and pulmonary atresia underwent shunt operation. Patient selection was made based on preoperative echocardiography and perioperative findings. Eight of the patients were female and five were male. Ages and weight ranged between 1-235 days and 2,950-7,900 g, respectively. Preoperative room air oxygen saturation ranged between 68-83 %. RESULTS Operations were performed through a median sternotomy. The main pulmonary artery was transected from the right ventricular outflow tract and using a 3-3.5 mm diameter graft, a modified central aortopulmonary shunt was created (graft anastomosis was end-to-end to the pulmonary artery and side-to-side to the aorta). Postoperative oxygen saturation increased 5-10% and diastolic blood pressure decreased by 3-6 mmHg. One hospital mortality occurred, due to sepsis, and two late deaths, one due to pneumonia and one sudden death, occurred in the follow-up period. Patients were followed up for 3-16 months after the operations. During the follow-up period four patients received corrective operations, one unifocalization and three total corrections. CONCLUSION Modified central aortopulmonary shunt with end-to-end anastomosis of the shunt to the pulmonary trunk is a novel palliative shunt operation. Our early results with this technique indicate rapid palliation and early achievement of bilateral homogenous adequate pulmonary artery size with a low incidence of overflow to pulmonary circulation and minimal arterial distortion.
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Affiliation(s)
- M Ugurlucan
- Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
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Olgar S, Oktem F, Dindar A, Kilbas A, Turkoglu UD, Cetin H, Altuntas I, Yilmaz R, Uz E, Ertugrul T, Omeroglu R, Aydogan U. Volatile solvent abuse caused glomerulopathy and tubulopathy in street children. Hum Exp Toxicol 2008; 27:477-83. [DOI: 10.1177/0960327108092292] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Substance misuse among street children is a significant problem in developing countries. Volatile substances are the most abused agents. According to case reports, chronic renal diseases are common among substance-abusing street children. In this study, we examined the renal findings of 42 volatile substance–abusing street children and compared them with results from 49 healthy children (control). The street children’s weight, height, and blood pressure were lower than the controls’ ( P < 0.05). However, their blood alkaline phosphatase and creatinine phosphokinase levels were higher ( P < 0.05), and total blood protein, creatinine, and phosphorus levels were lower than the controls’ ( P < 0.05). Furthermore, the street children’s glomerular filtration rates were within normal limits ( P < 0.05), their urinary N-acetyl-beta-glucosaminidase (NAG), β2-microglobulin, microalbumin, protein, calcium, phosphorus, sodium, potassium, and chloride excretions were higher, and tubular phosphate reabsorption were lower than the controls’ ( P < 0.05). Volatile substances have been charged with causing distal tubular disease, but increased urinary protein, NAG, β2-microglobulin, microalbumin, and electrolyte excretions also result from glomerular, proximal, and distal tubular influences. We believe that increased volatile substance products in the renal parenchyma are responsible for glomerular and tubular damage. Volatile substance–abusing street children should be examined for glomerular and proximal tubular function and distal tubular acidosis.
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Affiliation(s)
- S Olgar
- Department of Pediatric Cardiology, Istanbul University, Istanbul Faculty of Medicine, Capa, 34390, Istanbul, Turkey
| | - F Oktem
- Department of Pediatric Nephrology, School of Medicine, Suleyman Demirel University, 32260 Isparta, Turkey
| | - A Dindar
- Department of Pediatric Cardiology, Istanbul University, Istanbul Faculty of Medicine, Capa, 34390, Istanbul, Turkey
| | - A Kilbas
- Department of Biochemistry, Suleyman Demirel University, Faculty of Medicine, Cunur, 32260 Isparta, Turkey
| | - UD Turkoglu
- Department of Biochemistry, Istanbul University, Istanbul Faculty of Medicine, Capa, 34390 Istanbul, Turkey
| | - H Cetin
- Department of Pediatric Nephrology, School of Medicine, Suleyman Demirel University, 32260 Isparta, Turkey
| | - I Altuntas
- Department of Biochemistry, Suleyman Demirel University, Faculty of Medicine, Cunur, 32260 Isparta, Turkey
| | - R Yilmaz
- Department of Medical Biology and Genetics, School of Medicine, Suleyman Demirel University, 32260 Isparta, Turkey
| | - E Uz
- Department of Medical Biology and Genetics, School of Medicine, Suleyman Demirel University, 32260 Isparta, Turkey
| | - T Ertugrul
- Department of Pediatric Cardiology, Istanbul University, Istanbul Faculty of Medicine, Capa, 34390, Istanbul, Turkey
| | - R Omeroglu
- Department of Pediatric Cardiology, Istanbul University, Istanbul Faculty of Medicine, Capa, 34390, Istanbul, Turkey
| | - U Aydogan
- Department of Pediatric Cardiology, Istanbul University, Istanbul Faculty of Medicine, Capa, 34390, Istanbul, Turkey
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