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Yildirim Y, Kristensson D, Outomuro D, Mikolajewski D, Rödin Mörch P, Sniegula S, Johansson F. Phylogeography and phenotypic wing shape variation in a damselfly across populations in Europe. BMC Ecol Evol 2024; 24:19. [PMID: 38308224 PMCID: PMC10838002 DOI: 10.1186/s12862-024-02207-4] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 01/25/2024] [Indexed: 02/04/2024] Open
Abstract
BACKGROUND Describing geographical variation in morphology of organisms in combination with data on genetic differentiation and biogeography can provide important information on how natural selection shapes such variation. Here we study genetic structure using ddRAD seq and wing shape variation using geometric morphometrics in 14 populations of the damselfly Lestes sponsa along its latitudinal range in Europe. RESULTS The genetic analysis showed a significant, yet relatively weak population structure with high genetic heterozygosity and low inbreeding coefficients, indicating that neutral processes contributed very little to the observed wing shape differences. The genetic analysis also showed that some regions of the genome (about 10%) are putatively shaped by selection. The phylogenetic analysis showed that the Spanish and French populations were the ancestral ones with northern Swedish and Finnish populations being the most derived ones. We found that wing shape differed significantly among populations and showed a significant quadratic (but weak) relationship with latitude. This latitudinal relationship was largely attributed to allometric effects of wing size, but non-allometric variation also explained a portion of this relationship. However, wing shape showed no phylogenetic signal suggesting that lineage-specific variation did not contribute to the variation along the latitudinal gradient. In contrast, wing size, which is correlated with body size in L. sponsa, had a strong negative correlation with latitude. CONCLUSION Our results suggest a relatively weak population structure among the sampled populations across Europe, but a clear differentiation between south and north populations. The observed geographic phenotypic variation in wing shape may have been affected by different local selection pressures or environmental effects.
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Affiliation(s)
- Y Yildirim
- Department of Ecology and Genetics, Animal Ecology, Uppsala University, Uppsala, Sweden
| | - D Kristensson
- Department of Ecology and Genetics, Animal Ecology, Uppsala University, Uppsala, Sweden
| | - D Outomuro
- Department of Biological Sciences, University of Pittsburgh, Pittsburgh, PA, USA
| | - D Mikolajewski
- Institut für Biologie, Freie Universität Berlin, Berlin, Germany
| | - P Rödin Mörch
- Department of Ecology and Genetics, Animal Ecology, Uppsala University, Uppsala, Sweden
| | - S Sniegula
- Department of Ecosystem Conservation, Institute of Nature Conservation, Polish Academy of Sciences, Kraków, Poland
| | - F Johansson
- Department of Ecology and Genetics, Animal Ecology, Uppsala University, Uppsala, Sweden.
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Dishan A, Hizlisoy H, Barel M, Disli HB, Gungor C, Ertas Onmaz N, Gonulalan Z, Al S, Yildirim Y. Biofilm formation, antibiotic resistance and genotyping of Shiga toxin-producing Escherichia coli isolated from retail chicken meats. Br Poult Sci 2023; 64:63-73. [PMID: 36102939 DOI: 10.1080/00071668.2022.2116697] [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] [Indexed: 11/02/2022]
Abstract
1. The Shiga toxin-producing Escherichia coli (STEC) is a hazardous zoonotic agent for chicken meat consumers. This study determined the serogroups and evaluated the virulence genes, antibiotic resistance, biofilm-forming profiles and genetic relationships of STEC isolates in chicken meat.2. A total of 100 samples belonging to dressed-whole chicken and different parts of the chicken (wing, breast, thigh, drumstick) were collected between September and November 2019 from different retail markets in Kayseri, Türkiye.3. Phenotypic (identification, disc diffusion test, Congo red agar and microtitre plate tests) and molecular tests (identification, serogrouping, virulence factors, biofilm, antibiotic susceptibility, 16S rRNA sequencing and enterobacterial repetitive intergenic consensus-PCR for typing of the isolates) were carried out.4. E. coli was isolated from 35% of the samples and 35% of the samples harboured at least one STEC. Among 35 STEC isolates, 3 (8.5%), 6 (17.1%), 2 (5.7%) and 3 (8.5%) were found to be positive for fliCH2, fliCH8, fliCH11, fliCH19 genes, respectively. Out of 35 STEC positive isolates, 4 (11.4%) were identified as E. coli O157, from which 2 (5.7%) were E. coli O157:H7. E. coli O157 was detected in two (10%), one (5%), one (5%) of the thigh, drumstick and whole chicken samples, respectively.5. Biofilm-forming ability was reported in 33 (94.2%) of 35 E. coli isolates, whilst the biofilm-associated genes detected among 35 STEC isolates included csgA (88.5%), fimH (88.5%), bcsA (85.7%), agn43 (14.2%) and papC (8.5%). The STEC strains showed resistance against ampicillin (88.5%) and erythromycin (88.5%), followed by tetracycline (74.2%) and gentamicin (25.7%). However, the distribution of isolates harbouring blaCMY, ere(A), tet(A) and aac(3)-IV antibiotic resistance genes was found to be 17.1%, 11.4%, 85.7% and 5.7%, respectively.6. ERIC-PCR showed that E. coli strains obtained from different parts and whole of chicken samples had genetic diversities. ERIC-PCR patterns grouped strains of 35 STEC into eight clusters designated A-H, with 73% similarity. Proper hygiene measures and staff training are essential for public health during poultry processing and in retail stores to control STEC.
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Affiliation(s)
- A Dishan
- Department of Food Hygiene and Technology, Faculty of Veterinary Medicine, Yozgat Bozok University, Sorgun/Yozgat, Türkiye
| | - H Hizlisoy
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Türkiye
| | - M Barel
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Türkiye
| | - H B Disli
- Department of Food Hygiene and Technology, Faculty of Veterinary Medicine, Hatay Mustafa Kemal University, Hatay, Türkiye
| | - C Gungor
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Türkiye
| | - N Ertas Onmaz
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Türkiye
| | - Z Gonulalan
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Türkiye
| | - S Al
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Türkiye
| | - Y Yildirim
- Department of Veterinary Public Health, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Türkiye
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Biswas A, Vega-Guzman J, Bansal A, Kara AH, Aphane M, Yildirim Y, Alshehri HM. Solitary waves, shock waves and conservation laws with the surface tension effect in the Boussinesq equation. PEAS 2023. [DOI: 10.3176/proc.2023.1.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Yildirim Y, Reuter L, Odah S, Petersen J, Pahrmann C, Reichenspurner H, Pecha S. Nanotechnological Coating Reduces Bacterial Growth on Vascular Prostheses: An In Vitro Bioluminescence Imaging Study. Thorac Cardiovasc Surg 2023. [DOI: 10.1055/s-0043-1761740] [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: 03/22/2023]
Affiliation(s)
- Y. Yildirim
- University Heart and Vascular Center Hamburg, Hamburg, Deutschland
| | - L. Reuter
- University Medical Center Hamburg-Eppendorf, Hamburg, Deutschland
| | - S. Odah
- University Heart and Vascular Center Hamburg, Hamburg, Deutschland
| | | | - C. Pahrmann
- University Heart and Vascular Center Hamburg, Hamburg, Deutschland
| | | | - S. Pecha
- University Heart and Vascular Center Hamburg, Hamburg, Deutschland
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Pecha S, Yildirim Y, Petersen J, Tönnis T, Kirchhof P, Reichenspurner H. Minimally Invasive Epicardial Left-Ventricular Lead Implantation and Simultaneous Left Atrial Appendage Clipping. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742809] [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: 10/19/2022]
Affiliation(s)
- S. Pecha
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
| | - Y. Yildirim
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
| | - J. Petersen
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
| | - T. Tönnis
- Kardiologie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Kardiologie, Hamburg, Deutschland
| | - P. Kirchhof
- Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Kardiologie, Hamburg, Deutschland
| | - H. Reichenspurner
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
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Yildirim Y, Yildirim S, Petersen J, Alassar Y, Sinning C, Conradi L, Reichenspurner H, Pecha S. Left-Atrial Strain Predicts Rhythm Outcome in Patients with Persistent Atrial Fibrillation Undergoing Left-Atrial Cryoablation during Minimally Invasive Endoscopic Mitral Valve Repair. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742939] [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: 10/19/2022]
Affiliation(s)
- Y. Yildirim
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
| | - S. Yildirim
- Kardiologie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Kardiologie, Hamburg, Deutschland
| | - J. Petersen
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
| | - Y. Alassar
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
| | - C. Sinning
- Kardiologie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Kardiologie, Hamburg, Deutschland
| | - L. Conradi
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
| | - H. Reichenspurner
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
| | - S. Pecha
- Herzchirurgie, Universitäres Herz- und Gefäßzentrum UKE Hamburg GmbH
- Klinik für Herz- und Gefäßchirurgie, Hamburg, Deutschland
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Alshehri HM, Biswas A, González-Gaxiola O, Yildirim Y. Bright optical solitons with polynomial law of nonlinear refractive index by Adomian decomposition scheme. PEAS 2022. [DOI: 10.3176/proc.2022.3.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Petersen J, Yildirim Y, Tönnis T, Reichenspurner H, Pecha S. Transvenous Lead Extraction in Patients with Grownup Congenital Heart Disease. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725711] [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: 10/21/2022]
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Böning H, Petersen J, Sinning C, Yildirim S, Yildirim Y, Reichenspurner H, Pecha S. Echocardiographic Evaluation of Different LAA Closure Techniques during Concomitant Surgical AF Ablation. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725714] [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: 10/21/2022]
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Pecha S, Ziegelhoeffer T, Yildirim Y, Choi YH, Willems S, Reichenspurner H, Burger H, Hakmi S. Safety and Efficacy of Transvenous Lead Extraction of Very Old Leads. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725710] [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: 10/21/2022]
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Pecha S, Petersen J, Hakmi S, Yildirim Y, Tönnis T, Reichenspurner H. Safety and Efficacy of Transvenous Laser Lead Extraction in Octogenarians. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725812] [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: 10/21/2022]
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Yildirim Y, Pecha S, Bernhardt A, Brickwedel J, Schofer N, Seiffert M, Reichenspurner H. Investigation of a Retrograde Implantation Technique for Distal Limb Perfusion during ECMO Therapy. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725798] [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: 10/21/2022]
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Yildirim Y, Petersen J, Tönnis T, Reichenspurner H, Pecha S. Hybrid Transvenous Lead Extraction during Valvular Endocarditis Surgery. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725816] [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: 10/21/2022]
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Kepez Yildiz B, Erdem ZG, Demir G, Yildirim Y, Agca A, Aygit ED, Kandemir Besek N, Fazil K, Demirok A. Effect of keratorefractive surgery on choroidal thickness in anisometropic amblyopia. J Fr Ophtalmol 2020; 43:996-1001. [PMID: 32972758 DOI: 10.1016/j.jfo.2020.02.019] [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: 07/05/2019] [Revised: 02/06/2020] [Accepted: 02/25/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE To evaluate postoperative change in choroidal thickness (CT) in patients with anisometropic amblyopia undergoing keratorefractive surgery. METHODS Anisometropic amblyopic patients and nonamblyopic patients who underwent keratorefractive surgery were included in the study. The eyes were divided into three groups. Group 1 consisted of eyes with anisometropic amblyopia, group 2 were the nonamblyopic fellow eyes, and group 3 (control group) were nonamblyopic eyes which had undergone keratorefractive surgery. At the third postoperative month, the CT of these eyes were measured by Enhanced Depth Imaging OCT (EDI-OCT). The choroidal thickness (CT) was measured in the subfoveal area and at 500 micron intervals nasally and temporally. RESULTS Twenty-three anisometropic amblyopia patients with amblyopic and fellow eyes and 23 control eyes were enrolled. The mean subfoveal choroidal thickness (CT) was 387.3±168.8μm in group 1, 412.2±88.8μm in group 2 and 337.3±99μm in group 3 (P: 0.019). Group 1 and group 2 showed higher choroidal thickness (CT) in the nasal and temporal quadrants than group 3 (P: 0.03, P: 0.04). At the third postoperative month, central foveal choroidal thickness was 356.6±115.5μm in group 1, 375.1±112.5μm in group 2 and 284.4±98.9μm in group 3 (P: 0.071). Choroidal thickness (CT) in the nasal and temporal quadrants at the third postoperative month was also similar (P: 0.210, P: 0.103). CONCLUSIONS The macular choroid is thicker in amblyopic eyes and non-amblyopic fellow eyes than in the nonamblyopic controls. Improved fixation after refractive surgery may normalize CT.
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Affiliation(s)
- B Kepez Yildiz
- Prof Dr N Reşat-Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Z G Erdem
- Prof Dr N Reşat-Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - G Demir
- Prof Dr N Reşat-Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
| | - Y Yildirim
- Prof Dr N Reşat-Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - A Agca
- Prof Dr N Reşat-Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - E D Aygit
- Prof Dr N Reşat-Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - N Kandemir Besek
- Prof Dr N Reşat-Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - K Fazil
- Prof Dr N Reşat-Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - A Demirok
- Department of Ophthalmology, Medeniyet University School of Medicine, Istanbul, Turkey
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Ocal MC, Yildirim Y, Ozveren M, Kepez Yildiz B, Demir G, Kandemir Besek N, Urdem U, Altan C. Validity of ocular trauma score in open globe injury patients from Turkey. J Fr Ophtalmol 2020; 43:891-897. [PMID: 32811659 DOI: 10.1016/j.jfo.2019.11.036] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Revised: 07/24/2019] [Accepted: 11/20/2019] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To determine the efficacy of ocular trauma score (OTS) in determining the prognosis in patients with open globe injury who admitted to our clinic. MATERIALS AND METHODS Data of patients with open globe injury who were admitted to our clinic between 2014 and 2016 were retrospectively analyzed. The OTS raw score of each patient was determined and translated into OTS categories according to OTS study. Prognostic results of OTS study and current study was compared with chi square analysis. RESULTS In our study, 101 eyes of 101 patients were examined. The mean age of the patients was 27.08±15.36 years. The mean follow-up period was 12.84±9.04 months. In total, 86 of the cases were male (85.1%). In our study, the mean initial visual acuity of the patients was 0.10±0.23. In 64.3% of the cases, IVA was at hand movement level or lower. IVA was found to be≥20/40 in 10.9%. The mean FVA was 0.38±0.37. In total, 41.6% of the cases had a FVA≥20/40. In 28.7% of these cases, FVA was at hand movement level or lower. While no significant difference was found in patients with OTS3, OTS 4 and OTS 5 (P>0.05), prognosis of patients with OTS 1 and OTS 2 was better than OTS study (P<0.001) CONCLUSION: Although OTS can be effective and safe data in terms of prognosis, it can be improved with more comprehensive studies.
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Affiliation(s)
- M C Ocal
- Akcakale Public Hospital, Sanliurfa, Turkey.
| | - Y Yildirim
- N. Reşat Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
| | - M Ozveren
- Sultan 1. Murat Public Hospital, Edirne, Turkey.
| | - B Kepez Yildiz
- N. Reşat Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
| | - G Demir
- N. Reşat Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
| | - N Kandemir Besek
- N. Reşat Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
| | - U Urdem
- Sarkisla Public Hospital, Sivas, Turkey.
| | - C Altan
- N. Reşat Belger Beyoğlu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
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Kandemir Besek N, Erdogan G, Gumus G, Kepez Yildiz B, Aygit E, Yildirim Y, Agca A. Comparative evaluation of re-use or replacement of dislocated 3-piece intraocular lenses with a scleral fixation technique. J Fr Ophtalmol 2020; 43:139-144. [DOI: 10.1016/j.jfo.2019.06.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Revised: 04/24/2019] [Accepted: 06/18/2019] [Indexed: 11/26/2022]
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Genc S, Emin Sucu M, Çakmak S, Yildirim Y, Kepez Yıldız B, Ağca A. Deep anterior lamellar keratoplasty techniques; predescemetic versus big bubble: Anterior segment optical coherence tomography study. J Fr Ophtalmol 2020; 43:222-227. [PMID: 31987676 DOI: 10.1016/j.jfo.2019.08.004] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2019] [Revised: 06/24/2019] [Accepted: 08/19/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE To compare the visual and refractive outcomes and anterior segment optical coherence tomography (AS-OCT) findings of 2 different deep anterior lamellar keratoplasty (DALK) techniques in the treatment of advanced keratoconus with and without successful big bubble formation. METHODS In this retrospective comparative case series, data from 79 consecutive eyes of 69 patients who underwent either big bubble (group 1, n: 62) or manual DALK (group 2, n: 17) were analyzed. The visual and refractive results, keratometric values and residual stromal thickness were assessed. Patients were seen at 1, 3, 6 and 12 months after the procedure and 1 month after complete suture removal. RESULTS A big bubble was successfully obtained in 62 eyes (78.5%; group 1) and manual dissection was performed in the 17 remaining eyes (21.5%; group 2). The final best spectacle-corrected visual acuity (BSCVA) was 0.38 logMAR and 0.55 logMAR in Group 1 and 2, respectively (P<0.05). At the final visit, BSCVA≤0.30 logMAR was achieved in 80% and 60.8% of eyes in Groups 1 and 2, respectively (P<0.001). Groups 1 and 2 were comparable in terms of mean keratometry: 47.80D±2.81D (range, 41.30D to 54.2D) versus 45.90D±3.62D (range, 41.10D to 53.8 D), respectively; (P=0.56) and keratometric astigmatism: 3.81D± 2.1D (range, 1.0D to 6.20D) versus 3.56D±1.92D (range 1.2D to 6.85D), respectively; (P=0.40) at the final follow-up. The mean residual stromal thickness was 36.90±17.80μm in group 2. CONCLUSION The presence of residual posterior corneal stroma when big bubble formation is not successfully achieved in DALK is correlated with lower postoperative visual acuity.
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Affiliation(s)
- S Genc
- Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
| | - M Emin Sucu
- Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - S Çakmak
- Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Y Yildirim
- Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - B Kepez Yıldız
- Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - A Ağca
- Department of Ophthalmology, Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
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Yildirim Y, Topaloğlu A, Ince M, Kajama M. The use of NF and RO membrane system for reclamation and recycling of wastewaters generated from a hard coal mining. Nig J Tech 2019. [DOI: 10.4314/njt.v38i4.30] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Demir G, Sucu ME, Yildirim Y, Kepez Yildiz B, Agca A, Alagoz N. The effects of complicated cataract surgery on iris structure and anterior chamber angle. J Fr Ophtalmol 2019; 42:829-833. [PMID: 31200981 DOI: 10.1016/j.jfo.2019.04.007] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 04/03/2019] [Accepted: 04/11/2019] [Indexed: 10/26/2022]
Abstract
PURPOSE To evaluate iris structure in aphakic eyes scheduled for placement of a secondary intraocular lens. METHODS Twenty-eight aphakic eyes of 28 patients who were scheduled for secondary intraocular lens implantation between January 2012 and January 2017 at Beyoglu Eye Training and Research Hospital after a complicated cataract surgery were recruited in this study. The phakic fellow eyes of the patients were defined as a control group. Iris thickness was assessed using anterior segment optical coherence tomography at 750μm (IT750) and 2000μm (IT2000) from the scleral spur. Moreover, maximum iris thickness (ITM) and anterior chamber angle parameters such as trabecular iris surface area at 500 and 750μm (TISA500, TISA750), angle opening distances at 500 and 750μm (AOD500, AOD750) and anterior chamber depth (ACD) were also evaluated. RESULTS Mean IT750, IT2000 and ITM readings and were significantly lower in the aphakic eyes compared to the healthy eyes (P=0.04, P=0.01, P=0.01 respectively). Anterior chamber parameters (TISA500, TISA750, AOD500 and AOD750) and ACD were significantly increased in aphakic eyes following complicated cataract surgery compared to healthy fellow eyes (all P<0.001). CONCLUSIONS Complicated cataract surgery leading to aphakia results in decreased iris thickness and increased anterior chamber depth. These findings might be helpful in the selection of the type of surgery for placement of a secondary IOL.
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Affiliation(s)
- G Demir
- Beyoglu Eye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey.
| | - M E Sucu
- Beyoglu Eye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey
| | - Y Yildirim
- Beyoglu Eye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey
| | - B Kepez Yildiz
- Beyoglu Eye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey
| | - A Agca
- Beyoglu Eye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey
| | - N Alagoz
- Beyoglu Eye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey
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Orak M, Karakoç Y, Ustundag M, Yildirim Y, Celen MK, Güloglu C. An investigation of the effects of the mean platelet volume, platelet distribution width, platelet/lymphocyte ratio, and platelet counts on mortality in patents with sepsis who applied to the emergency department. Niger J Clin Pract 2018; 21:667-671. [PMID: 29735870 DOI: 10.4103/njcp.njcp_44_17] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Aim The aim of this study is to examine the role of the mean platelet volume (MPV), platelet distribution width (PDW), platelet/lymphocyte ratio (PLR), and platelet values for predicting mortality in patients with sepsis. Materials and Methods This is a retrospective study, involving patients 18 years and above who were diagnosed with sepsis. Blood samples were analyzed for platelets characteristics (counts, MPV, PDW, and PLR). The patients were separated into two groups namely the survivors and deceased. The two groups' MPV, PDW, PLR, and platelet counts which were considered to have an effect on mortality, were compared. Results Three hundred and thirty patients who were diagnosed with sepsis in our emergency department and complying with the study participation criteria were studied retrospectively. Comparison of the MPV, PDW, PLR, and platelet counts of the deceased and survivors showed that the MPV, PDW, and PLR were higher in the deceased while the platelet counts were higher in the survivors. Conclusion The low number of platelets in patients with sepsis at the moment of application and the high PDW and PLR values are valuable for predicting a high mortality.
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Affiliation(s)
- M Orak
- Department of Emergency, University of Dicle, Diyarbakır, Turkey
| | - Y Karakoç
- Department of Emergency, University of Dicle, Diyarbakır, Turkey
| | - M Ustundag
- Department of Emergency, University of Dicle, Diyarbakır, Turkey
| | - Y Yildirim
- Department of Internal Medicine, University of Dicle, Diyarbakır, Turkey
| | - M K Celen
- Department of Infection Diseases, University of Dicle, Diyarbakır, Turkey
| | - C Güloglu
- Department of Emergency, University of Dicle, Diyarbakır, Turkey
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Bernhardt A, Hillebrand M, Hakmi S, Yildirim Y, Wagner F, Barten M, Reichenspurner H, Lubos E. Percutaneous Left Atrial Venting for Prevention of Pulmonary Edema under Extracorporeal Membrane Oxygenation Therapy. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627938] [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: 10/28/2022]
Affiliation(s)
- A. Bernhardt
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - M. Hillebrand
- Allgemeine und Interventionelle Kardiologie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - S. Hakmi
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - Y. Yildirim
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - F. Wagner
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - M. Barten
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - H. Reichenspurner
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - E. Lubos
- Allgemeine und Interventionelle Kardiologie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
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Bernhardt A, Reiter B, Zipfel S, Yildirim Y, Hakmi S, Barten M, Rybczinski M, Reichenspurner H. Secondary Interventions after Transportation in Patients after ECLS Implantation in Referring Centers. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627873] [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: 10/28/2022]
Affiliation(s)
- A. Bernhardt
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - B. Reiter
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - S. Zipfel
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - Y. Yildirim
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - S. Hakmi
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - M. Barten
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - M. Rybczinski
- Allgemeine und Interventionelle Kardiologie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - H. Reichenspurner
- Herz- und Gefäßchirurgie, Universitäres Herzzentrum Hamburg, Hamburg, Germany
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Zipfel S, Reiter B, Yildirim Y, Hakmi S, Barten M, Rybczinski M, Westermann D, Reichenspurner H, Bernhardt A. Secondary LV Unloading after Out-of-hospital ECLS Implantation and Transportation Improved Survival and Probability of Successful Weaning. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627877] [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: 10/28/2022]
Affiliation(s)
- S. Zipfel
- Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - B. Reiter
- Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - Y. Yildirim
- Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - S. Hakmi
- Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - M. Barten
- Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | | | | | | | - A. Bernhardt
- Universitäres Herzzentrum Hamburg, Hamburg, Germany
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Yildirim Y, Ertas Onmaz N, Gonulalan Z, Al S, Yildirim A, Karadal F, Hizlisoy H, Pamuk Ş. Microbiological quality of pastrami and associated surfaces at the point of sale in Kayseri, Turkey. Public Health 2017; 146:152-158. [PMID: 28216007 DOI: 10.1016/j.puhe.2017.01.003] [Citation(s) in RCA: 7] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Revised: 12/21/2016] [Accepted: 01/04/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aim of this study is to trace the possible relations between the hygienic status of slicing utensils and the microbiological quality of pastrami. STUDY DESIGN A total of 75 pastrami retail markets were visited in Kayseri, Turkey, where the pastrami (a ready-to-eat meat product) is commonly produced and consumed. Sliced pastrami, the cutting board and knife surface swabs were collected from each pastrami retail point to trace possible sources of contamination. METHODS Samples were analysed for the presence of total viable counts (TVC), total coliforms, Escherichia coli, members of Enterobacteriaceae, Staphylococcus aureus and Listeria spp. In addition, pastrami samples were analysed for sulphite-reducing Clostridium spp. and Toxoplasma gondii. RESULTS When compared with the target values of related literatures, a total of 6 (8%) pastrami samples were found unsatisfactory as a result of TVC (5.3%), Enterobacteriaceae (5.3%), E. coli (2.6%), S. aureus (2.6%), Listeria spp. (2.6%) and Listeria monocytogenes (1.3%) contaminations. No T. gondii positivity was observed among the pastrami samples. None of the cutting board and knife surface swabs were found to harbour TVC level >103 cfu/cm2, E. coli and L. monocytogenes. For the total coliforms, 7 (9.3%) and 5 (6.6%) of cutting board and knife surface swabs were found to exceed the target value (<2.5 cfu/cm2), respectively. No statistically significant correlation was detected between the organisms on pastrami and slicing utensils indicating that pastrami were not cross-contaminated by the contact surfaces. CONCLUSION More emphasis needs to be placed for training of food handlers and to apply good hygienic practices at the point of pastrami sale. The conditions at retail points must be monitored and inspections should be tightened to protect public health.
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Affiliation(s)
- Y Yildirim
- University of Erciyes, Veterinary Faculty, Department of Food Hygiene and Technology, 38039, Kayseri, Turkey.
| | - N Ertas Onmaz
- University of Erciyes, Veterinary Faculty, Department of Food Hygiene and Technology, 38039, Kayseri, Turkey
| | - Z Gonulalan
- University of Erciyes, Veterinary Faculty, Department of Food Hygiene and Technology, 38039, Kayseri, Turkey
| | - S Al
- University of Erciyes, Veterinary Faculty, Department of Food Hygiene and Technology, 38039, Kayseri, Turkey
| | - A Yildirim
- University of Erciyes, Veterinary Faculty, Department of Parasitology, 38039, Kayseri, Turkey
| | - F Karadal
- University of Nigde, Bor Vocational School, 51700, Nigde, Turkey
| | - H Hizlisoy
- University of Erciyes, Veterinary Faculty, Department of Veterinary Public Health, 38039, Kayseri, Turkey
| | - Ş Pamuk
- University of Afyon Kocatepe, Veterinary Faculty, Department of Food Hygiene and Technology, Afyon, Turkey
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Yilmaz Z, Yildirim Y, Aydin FY, Aydin E, Kadiroglu AK, Yilmaz ME, Ulgen MS, Yildiz A. Relationship between fluid status as assessed by bioimpedance analysis and NT-pro BNP, blood pressure and left ventricular mass index in hemodialysis patients. Clin Ter 2016; 165:e52-8. [PMID: 24589961 DOI: 10.7417/ct.2014.1672] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIMS Maintenance of fluid status within an optimal range and accurate assessment of dry weight (DW) is essential in patients on intermittent haemodialysis (HD) treatment. In this study, we aimed to investigate the association of fluid status measured by bioimpedance analysis (BIA) with N-terminal pro-B natriuretic peptide (NT-proBNP), blood pressure and left ventricular mass index (LVMI) in hemodialysis patients. MATERIALS AND METHODS A total of 45 hemodialysis patients were enrolled in the study. N-terminal pro-B natriuretic peptide (NT-proBNP) was measured by immunoassay. Blood pressure (BP) was recorded. Echocardiographic examinations were performed in all patients. Multifrequency bioimpedance analysis was used to assess pre- and post-dialysis fluid status. Overhydration/ extracellular water (OH/ECW) ratio was used as fluid status index and OH/ECW ratio >0.15 was defined as clinical overhydration. Patients were divided into two groups; overhydrated (OH/ECW>0.15) and non-overhydrated (OH/ECW≤0.15). RESULTS OH/ECW, systolic blood pressure (SBP), diastolic blood pressure (DBP), LVMI and NT-proBNP levels were significanly reduced after hemodialysis session. The presence of overhydration was more frequent in pre-HD patients compared to post-HD patients (31.1% vs 13.3%, p=0.004). OH/ECW was positively correlated with pre-and post-HD SBP, DBP, LVMI and NT-proBNP (p<0.05). Overhydrated patients had significantly higher values of pre-HD and post-HD SBP, DBP, LVMI and NT-proBNP compared to non-overhydrated patients. In addition, SBP, DBP, LVMI and NT-proBNP levels were significantly reduced after hemodialysis in both overhydrated and non-overhydrated patients group. CONCLUSIONS This study revealed that OH/ECW ratio was significantly associated with SBP, DBP, LVMI and NT-proBNP.
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Affiliation(s)
- Z Yilmaz
- Departments of Nephrology, Dicle University, Faculty of Medicine, Turkey
| | - Y Yildirim
- Departments of Nephrology, Dicle University, Faculty of Medicine, Turkey
| | - F Y Aydin
- Departments of Internal Medicine, Dicle University, Faculty of Medicine, Turkey
| | - E Aydin
- Departments of Internal Medicine, Dicle University, Faculty of Medicine, Turkey
| | - A K Kadiroglu
- Departments of Nephrology, Dicle University, Faculty of Medicine, Turkey
| | - M E Yilmaz
- Departments of Nephrology, Dicle University, Faculty of Medicine, Turkey
| | - M S Ulgen
- Department of Cardiology, Meram University, Faculty of Medicine, Turkey
| | - A Yildiz
- Departments of Cardiology, Dicle University, Faculty of Medicine, Turkey
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Yildirim Y, Kara AV, Kilinç F, Aydin F, Aydin E, Yilmaz Z, Kadiroglu AK, Yilmaz ME. DETERMINATION OF VOLUME OVERLOAD BY BIOELECTRICAL IMPEDANCE ANALYSIS AND NT-PROBNP IN DIABETIC PRE-DIALYSIS PATIENTS. Acta Endocrinol (Buchar) 2016; 12:19-25. [PMID: 31258795 DOI: 10.4183/aeb.2016.19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Introduction Diabetic chronic kidney disease has more fatal clinical progresses and this situation can be related to volume overload, which is seen more commonly in diabetic chronic kidney disease patients than in non-diabetic chronic kidney disease patients. Therefore, we examined the effect of diabetes mellitus on volume overload in newly diagnosed stage 5 chronic kidney disease patients whose volume overloads were not showing signs of improvement from renal replacement therapy. Method One hundred and five patients (46 diabetic, 59 non-diabetic) with end-stage chronic kidney disease, who had glomerular filtration rate (GFR) under 15 mL/min for at least three months were enrolled in this prospective study. We determined the body volume overload and configuration using a bioimpedance device. NT-proBNP levels were recorded. Results There was a statistically significant difference between diabetic and non-diabetic groups according to overhydration (OH, p=0.003), extracellular water (ECW, p=0.045), intracellular water (ICW, p<0.001) and OH/ECW (p=0.003). In addition, there was a statistically significant difference between groups in terms of N-terminal Pro-brain Natriuretic Peptide (NT-proBNP levels, p=0.008). Discussion We compared diabetic and non-diabetic end-stage chronic kidney disease patients who were not in renal replacement therapy yet. We found more volume overload and extracellular fluid volume in the diabetic group.
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Affiliation(s)
- Y Yildirim
- Dicle University, Faculty of Medicine, Dept. of Nephrology, Diyarbakir, Turkey
| | - A V Kara
- Dicle University, Faculty of Medicine, Dept. of Nephrology, Diyarbakir, Turkey
| | - F Kilinç
- Dicle University, Faculty of Medicine, Dept. of Endocrinology, Diyarbakir, Turkey
| | - F Aydin
- Dicle University, Faculty of Medicine, Dept. of Internal Medicine, Diyarbakir, Turkey
| | - E Aydin
- Dicle University, Faculty of Medicine, Dept. of Internal Medicine, Diyarbakir, Turkey
| | - Z Yilmaz
- Dicle University, Faculty of Medicine, Dept. of Nephrology, Diyarbakir, Turkey
| | - A K Kadiroglu
- Dicle University, Faculty of Medicine, Dept. of Nephrology, Diyarbakir, Turkey
| | - M E Yilmaz
- Dicle University, Faculty of Medicine, Dept. of Nephrology, Diyarbakir, Turkey
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Sonmez M, Duzgun E, Yildirim Y, Ayata A, Unal MH. Unusual intraocular foreign bodies after an explosion: patient's hand bone fragments. J ROY ARMY MED CORPS 2015; 162:134-6. [PMID: 26187062 DOI: 10.1136/jramc-2015-000452] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Accepted: 06/13/2015] [Indexed: 11/04/2022]
Abstract
A 26-year-old Turkish Army soldier underwent full ophthalmoscopic examination after a penetrating ocular injury in the left eye due to the accidental explosion of a detonating fuse during handling. Visual acuity of the left eye was hand motion level. Funduscopy revealed foreign bodies suspended in the vitreous gel and accompanying vitreous haemorrhage. B-scan ultrasonography, CT of the orbits and microscopic examination of the intraocular foreign bodies (IOFBs) were performed prior to removal of bone fragments and pars plana vitrectomy. The IOFBs were fragments of the patients' bone tissue. Bone fragments from victim's body may cause IOFBs after an explosion in military personnel.
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Affiliation(s)
- Murat Sonmez
- Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Turkey
| | - E Duzgun
- Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Turkey
| | - Y Yildirim
- Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Turkey
| | - A Ayata
- Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Turkey
| | - M H Unal
- Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Turkey
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Yildirim Y, Pecha S, Hakmi S, Alassar Y, Zipfel S, Braune S, Kluge S, Reichenspurner H. Veno-venous Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544486] [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: 10/20/2022]
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Zipfel S, Pecha S, Yildirim Y, Braune S, Kubik M, Kluge S, Reichenspurner H, Deuse T. CPR - Is Veno-arterial Extracorporeal Membrane Oxygenation an Option? Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544442] [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: 10/20/2022]
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Hakmi S, Pecha S, Yildirim Y, Gosau N, Conradi L, Aydin M, Willems S, Reichenspurner H, Treede H. Laser Extraction of Pacemaker and Implantable Cardioverter-Defibrillator Leads in Patients with Large Intracardiac Lead Vegetations ≥ 20 mm. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544301] [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: 10/24/2022]
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Yildirim Y, Yilmaz V, Kirmizigul AH. Equine herpes virus type 1 (EHV-1) and 4 (EHV-4) infections in horses and donkeys in northeastern Turkey. Iran J Vet Res 2015; 16:341-344. [PMID: 27175200 PMCID: PMC4782672] [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] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Revised: 05/23/2015] [Accepted: 07/07/2015] [Indexed: 06/05/2023]
Abstract
The herpesviruses infections in equides are caused by five different serotypes of viruses, belonging to family Herpesviridae. The goal of this study was to conduct a seroepidemiological investigation of equine herpesvirus type 1 (EHV-1) and type 4 (EHV-4) in horses and donkeys raised in two provinces and their villages in northeastern Turkey. A total of 666 samples from 423 horses and 243 donkeys that were not immunized against these infections were tested with ELISA. While 52.48% of tested horse sera was found to carry specific antibodies to EHV-1, 83.69% of these serums were found to carry specific antibodies to EHV-4. 51. Eighty-five percent of analyzed donkey samples tested positive for EHV-1 and 64.20% of these samples tested positive for EHV-4 antibodies. When the horse and donkey samples were evaluated together, 52.25% were seropositive for EHV-1 and 76.58% were seropositive for EHV-4. This study showed that EHV-1 and EHV-4 infections are quite common in the horses and donkeys being raised in the areas where the study was carried out. In addition, since the area where the study was carried out in the borders of Armenia and Georgia, the high level of seropositive results for these infections leads to the conclusion that we should consider the risk of diseases spreading to neighboring countries. This is the first study to serologically identify EHV-1 and EHV-4 infections in donkeys raised in Turkey.
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Affiliation(s)
- Y Yildirim
- Department of Virology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - V Yilmaz
- Department of Virology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - A. H Kirmizigul
- Department of Internal Medicine, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
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Sahin R, Nayki U, Ulug P, Nayki C, Gultekin E, Ozdemir A, Kaya B, Pilanci B, Ertopcu K, Yildirim Y. 302A. Cytoreductive surgery in advanced endometrial cancer: The impact of optimal cytoreduction and adjuvant treatment method. Eur J Surg Oncol 2014. [DOI: 10.1016/j.ejso.2014.08.293] [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] Open
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Yildirim Y, Karakaya D, Kelsaka E, Aksoy A, Gülbahar MY, Bedir A. The effect of dexketoprofen on ischemia reperfusion injury. ACTA ACUST UNITED AC 2014; 115:256-9. [PMID: 25174054 DOI: 10.4149/bll_2014_053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The purpose of this study was to demonstrate the effects of dexketoprofen on experimental ischemia/reperfusion injury induced in rat testicles. METHODS Twenty-four male Wistar albino-type rats were randomly separated into three groups. To develop testicular torsion, the right testicle was rotated 720° clockwise. After five hours of rotation, reperfusion was applied for 24 hours. The control group rats (Group C) had no procedures or treatments; basal numbers were used. Intraperitoneal 25 mg/kg dexketoprofen (1 cc) (Group D) or the same volume of serum physiologic (Group SP) were given to the Group D and Group SP rats 40 minutes before and 12 hours after detorsion. Twenty-four hours after detorsion, histopathological evaluation was performed by bilateral orchiectomy. Malondialdehyde (MDA) levels were detected in testicular tissue and in serum. RESULTS Histopathologic changes in the spermatic cells of torsioned testicles in Group D were significantly less than those of Group SP (p < 0.05). MDA levels in both testicles in Group D were similar to those of the control group. Although they were lower than Group SP, the difference was not statistically significant. Serum MDA levels were lower in Group D compared to the other groups (p < 0.05). CONCLUSION We detected that dexketoprofen decreases I/R injury in both the torsion-formed testicle and the contralateral testicle. Thus, in patients who have urgent surgery for testicular detorsion, dexketoprofen can be preferred as an analgesic to reduce I/R injury. Further study is warranted to demonstrate this effect of dexketoprofen (Tab. 3, Fig. 1, Ref. 30).
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Yildirim Y, Pecha S, Naito H, Karikkineth B, Zimmermann W, Reichenspurner H, Eschenhagen T. Development of Recipient-Matched Engineered Heart Tissue Using 3D Printing. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.873] [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: 10/25/2022] Open
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Akkoyun M, Sokmen A, Kelles M, Sokmen G, Altinisik M, Oguzhan O, Yildirim Y, Acar G. PP-220 Assesment of Left And Right Ventricular Functions in Patients With Nasal Septum Deviation: A Cross-Sectional Study. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.241] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Yildirim Y, Pecha S, Hakmi S, Schäfer T, Kubik M, Deuse T, Reichenspurner H. Veno-arterial extracorporeal membrane oxygenation in acute heart failure following septic shock. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367169] [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: 10/25/2022]
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Pecha S, Hakmi S, Sill B, Reiter B, Yildirim Y, Conradi L, Aydin M, Willems S, Reichenspurner H, Treede H. Laser lead extraction allows for safe and effective removal of single- as well as dual coil ICD leads. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367433] [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: 10/25/2022]
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Yildirim Y, Pecha S, Hakmi S, Alassar Y, Zimmermann W, Eschenhagen T, Reichenspurner H. Development of recipient-matched engineered heart tissue using 3D printing. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367128] [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: 10/25/2022]
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Yildirim Y, Pecha S, Alassar Y, Hakmi S, Deuse T, Reichenspurner H. Development of a retrograde flow inhibition device in continues flow VAD for emergency rescue. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367152] [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: 10/25/2022]
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Pecha S, Mudersbach E, Wagner F, Alassar Y, Hakmi S, Yildirim Y, Reichenspurner H, Eschenhagen T, Christ T. Prostaglandin E2 does not attenuate adrenergic-induced cardiac contractile response. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367255] [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: 10/25/2022]
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Pecha S, Wilke I, Bernhardt A, Hakmi S, Yildirim Y, Arunagirinathan U, Treede H, Willems S, Reichenspurner H, Deuse T, Aydin M. First clinical experience with combined HeartWare ventricular assist device and implantable cardioverter defibrillator therapy. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367416] [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: 10/25/2022]
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Yildirim Y, Ertas IE, Nayki U, Ulug P, Nayki C, Yilmaz I, Gultekin E, Dogan A, Aykas A, Ulug S, Ozdemir A, Solmaz U. En-bloc pelvic resection with concomitant rectosigmoid colectomy and immediate anastomosis as part of primary cytoreductive surgery for patients with advanced ovarian cancer. EUR J GYNAECOL ONCOL 2014; 35:400-407. [PMID: 25118481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To assess the authors' experiences in en bloc pelvic resection with concomitant rectosigmoid colectomy and primary anastomosis as a part of primary cytoreductive surgery for patients with advanced ovarian cancer. MATERIALS AND METHODS Atotal of 22 patients with FIGO Stage IIB-IV epithelial ovarian cancer who underwent en bloc pelvic resection with anastomosis were retrospectively reviewed. Data analyses were carried out using SPSS 10.0 and descriptive statistics, Kaplan-Meier survival curves, and Log Rank (Mantel-Cox) test were used for statistical estimations. RESULTS Median age was 58.8 years. FIGO stage distribution of the patients was; one (4.5%) IIB, three (13.7%) IIC, three (13.7%) IIIA, six (27.3%) IIIB, and nine (40.9%) IIIC. Median peritoneal cancer index (PCI) was 8 (range 5-22) and optimal cytoreduction was achieved in 18 patients (81.8%) of whom 13 (59.1%) had no macroscopic residual disease (complete cytoreduction). There was no perioperative mortality. A total of nine complications occurred in seven (31.8%) patients. Anastomotic leakage was observed in one (4.5%) patient. There was no re-laparotomy. Mean follow-up time was 60 months. There were 15 (68.2%) recurrences of which 12 (80%) presented in extra-pelvic localizations. Mean disease-free survival (DFS) and overall survival (OVS) were estimated as 43.6 and 50.5 months, respectively. Patients with complete cytoreduction had a better DFS (p = 0.006) and OVS (p = 0.003) than those with incomplete cytoreduction. CONCLUSION En bloc pelvic resection, as a part of surgical cytoreduction, seems to be a safe and effective procedure in many patients with advanced ovarian cancer if required. Despite relatively high general complication rate, anastomosis-related morbidity of this procedure is low as 0.8%. Nevertheless, surgical plan and perioperative care should be personalized according to medical and surgical conditions of the patient.
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MESH Headings
- Adenocarcinoma/pathology
- Adenocarcinoma/surgery
- Adenocarcinoma, Clear Cell/pathology
- Adenocarcinoma, Clear Cell/surgery
- Adenocarcinoma, Mucinous/pathology
- Adenocarcinoma, Mucinous/surgery
- Adult
- Aged
- Anastomosis, Surgical
- Carcinoma, Endometrioid/pathology
- Carcinoma, Endometrioid/surgery
- Carcinoma, Ovarian Epithelial
- Cohort Studies
- Colectomy/methods
- Colon, Sigmoid/surgery
- Disease-Free Survival
- Female
- Humans
- Hysterectomy/methods
- Kaplan-Meier Estimate
- Lymph Node Excision
- Middle Aged
- Neoplasms, Glandular and Epithelial/pathology
- Neoplasms, Glandular and Epithelial/surgery
- Ovarian Neoplasms/pathology
- Ovarian Neoplasms/surgery
- Ovariectomy/methods
- Pelvic Exenteration/methods
- Peritoneum/surgery
- Proctocolectomy, Restorative/methods
- Rectum/surgery
- Retrospective Studies
- Treatment Outcome
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Ertas N, Gonulalan Z, Yildirim Y, Karadal F, Abay S, Al S. Detection of Escherichia coli O157:H7 using immunomagnetic separation and mPCR in Turkish foods of animal origin. Lett Appl Microbiol 2013; 57:373-9. [PMID: 23809061 DOI: 10.1111/lam.12124] [Citation(s) in RCA: 4] [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: 04/15/2013] [Revised: 06/24/2013] [Accepted: 06/24/2013] [Indexed: 11/29/2022]
Abstract
UNLABELLED The present study was conducted to investigate the presence of Escherichia coli O157:H7 in food samples of animal origin and to detect its virulence genes by immunomagnetic separation technique and multiplex PCR (mPCR). A total of 500 samples (consisting of diced meat, minced meat, burger, raw cow's milk and raw cow's milk cheese) were analysed. Escherichia coli O157:H7 was detected in 5 (1%) of 500 analysed samples including two diced meat, one minced meat and two raw-milk cheese. None of the burger samples tested contained E. coli O157:H7. Three isolates obtained from minced and diced meat were found to carry stx1 , stx2 , hlyA and eaeA genes whereas two isolates from raw-milk cheese were found to harbour the stx1 , eaeA and hlyA genes. The results of this study suggest that raw meat and raw-milk cheese tested could pose public health problems in consumers with regard to their virulence factors. SIGNIFICANCE AND IMPACT OF THE STUDY Escherichia coli (E. coli) O157:H7 is an important human pathogen. Escherichia coli 0157:H7 infections have been associated with consumption of uncooked meat and meat products, as well as unpasteurized dairy products. This study demonstrated that without specific tests for E. coli virulence factors raw meat and raw-milk cheese could pose public health problems to Turkish consumers.
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Affiliation(s)
- N Ertas
- Department of Food Hygiene and Technology, Faculty of Veterinary Medicine, University of Erciyes, Kayseri, Turkey
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Yildirim Y, Pecha S, Sill B, Reichenspurner H, Deuse T. Mechanically-induced ventricular tachycardia by the HeartWare HVAD. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332668] [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: 10/27/2022]
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Pecha S, Weinberger F, Yildirim Y, Sill B, Conradi L, Schneeberger Y, Eschenhagen T, Reichenspurner H. Development of an Atrioventricular (AV) conduction block in the rat- investigation tool for effects of heart failure. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332497] [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: 10/27/2022]
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Yildirim Y, Pecha S, Kubik M, Deuse T, Reichenspurner H. Efficacy of Intra-aortic balloon pumps in heart failure patients undergoing open heart surgery. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332306] [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: 10/27/2022]
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Alassar Y, Pecha S, Yildirim Y, Deuse T, Detter C, Reichenspurner H. Minimal access median sternotomy for aortic valve replacement. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332708] [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: 10/27/2022]
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Yildirim Y, Pecha S, Sill B, Deuse T, Reichenspurner H. Severe bacterial superinfection based on influenza A (H1N1) pneumonia in a heart-lung transplant recipient. Thorac Cardiovasc Surg 2013; 61:255-7. [PMID: 23344758 DOI: 10.1055/s-0032-1331895] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
A 47-year-old heart-lung transplant recipient presented to our outpatient transplant clinic with respiratory infection. Her nose and throat swabs for influenza A (H1N1) infection were negative. Broncheoalveolar lavage showed a positive result for H1N1 infection. Antiviral therapy was initiated. Because of superinfection with Pseudomonas aeruginosa and Aspergillus terreus, her clinical condition worsened. The clinical condition of the patient improved with antibiotic and antifungal treatment. Negative nose and throat swab results cannot rule out H1N1 infection safely. We therefore advocate to routinely perform broncheoalveolar lavage.
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Affiliation(s)
- Y Yildirim
- Department of Cardiovascular Surgery, University Heart Center, Hamburg, Germany.
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Kadiroglu AK, �stündag S, Kayabasi H, Yilmaz Z, Yildirim Y, Sen S, Yilmaz ME. A comparative study of the effect of icodextrin based peritoneal dialysis and hemodialysis on lipid metabolism. Indian J Nephrol 2013; 23:358-61. [PMID: 24049273 PMCID: PMC3764711 DOI: 10.4103/0971-4065.116324] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Dyslipidemia is frequent in patients with end stage renal disease. Excessive peritoneal glucose absorption from high glucose-containing peritoneal dialysis solutions may enhance disturbances on the lipid metabolism of patients on peritoneal dialysis. We compared the effect of icodextrin-based peritoneal dialysis therapy with hemodialysis (HD) therapy on lipid metabolism. A total of 157 non-diabetic patients on dialysis at least for 3 months; 78 patients on Icodextrin-based continuous ambulatory peritoneal dialysis (CAPD) (44 M, 34 F) and 79 patients in HD group (47M, 32F) were included into the study. After 12 h of fasting and before the dialysis session, serum urea, creatinin, glucose, Sodium, potasium, and albumin, total cholesterol (TC), triglycerides (TG), very low density lipoprotein (VLDL), low density lipoprotein (LDL)-C, high-density lipoprotein (HDL)-C, apolipoprotein A (Apo A), apolipoprotein B, and lipoprotein a were measured. TG (P = 0018) and VLDL (P = 0.022) were lower in CAPD group than HD group, HDL-C (P < 0.001) and Apo A (P = 0.001) were higher in CAPD group than in HD group. A total of 24.4% in CAPD group and 11.4% in HD group (P < 0.034) had normal serum levels of TG, LDL-C, and HDL-C. More patients in CAPD group (47.4%) had high serum Apo A levels than in HD group (21.5%) (P = 0.001). We suggest that patients receiving icodextrin-based CAPD may have better TG, HDL-C, and Apo A levels than patients on HD.
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