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Paksoy M, Ozcelik F, Apaydin B, Colak T, Polat E. The Effect of Pneumoperitoneum on Bacterial Clearance and RES Functions in a Model of E. Coli Peritonitis. Acta Chir Belg 2020. [DOI: 10.1080/00015458.1999.12098484] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- M. Paksoy
- Department of Surgery, Cerrahpasa Medical Faculty of Istanbul University, Istanbul, Turkey
| | - F. Ozcelik
- Department of Surgery, Cerrahpasa Medical Faculty of Istanbul University, Istanbul, Turkey
| | - B. Apaydin
- Department of Surgery, Cerrahpasa Medical Faculty of Istanbul University, Istanbul, Turkey
| | - T. Colak
- Department of Surgery, Cerrahpasa Medical Faculty of Istanbul University, Istanbul, Turkey
| | - E. Polat
- Department of Microbiology, Cerrahpasa Medical Faculty of Istanbul University, Istanbul, Turkey
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Sirin DA, Ozcelik F, Uzun C, Ersahan S, Yesilbas S. Association between C-reactive protein, neutrophil to lymphocyte ratio and the burden of apical periodontitis: a case-control study. Acta Odontol Scand 2019; 77:142-149. [PMID: 30394169 DOI: 10.1080/00016357.2018.1522447] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [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: 10/27/2022]
Abstract
OBJECTIVE Endodontic originated chronic apical periodontitis (AP) is an inflammatory disease of periapical tissue. High-sensitivity C-reactive protein (hsCRP) as an inflammatory marker and hemogram indexes provide valuable information to clinicians for diagnosis, screening and follow-up of various diseases. The aim of this study was to investigate AP in terms of its association with hemogram indices and hsCRP levels. MATERIAL AND METHODS Study includes 104 patients with AP and 40 participants as the control group. 160 teeth were diagnosed as AP through digital radiographic images and scored with respect to Periapical Index (PAI) scoring. Afterwards, patients were categorized into 3 grades in accordance with both the number and the severity of AP. AP grade 0 was considered for the control group with regard to a new scoring system. Patients with only one tooth involved with AP with a PAI score of 3 or 4 were categorized as an AP Grade 1, when a patient had more than one tooth with a PAI score of 3 or 4 he was classified as an AP Grade 2 and a patient with at least one tooth scored as a PAI 5 was rated as an AP Grade 3. Hemograms and hsCRP levels were measured for each individual to establish a correlation with inflammatory markers. RESULTS The neutrophil/lymphocyte ratio (NLR) levels of patients with AP Grade 3 were significantly higher than all other AP grades (p < .05). hsCRP levels in patients with an AP Grade 2 and 3 were higher than both AP Grade 0 and 1 (p < .05). CONCLUSIONS hsCRP levels of patients were reliable predictive indicators for AP severity in correlation with the new proposed scoring system for AP.
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Affiliation(s)
- DA Sirin
- Department of Endodontics, Faculty of Dentistry, University of Health Sciences, Istanbul, Turkey
| | - F Ozcelik
- Medical Biochemistry Department, Sultan Abdülhamid Han Training Hospital, University of Health Sciences, Istanbul, Turkey
| | - C Uzun
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, University of Health Sciences, Istanbul, Turkey
| | - S Ersahan
- Department of Endodontics, Faculty of Dentistry, Istanbul Medipol University, Istanbul, Turkey
| | - S Yesilbas
- Medical Biochemistry Department, Sultan Abdülhamid Han Training Hospital, University of Health Sciences, Istanbul, Turkey
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Ozcelik F, Yiginer O, Dogan M, Tokatli A. The importance of visceral adipose tissue as a scale for assessing the metabolic syndrome and obesity. Eur Rev Med Pharmacol Sci 2016; 20:2475. [PMID: 27383294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- F Ozcelik
- Department of Biochemistry, GATA Haydarpasa Training Hospital, Istanbul, Turkey.
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Barutcu A, Aksu F, Ozcelik F, Barutcu CAE, Umit GE, Pamuk ON, Altun A. Evaluation of early cardiac dysfunction in patients with systemic lupus erythematosus with or without anticardiolipin antibodies. Lupus 2015; 24:1019-28. [DOI: 10.1177/0961203315570164] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Accepted: 01/07/2015] [Indexed: 11/15/2022]
Abstract
The aim of this study was to use transthoracic Doppler echocardiographic (TTE) imaging methods to identify cardiac dysfunction, an indicator of subclinical atherosclerosis in asymptomatic systemic lupus erythematosus (SLE) patients in terms of cardiac effects. This study involved 80 patients: a study group ( n = 50) and control group ( n = 30). They were categorized into four subgroups: anticardiolipin antibodies (aCL) (+) ( n = 14) and aCL (−) ( n = 36); systemic lupus erythematosus disease activity index (SLEDAI) ≥ 6 ( n = 15) and SLEDAI < 6 ( n = 35); disease period ≥ 5 years ( n = 21) and disease period < 5 years ( n = 29); major organ involvement (+) ( n = 19), major organ involvement (−) ( n = 31). The ratio of mitral peak velocity of early filling to early diastolic mitral annular velocity (E/E′) for the study group was found to be higher than the control ( p < 0.01). Systolic septal motion velocity (Ssm) was lower in the study group compared with the control ( p < 0.01). Left atrium (LA) dimension was greater in the study group than the control ( p < 0.01). Ssm was found to be lower in the aCL (+) patients compared with the control and aCL (−) groups ( p < 0.01, p < 0.05, respectively). LA dimension was greater in the aCL (+) and (−) groups compared with the control, ( p < 0.01, p < 0.05, respectively) and aCL groups compared with each other ( p < 0.05). The E/E′ ratio for the aCL (+) and (−) groups was found to be greater than the control ( p < 0.05). In the study, both the Ssm and the late diastolic septal velocity (sA′) was found to be lower in the SLEDAI ≥6 group compared with SLEDAI<6 group, ( p < 0.001, p < 0.05, respectively). LA dimension was statistically greater in the SLEDAI ≥6 group compared with the SLEDAI <6 group ( p < 0.001). E′ and early diastolic septal velocity (sE′) were statistically lower in the disease period >5 years group compared with the disease period <5 years group ( p < 0.01, p < 0.05, respectively). Carrying out regular scans with TTE image of SLE patients is important in order to identify early cardiac involvement during monitoring and treatment. Identifying early cardiac involvement in SLE may lead to a reduction in mortality and morbidity rates.
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Affiliation(s)
- A Barutcu
- Department of Cardiology, Faculty of Medicine, çanakkale Onsekiz Mart University, çanakkale, Turkey
| | - F Aksu
- Istanbul Medeniyet University , Cardiology Goztepe Training and Research Hospital, Istanbul, Turkey
| | - F Ozcelik
- Department of Cardiology, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - C A E Barutcu
- Department of Internal Medicine, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - G E Umit
- Department of Internal Medicine, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - O N Pamuk
- Department of Rheumatology, Faculty ofMedicine, Trakya University, Edirne, Turkey
| | - A Altun
- Department of Cardiology, Faculty of Medicine, Baskent University, Istanbul Hospital, Istanbul, Turkey
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Pirhan O, Ozcelik F, Demir B, Karakus G, Caglar I, Oktay Tureli H, Degirmencioglu A. Correlation of myocardial performance index assessed by different echocardiographic methods in patients with acute myocard infarction receiving different reperfusion treatment. Minerva Med 2013; 104:593-604. [PMID: 24316912] [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: 06/02/2023]
Abstract
AIM Myocardial performance index (MPI) is a well known prognostic parameter in acute myocardial infarction (AMI) patients, which has been used to assess global cardiac functions. In this study, we aimed to evaluate the corelation between the MPI levels obtained by PW doppler and Tissue doppler ultrasonography with reperfusion in AMI patients. METHODS Fifty-four consecutive acute ST elevatation myocardial infarction patients, 26 treated with primary percutaneous coronary intervention (PCI) and 28 with thrombolytic therapy (TT); and 15 consecutive healthy controls were included in the study. MPI levels were measured with pulsed-wave (PW) doppler and tissue Doppler ultrasonography in all patients. The isovolumic relaxation time (IVRT), isovolumic contraction time (IVCT) and ejection time (ET) values used to measure MPI levels were determined. Corelation between the time intervals obtained with both methods were evaluated. MPI variations were evaluated in patients treated with PCI and TT. A significant corelation was observed in MPI levels obtained with PW doppler and tissue doppler ultrasonography (P<0.001) as well as between IRT, ICT and ET values (for all parameters; P<0.001). No significant corelation was observed between the MPI levels obtained with PW doppler and tissue doppler ultrasonography in patients treated with primary PTCA and TT (P=0.128, P=0.991, respectively). A significant corelation was observed between the MPI values obtained by PW doppler and tissue doppler ultrasonography with reperfusion interval (P=0.002, P<0.001, respectively). CONCLUSION As a result, tissue Doppler ultrasonography may be used as an alternative to PW doppler to evaluate MPI, which is a well known prognostic factor in AMI. No relation has been observed between MPI values in early phases of AMI with reperfusion pattern, while a connection has been observed between MPI and reperfusion interval.
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Affiliation(s)
- O Pirhan
- Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey -
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Sivri N, Aktoz M, Yalta K, Ozcelik F, Altun A. A retrospective study of angiographic ally determined anomalous coronary arteries in 12,844 subjects in Thrace region of Turkey. Hippokratia 2012; 16:246-249. [PMID: 23935292 PMCID: PMC3738732] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND Congenital anomalies of the coronary arteries are rarely encountered in patients undergoing cardiac catheterization. In patients undergoing coronary angioplasty or cardiac surgery, angiographic recognition of coronary anomalies is important for the proper management of these patients. METHOD We retrospectively reviewed the records of 12,844 patients who had previously undergone coronary angiography in the catheterization laboratory of Trakya University Cardiology Department over the past 14 years. We tried to investigate the presence of a variety of coronary anomalies in these patients to determine the prevalence of various types of anomalies and their anatomic variation in a selected population of the European part of Turkey. The potential association between coronary atherosclerosis and congenital coronary anomalies was also investigated. RESULTS Among these patients, 95 patients were found to have major coronary anomalies that predominantly comprised anomalous aortic origin of coronary arteries. Among the major anomalies, anomalous aortic origin of the left circumflex (LCX) artery from the right sinus of Valsalva or right coronary artery (RCA) was found to be the the most prevalent (46 out of 95 patients) outnumbering the second most common anomaly that was anomalous aortic origin of the RCA (32 out of 95 patients). In the present study, the incidence of major coronary arterial anomaly was found to be 0.74 %. However, only about one third of the patients (31 out of 95, 32.6%) with major anomaly had significant coronary atherosclerotic lesions among whom nine were found to involve the LCX artery with a posterior course. CONCLUSION The incidence of congenital coronary anomalies in a selected population of the European part of Turkey is similar to those of other populations. Congenital coronary anomalies generally present as isolated anomalies and are not associated with an increased risk of coronary atherosclerosis in this series. Cardiologists and surgeons should be familiar with these entities for the proper management of patients undergoing cardiac surgery or coronary angioplasty.
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Affiliation(s)
- N Sivri
- Cardiology Department, Trakya University, Edirne, Turkey
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Serdar MA, Kurt I, Ozcelik F, Urhan M, Ilgan S, Yenicesu M, Kenar L, Kutluay T. A practical approach to glomerular filtration rate measurements: creatinine clearance estimation using cimetidine. Ann Clin Lab Sci 2001; 31:265-73. [PMID: 11508830] [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: 02/21/2023]
Abstract
Determination of creatinine clearance (Ccr) is not a reliable indicator of glomerular filtration rate (GFR), owing to tubular secretion of creatinine. It has been reported that Ccr measurements can approximate true GFR after cimetidine (Ci) administration. In this study, GFR was estimated by Cockcroft and Gault's equation (C(C-G)) based on measurement of plasma creatinine, and Ccr was determined by the standard clearance equation using 4- and 24-hr urine samples (Ccr4 and Ccr24, respectively) in 17 patients and 10 healthy controls. After cimetidine administration (800 mg, 3 times daily), GFR values were recalculated at the same time periods (C(CiC-G), CcrCi4 and CcrCi24, respectively). The results were all compared to those obtained by the 99mTc-DTPA protein-free double-sample method (C(DTPA)), which is a reference method for GFR determination. The coefficient of variation (CV%) for Ccr24/C(DTPA) was high before cimetidine administration; Ccr24 and CcrCi24 values were significantly different from C(DTPA) (CV 23.1%, Ccr24/C(DTPA) = 1.17, p 0.005; and CV 14.1%, CcrCi24/C(DTPA) = 0.92, p 0.006, respectively). Ccr4 values obtained before cimetidine ingestion showed large variation and were significantly different from C(DTPA) (CV 15.5%, Ccr4/C(DTPA) = 1.11, p 0.001). CcrCi4 values after cimetidine were similar to CDTPA (CV 6.9%, CcrCi4/C(DTPA) = 1.01, p 0.28). C(C-G) estimates were higher before cimetidine intake (CV 12.4%, C(C-G)/C(DTPA) = 1.21, p <0.001), whereas C(CiC-G) values were not significantly different from C(DTPA) values (CV 7.0%, C(CiC-G)/C(DTPA) = 1.01, p 0.67). This study shows that GFR estimations by C(C-G), Ccr4, Ccr24, or CcrCi24 are insufficiently reliable. On the other hand, C(CiC-G) and CcrCi4 results are acceptable for true GFR estimations.
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Affiliation(s)
- M A Serdar
- Department of Clinical Biochemistry, Gulhane School of Medicine, Ankara, Turkey.
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Abstract
BACKGROUND To analyze the diagnosis and the surgical treatment of intrabiliary ruptured hydatid disease of the liver. METHODS Between 1990 and 1995, 263 patients with hydatid cysts of the liver underwent surgery in a university hospital. Twenty-five (9.43%) patients with intrabiliary rupture of hepatic hydatid cyst were retrospectively reviewed. RESULTS Diagnosis was principally made using ultrasonography and computed tomography scanning and was confirmed by the findings of other tests. In 12 patients (48%) partial cystectomy with primary closure; 5 patients (20%) partial cystectomy with drainage; 5 patients (20%) cystotomy with drainage; 3 patients (12%) left hepatic resection (atypic, segmentary or lobar) was performed. Omentoplasty was performed in 6 patients. The common bile duct was explored in all patients and it was drained by a T-tube in 22 patients, and by a choledochoduodenostomy in 3 others. The average postoperative hospitalization time was 8.3 and 22.5 days in patients treated with choledochoduodenostomy and T-tube drainage respectively. Cholecystectomy was performed in 18 patients. Complications were seen in 4 patients (16%) with 1 pleural effusion and 3 wound infections. There was only 1 death (4%) due to duodenal peptic ulcus perforation with intrabiliary ruptured hydatid cyst. CONCLUSION This study indicates that T-tube drainage and choledochoduodenostomy in intrabiliary ruptured hydatid cysts are effective procedures with low morbidity and mortality rates.
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Affiliation(s)
- M Paksoy
- Department of Surgery, Cerrahpasa Medical Faculty of Istanbul University, Istanbul, Turkey
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Paksoy M, Ozcelik F, Apaydin B, Colak T, Polat E. The effect of pneumoperitoneum on bacterial clearance and RES functions in a model of E. coli peritonitis. Acta Chir Belg 1999; 99:226-9. [PMID: 10582072] [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: 02/14/2023]
Abstract
The use of laparoscopic surgery in peritonitis has increased rapidly. The present study examined the effects of pneumoperitoneum on bacterial clearance. Spraque-Dawley rats were divided into six groups of seven animals. In groups 1 and 4, laparotomy with a midline incision was performed and 10(9) E. coli in a volume of 1 ml inserted into the peritoneal cavity. Groups 2, 3, 5, 6 received an identical quantity of E. coli by intraperitoneal injection. Groups 3 and 6 received carbon dioxide pneumoperitoneum at a constant pressure of 5 mmHg for 60 minutes after intraperitoneal injection of E. coli. In one hour groups; the mean bacterial counts per lung from the E. coli injection with laparotomy group was significantly higher than for the E. coli injection with pneumoperitoneum group (p < 0.05). The mean bacterial counts per kidney in the E. coli injection with laparotomy group was higher compared with the E. coli injection and E. coli injection with pneumoperitoneum groups (p < 0.0001). There was statistically significant difference in quantitative bacteraemia between the E. coli injection with laparotomy group and the E. coli injection or E. coli injection with pneumoperitoneum groups (p < 0.05). In four-hour groups; the mean bacterial counts of lungs and liver-spleen were significantly higher in the E. coli injection with laparotomy group than in the E. coli injection and E. coli injection with pneumoperitoneum groups (p < 0.05 and p < 0.001 respectively). The quantitative bacteria was significantly higher in the E. coli injection with laparotomy group than in the E. coli injection and E. coli injection with pneumoperitoneum groups (p < 0.05). This study demonstrates that pneumoperitoneum impairs the clearance of bacteria from the peritoneal cavity in an experimental model of peritonitis. However, we could not detect the deleterious effects of pneumoperitoneum compared with laparotomy.
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Affiliation(s)
- M Paksoy
- Department of Surgery, Cerrahpasa Medical Faculty of Istanbul University, Turkey
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