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Percutaneous Cholecystostomy is a Feasible and Safe Option for High-Risk Acute Cholecystitis Patients 经皮胆囊造瘘术是治疗高危急性胆囊炎的一种安全可行的方法
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-10-04 DOI: 10.33808/clinexphealthsci.1347081
Ömer AYDINER, Hüseyin Kemal RAŞA
Objective: The best option for treating high-risk patients with acute cholecystitis is still being determined. We evaluated our high-risk acute cholecystitis patients in whom we preferred percutaneous cholecystostomy and aimed to determine whether this approach was safe and feasible. Methods: We retrospectively reviewed our 71 patients in whom we performed percutaneous cholecystostomy between May 2019 and July 2023. All procedures were performed with local anaesthesia under ultrasonographic guidance via the transhepatic route. The catheters were removed when the signs of acute cholecystitis were significantly regressed or when the catheters were found to be ineffective. The catheters of those eligible for surgery were removed during the operations. Results: All procedures were successful without failure, and no significant complications developed in the post-intervention period. Pain at the catheter insertion site (20 patients) was the leading minor complication, and in one patient, bilioma was detected and percutaneously drained. The procedure was ineffective in 7 patients (9.85%), and the catheters were removed. In 22 patients (31%), interval cholecystectomy surgery was performed. In the subgroup of patients whose catheters were adequate and were not operated (5 patients), the catheters were removed after an average of 27.2 days. The mean length of stay was 9.6 days, and four patients died (5.6%) during the index hospitalization. Conclusion: Our findings suggest that percutaneous cholecystostomy is a feasible, safe and highly effective treatment option for acute cholecystitis in high-risk patients.
目的:高危急性胆囊炎患者的最佳治疗方案仍有待确定。我们评估了高危急性胆囊炎患者,我们选择经皮胆囊造口术,目的是确定这种方法是否安全可行。& # x0D;方法:我们回顾性分析了2019年5月至2023年7月间接受经皮胆囊造瘘术的71例患者。所有手术均在超声引导下经肝行局部麻醉。当急性胆囊炎症状明显消退或发现导管无效时,拔除导管。符合手术条件的患者在手术过程中取出导管。& # x0D;结果:所有手术均成功,无失败,术后无明显并发症发生。导管插入部位疼痛(20例)是主要的轻微并发症,其中1例患者发现胆囊瘤并经皮引流。7例患者(9.85%)手术无效,导管被拔除。22例(31%)患者行间隔胆囊切除术。在置管充足且未手术的患者亚组(5例)中,平均27.2天后取出置管。平均住院时间9.6 d,指数住院期间死亡4例(5.6%)。& # x0D;结论:经皮胆囊造瘘术是治疗高危患者急性胆囊炎的一种可行、安全、高效的方法。
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 Methods: We retrospectively reviewed our 71 patients in whom we performed percutaneous cholecystostomy between May 2019 and July 2023. All procedures were performed with local anaesthesia under ultrasonographic guidance via the transhepatic route. The catheters were removed when the signs of acute cholecystitis were significantly regressed or when the catheters were found to be ineffective. The catheters of those eligible for surgery were removed during the operations. 
 Results: All procedures were successful without failure, and no significant complications developed in the post-intervention period. Pain at the catheter insertion site (20 patients) was the leading minor complication, and in one patient, bilioma was detected and percutaneously drained. The procedure was ineffective in 7 patients (9.85%), and the catheters were removed. In 22 patients (31%), interval cholecystectomy surgery was performed. In the subgroup of patients whose catheters were adequate and were not operated (5 patients), the catheters were removed after an average of 27.2 days. The mean length of stay was 9.6 days, and four patients died (5.6%) during the index hospitalization. 
 Conclusion: Our findings suggest that percutaneous cholecystostomy is a feasible, safe and highly effective treatment option for acute cholecystitis in high-risk patients.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135647362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A New Perspective on the Evaluation of Comorbidity Indices on Survival in Non-Small Cell Lung Cancer 非小细胞肺癌共病指标评价的新视角
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-26 DOI: 10.33808/clinexphealthsci.1345763
Alev BAKIR KAYI, Benan MÜSELLİM
Objective: Mortality studies are interpreted by considering comorbid diseases related to the main disease. Existence, number, and type of comorbid diseases can have an important effect on prognosis. There are various comorbidity indices to include the effects of comorbid diseases in the model. With a new perspective, we aimed to emphasize the importance of evaluating the combination of comorbid diseases in cancer survival. Methods: Retrospective cohort, data were collected from cases with Non-Small Cell Lung Cancer treated in Department of Chest Diseases. Initially, the effects of their comorbid diseases on the duration of survival were calculated with univariate analysis, then examined according to number of comorbidities, lastly their specific combinations' Hazar Ratio were calculated with Cox multivariate analysis. The most used comorbid indices in the literature were also included. Results: Out of 247 non-small cell lung cancer (NSCLC) cases analysis, 220 (89%) were men. Median duration of follow-up was 277 days, at the end of the follow-up 197 cases had died. HR of two comorbid diseases in cases was 1.80, but 59.52 for the combination of “diabetes and interstitial lung disease” and 3.76 for “diabetes and previously cancer”. Existing comorbid indices had no significant effect on survival time (p:0.684; 0.101; 0.273; 0.567, respectively). Conclusion: We have offered a new perspective which takes into comorbid diseases related to main disease and specially their combinations when the risk is estimated in survival research. Accurate assessments of the list of comorbid diseases related to main disease hold significant importance in advancing this field.
目的:通过考虑与主要疾病相关的合并症来解释死亡率研究。合并症的存在、数量和类型对预后有重要影响。在模型中有各种共病指数来包括共病疾病的影响。从一个新的角度,我们旨在强调评估合并症在癌症生存中的重要性。 方法:回顾性分析胸科收治的非小细胞肺癌患者资料。首先用单因素分析计算其合并症对生存时间的影响,然后根据合并症的数量进行检查,最后用Cox多因素分析计算其特定组合的危险比。文献中最常用的合并症指标也包括在内。 结果:在247例非小细胞肺癌(NSCLC)病例中,220例(89%)为男性。中位随访时间为277天,随访结束时死亡197例。两种疾病合并症的HR为1.80,“糖尿病合并间质性肺疾病”的HR为59.52,“糖尿病合并既往癌症”的HR为3.76。现有合并症指标对生存时间无显著影响(p:0.684;0.101;0.273;分别为0.567)强生# x0D;结论:在生存研究中评估风险时,考虑与主要疾病相关的合并症,特别是它们的联合,提供了一个新的视角。准确评估与主要疾病相关的共病清单对推进这一领域具有重要意义。
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 Methods: Retrospective cohort, data were collected from cases with Non-Small Cell Lung Cancer treated in Department of Chest Diseases. Initially, the effects of their comorbid diseases on the duration of survival were calculated with univariate analysis, then examined according to number of comorbidities, lastly their specific combinations' Hazar Ratio were calculated with Cox multivariate analysis. The most used comorbid indices in the literature were also included.
 Results: Out of 247 non-small cell lung cancer (NSCLC) cases analysis, 220 (89%) were men. Median duration of follow-up was 277 days, at the end of the follow-up 197 cases had died. HR of two comorbid diseases in cases was 1.80, but 59.52 for the combination of “diabetes and interstitial lung disease” and 3.76 for “diabetes and previously cancer”. Existing comorbid indices had no significant effect on survival time (p:0.684; 0.101; 0.273; 0.567, respectively).
 Conclusion: We have offered a new perspective which takes into comorbid diseases related to main disease and specially their combinations when the risk is estimated in survival research. Accurate assessments of the list of comorbid diseases related to main disease hold significant importance in advancing this field.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135721389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiographic Evaluation of the Effect of Vitamin D3 Supplementation on Regeneration of Calvarial Bone Defects in Rats 补充维生素D3对大鼠颅骨骨缺损再生影响的影像学评价
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-26 DOI: 10.33808/clinexphealthsci.1262852
Gülce Nil VARLIHAN, Ömer Birkan AĞRALI, Hatice Selin YILDIRIM, Sibel DEMİRCİ DELİPINAR, Leyla KURU, Hafize ÖZTÜRK ÖZENER
Aim: The present study was aimed to evaluate radiographically the effect of orally administered vitamin D3 on guided bone regeneration in calvarial critical size defects (CSD) in rats. Methods: Two calvarial CSD were created in 12 male Sprague-Dawley rats. One of the defects was left empty (E defect), while the other one was treated with deproteinized bovine bone graft and collagen-based resorbable membrane (GM-filled defect). Following surgical intervention, rats were randomly assigned into two groups; the control group was administered distilled water, and the test group was treated with 2 µg /kg vitamin D3 by gavage once a day for 8 weeks. Radiological images were obtained from rats on 4th and 8th weeks. The area fraction of newly formed osteoid was determined using Image Fiji Analysis Software. Results: The percentages of area fraction in the GM-filled defects were statistically higher than the E defects in both study groups at 4th and 8th weeks (p
目的:本研究旨在评价口服维生素D3对大鼠颅骨临界大小缺损(CSD)引导骨再生的影响。方法:选取12只雄性sd大鼠,建立2只颅骨CSD。其中1个缺损留空(E缺损),另1个缺损采用脱蛋白牛骨移植物和胶原基可吸收膜(gm -填充缺损)处理。手术干预后,将大鼠随机分为两组;对照组给予蒸馏水,试验组给予维生素D3 2µg /kg灌胃,每天1次,连续8周。在第4周和第8周获得大鼠的放射图像。使用Image Fiji分析软件测定新形成的骨样物的面积分数。& # x0D;结果:在第4周和第8周,两组gm填充缺损的面积分数百分比均高于E缺损(p
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 Methods: Two calvarial CSD were created in 12 male Sprague-Dawley rats. One of the defects was left empty (E defect), while the other one was treated with deproteinized bovine bone graft and collagen-based resorbable membrane (GM-filled defect). Following surgical intervention, rats were randomly assigned into two groups; the control group was administered distilled water, and the test group was treated with 2 µg /kg vitamin D3 by gavage once a day for 8 weeks. Radiological images were obtained from rats on 4th and 8th weeks. The area fraction of newly formed osteoid was determined using Image Fiji Analysis Software. 
 Results: The percentages of area fraction in the GM-filled defects were statistically higher than the E defects in both study groups at 4th and 8th weeks (p","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135721401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Awareness of the Protective Measures Against Covid-19 among Turkish Dentists: A Questionnaire Survey 土耳其牙医对 Covid-19 防护措施的认识:问卷调查
IF 0.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-18 DOI: 10.33808/clinexphealthsci.1195447
Y. Kasımoğlu, S. C. İlisulu, C. Baysan, M. Koruyucu, F. Seymen
Objective: The COVID-19 pandemic has deeply affected the entire world. This study aims to evaluate Turkish dentists’ awareness of and protective measures against COVID-19 infection. Methods: A web-based questionnaire consisting of 35 closed-ended and multiple-choice questions was prepared according to Turkish Dental Association guidelines. The questionnaire was divided into three domains: demographic data, precautionary measures, and attitude. Ethical clearance was obtained from the Istanbul University institutional review board. questionnaire was sent to the dentists registered with the Turkish Dental Association. The minimum sample size was calculated as 756 individuals. The Chi-Square test was used to evaluate the difference for categorical variables. Statistical significance was accepted as p< .05. Results: A total of nine hundred and ninety-seven questionnaires was analyzed. Five hundred and sixty-three respondents (56.5%) were general dentists, and 434 (43.5%) were specialists. Seven hundred and thirty-five (73.7%) dentists were found to wear disposable gowns, N95/FFP2 masks, and face shields. About half (48.1%) were confident of avoiding infection. Twenty-one (2.1%) subjects were SARS-Cov-2 positive. A majority of both dentists who had COVID-19 (71.4%) and dentists who did not have it (92.7%) agreed that COVID-19 is an occupational risk (p< .001). Conclusion: Although nearly two-thirds of the respondents reported using personal protective equipment, greater precautionary measures should be taken by dental staff to protect the patients from COVID-19 and other contagious diseases.
目的:COVID-19 大流行已深深影响了整个世界。本研究旨在评估土耳其牙医对 COVID-19 感染的认识和防护措施。 研究方法根据土耳其牙科协会的指导原则编制了一份基于网络的调查问卷,其中包括 35 道封闭式和多项选择题。问卷分为三个方面:人口统计学数据、预防措施和态度。调查问卷发给了在土耳其牙科协会注册的牙医。计算得出最小样本量为 756 人。采用 Chi-Square 检验来评估分类变量的差异。统计显著性以 p< .05 为准。 结果:共分析了九百九十七份问卷。其中 563 名受访者(56.5%)为普通牙医,434 名受访者(43.5%)为专科医生。调查发现,735 名牙医(73.7%)穿一次性口罩、N95/FFP2 口罩和面罩。约一半(48.1%)的受试者有信心避免感染。有 21 名(2.1%)受試者對 SARS-Cov-2 呈陽性反應。大多数感染 COVID-19 的牙医(71.4%)和未感染 COVID-19 的牙医(92.7%)都认为 COVID-19 是一种职业风险(p< .001)。 结论:尽管近三分之二的受访者表示使用了个人防护设备,但牙科工作人员应采取更多预防措施,保护患者免受 COVID-19 和其他传染病的侵害。
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引用次数: 0
Otoprotective Mechanisms of Carvone As An Antioxidant Agent Against Ototoxic Damage Caused By Paclitaxel 香芹酮抗紫杉醇所致耳毒性损伤的保护机制研究
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-14 DOI: 10.33808/clinexphealthsci.1130449
Büşra DİNCER, Fatma ATALAY, Arzu TATAR
Objective: Ototoxicity is cellular damage caused by the use of solid treatments as chemotherapeutics in critical illnesses like cancer. The generation of free radicals is linked to fluctuating hearing loss caused by chemotherapeutics. Antioxidants can help to prevent ototoxicity-related oxidative damage. Carvone (CVN) is a monoterpene with excellent antioxidant properties that protect against oxidative damage. This study investigates the biochemical and functional aspects of CVN’s putative otoprotective mechanisms against paclitaxel (PCX)-induced ototoxicity. Methods: 24 Wistar albino rats were assigned into four different groups: Control, CVN, PCX, and PCX+CVN. Once a week, the control group received saline. The PCX group received 5 mg/kg PCX intraperitoneally once a week (4 times). Once a week, the CVN group received 50 mg/kg intraperitoneally. The PCX+ CVN group received 5 mg/kg PCX followed by 5 mg/kg CVN once a week. All animals were subjected to deterioration product otoacoustic emission testing before (day 0) and after drug administration (day 23). Results: PCX showed an ototoxic effect by weakening otoacoustic emission values. PCX leads to significant otoacoustic emission value shifts ameliorated by CVN co-treatment (for 2000Hz p< .001, for 4000 levels p< .01, for 6000Hz p< .001, and for 8000 Hz p< .01 in PCX+CVN group). Furthermore, the PCX group had significantly greater malondialdehyde levels and significantly lower glutathione levels in the cochlear tissues, compared to the other groups. Co-administered CVN with PCX reversed these effects, making oxidative stress parameters close to those of the control group (for GSH levels p< .001, for MDA levels p< .01 in the PCX+CVN group). Conclusion: According to the findings, CVN appears to preserve cochlear function in rats against the disruptive effects of PCX.
目的:耳毒性是在癌症等危重疾病中使用固体疗法作为化疗药物引起的细胞损伤。自由基的产生与化疗引起的波动性听力损失有关。抗氧化剂可以帮助防止耳毒性相关的氧化损伤。香芹酮(CVN)是一种具有优异抗氧化性能的单萜,可以防止氧化损伤。本研究探讨了CVN对紫杉醇(PCX)诱导的耳毒性的耳保护机制的生化和功能方面。方法:将24只Wistar白化大鼠分为对照组、CVN组、PCX组、PCX+CVN组。对照组给予生理盐水治疗,每周一次。PCX组腹腔注射PCX 5 mg/kg,每周1次(共4次)。CVN组给予50 mg/kg腹腔注射,每周1次。PCX+ CVN组给予PCX 5 mg/kg后再加CVN 5 mg/kg,每周1次。所有动物在给药前(第0天)和给药后(第23天)分别进行变质产物耳声发射测试。 结果:PCX通过削弱耳声发射值表现出耳毒性作用。PCX导致显著的耳声发射值偏移,CVN共处理(2000Hz p<.001, 4000级p<0.01,适用于6000Hz p<.001,对于8000hz p<PCX+CVN组为0.01)。此外,与其他组相比,PCX组耳蜗组织中丙二醛水平显著升高,谷胱甘肽水平显著降低。CVN与PCX联合使用逆转了这些影响,使氧化应激参数接近对照组(GSH水平p<.001,为MDA水平p<PCX+CVN组为0.01)。 结论:CVN具有保护大鼠耳蜗功能,抵抗PCX的破坏作用。
{"title":"Otoprotective Mechanisms of Carvone As An Antioxidant Agent Against Ototoxic Damage Caused By Paclitaxel","authors":"Büşra DİNCER, Fatma ATALAY, Arzu TATAR","doi":"10.33808/clinexphealthsci.1130449","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.1130449","url":null,"abstract":"Objective: Ototoxicity is cellular damage caused by the use of solid treatments as chemotherapeutics in critical illnesses like cancer. The generation of free radicals is linked to fluctuating hearing loss caused by chemotherapeutics. Antioxidants can help to prevent ototoxicity-related oxidative damage. Carvone (CVN) is a monoterpene with excellent antioxidant properties that protect against oxidative damage. This study investigates the biochemical and functional aspects of CVN’s putative otoprotective mechanisms against paclitaxel (PCX)-induced ototoxicity.&#x0D; Methods: 24 Wistar albino rats were assigned into four different groups: Control, CVN, PCX, and PCX+CVN. Once a week, the control group received saline. The PCX group received 5 mg/kg PCX intraperitoneally once a week (4 times). Once a week, the CVN group received 50 mg/kg intraperitoneally. The PCX+ CVN group received 5 mg/kg PCX followed by 5 mg/kg CVN once a week. All animals were subjected to deterioration product otoacoustic emission testing before (day 0) and after drug administration (day 23).&#x0D; Results: PCX showed an ototoxic effect by weakening otoacoustic emission values. PCX leads to significant otoacoustic emission value shifts ameliorated by CVN co-treatment (for 2000Hz p< .001, for 4000 levels p< .01, for 6000Hz p< .001, and for 8000 Hz p< .01 in PCX+CVN group). Furthermore, the PCX group had significantly greater malondialdehyde levels and significantly lower glutathione levels in the cochlear tissues, compared to the other groups. Co-administered CVN with PCX reversed these effects, making oxidative stress parameters close to those of the control group (for GSH levels p< .001, for MDA levels p< .01 in the PCX+CVN group).&#x0D; Conclusion: According to the findings, CVN appears to preserve cochlear function in rats against the disruptive effects of PCX.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134912212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the Clinical Effect of Hyaluronic Acid Mouthwash on Palatal Secondary Wound Healing in Diabetic Rats 透明质酸漱口水对糖尿病大鼠腭继发性创面愈合的临床疗效评价
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-12 DOI: 10.33808/clinexphealthsci.1258371
Ezgi AKÇE, Sibel DEMİRCİ DELİPINAR, Leyla KURU, Hatice Selin YILDIRIM
Objective: The objective of this study was to investigate clinical effect of topically administered hyaluronic acid (HA) mouthwash on healing of secondary palatal wound in diabetic (D) rats. Methods: 60 Wistar albino male rats were divided into D and non-diabetic (ND) groups. Diabetes was induced to 30 randomly selected rats by initially administering 110 mg/kg of nicotinamide intraperitoneally, followed by 15 min of intraperitoneal injection of 65 mg/kg of streptozotocin solution. 5 mm excisional wounds were made in the centre of the palate. After that, 6 animals from each group were sacrificed. Then, both groups were subdivided into two groups: 0.12% HA mouthwash and saline (S) (n=12 per group), depending on the agent to be administered to the wound area (WA). On days 7 and 14, six rats from each group were sacrificed, and the WAs were measured through photographic measurements utilizing Image J software. Results: The WA decreased with time in each group (p
目的:观察透明质酸(HA)漱口水对糖尿病(D)大鼠继发性腭面创面愈合的影响。& # x0D;方法:将60只雄性Wistar白化大鼠分为糖尿病组和非糖尿病组。随机选取30只大鼠,先腹腔注射烟酰胺110 mg/kg,然后腹腔注射链脲佐菌素65 mg/kg溶液15 min,诱导糖尿病。在上颚中央行5毫米切口切除。之后,每组处死6只动物。然后,两组再细分为两组:0.12% HA漱口水和生理盐水(S) (n=12每组),取决于给药剂的创面(WA)。在第7天和第14天,每组各取6只大鼠,利用Image J软件进行摄影测量。 结果:各组心肌WA均随时间延长而降低(p
{"title":"Evaluation of the Clinical Effect of Hyaluronic Acid Mouthwash on Palatal Secondary Wound Healing in Diabetic Rats","authors":"Ezgi AKÇE, Sibel DEMİRCİ DELİPINAR, Leyla KURU, Hatice Selin YILDIRIM","doi":"10.33808/clinexphealthsci.1258371","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.1258371","url":null,"abstract":"Objective: The objective of this study was to investigate clinical effect of topically administered hyaluronic acid (HA) mouthwash on healing of secondary palatal wound in diabetic (D) rats. &#x0D; Methods: 60 Wistar albino male rats were divided into D and non-diabetic (ND) groups. Diabetes was induced to 30 randomly selected rats by initially administering 110 mg/kg of nicotinamide intraperitoneally, followed by 15 min of intraperitoneal injection of 65 mg/kg of streptozotocin solution. 5 mm excisional wounds were made in the centre of the palate. After that, 6 animals from each group were sacrificed. Then, both groups were subdivided into two groups: 0.12% HA mouthwash and saline (S) (n=12 per group), depending on the agent to be administered to the wound area (WA). On days 7 and 14, six rats from each group were sacrificed, and the WAs were measured through photographic measurements utilizing Image J software.&#x0D; Results: The WA decreased with time in each group (p","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135887198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Platelet Activating Factor Acetylhydrolase (PAF-AH) activity : could it have a role on coagulation in covid-19 patients? 血小板活化因子乙酰水解酶(PAF-AH)活性对covid-19患者凝血功能的影响?
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-11 DOI: 10.33808/clinexphealthsci.1033882
Tülin BAYRAK, Gülsen ŞENER, Emel SAĞLAM GÖKMEN, Ahmet BAYRAK
Objective: Abnormal immune inflammatory response and cytokine storm play an important role on the aspect of increasing mortality in Covid-19. We aimed to investigate whether the Platelet Activating Factor Acetylhydrolase activity (PAF-AH) and hematological parameters have prognostic and predictive value in determining the disease severity. Methods: A total of 84 Covid-19 patients, 52 of whom were hospitalized in the ward and 32 in the intensive care unit (ICU), and 38 control patients were included in this study. Results: Lymphocyte and serum albumin levels were significantly lower (p < .001) and age, neutrophils, CRP, procalcitonin, LDH, INR, D-dimer levels were significantly higher (p < .001) in Covid-19 patients compared to the control group. ICU patients had significantly lower (p < .001) lymphocyte, albumin values and significantly higher (p < .001) age, leukocyte, neutrophils, CRP, INR, aPTT, D-dimer levels compared to ward patients. PAF-AH activity was significantly increased in ICU patients compared to the control group (p < .05). A positive correlation was found between PAF-AH and D-Dimer in the ICU group. Conclusion: We found increased PAF-AH activity in patients with Covid-19. It’s important to spot the PAF-AH activity in cardiovascular events that develop due to coagulation problems, which are likely to be seen on these patients in the future.
目的:异常的免疫炎症反应和细胞因子风暴在Covid-19死亡率上升方面发挥重要作用。我们的目的是研究血小板活化因子乙酰水解酶活性(PAF-AH)和血液学参数在确定疾病严重程度方面是否具有预后和预测价值。方法:共纳入84例新冠肺炎患者,其中52例在病房住院,32例在重症监护病房(ICU)住院,38例作为对照。& # x0D;结果:淋巴细胞和血清白蛋白水平显著降低(p <.001)、年龄、中性粒细胞、CRP、降钙素原、LDH、INR、d -二聚体水平均显著升高(p <.001)。ICU患者(p <.001)淋巴细胞、白蛋白值显著升高(p <.001)年龄、白细胞、中性粒细胞、CRP、INR、aPTT、d -二聚体水平与病区患者比较。与对照组相比,ICU患者PAF-AH活性显著升高(p <. 05)。ICU组PAF-AH与d -二聚体呈正相关。 结论:我们发现Covid-19患者PAF-AH活性升高。在凝血问题引起的心血管事件中发现PAF-AH活性是很重要的,这在未来可能会在这些患者身上看到。
{"title":"Platelet Activating Factor Acetylhydrolase (PAF-AH) activity : could it have a role on coagulation in covid-19 patients?","authors":"Tülin BAYRAK, Gülsen ŞENER, Emel SAĞLAM GÖKMEN, Ahmet BAYRAK","doi":"10.33808/clinexphealthsci.1033882","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.1033882","url":null,"abstract":"Objective: Abnormal immune inflammatory response and cytokine storm play an important role on the aspect of increasing mortality in Covid-19. We aimed to investigate whether the Platelet Activating Factor Acetylhydrolase activity (PAF-AH) and hematological parameters have prognostic and predictive value in determining the disease severity.&#x0D; Methods: A total of 84 Covid-19 patients, 52 of whom were hospitalized in the ward and 32 in the intensive care unit (ICU), and 38 control patients were included in this study. &#x0D; Results: Lymphocyte and serum albumin levels were significantly lower (p < .001) and age, neutrophils, CRP, procalcitonin, LDH, INR, D-dimer levels were significantly higher (p < .001) in Covid-19 patients compared to the control group. ICU patients had significantly lower (p < .001) lymphocyte, albumin values and significantly higher (p < .001) age, leukocyte, neutrophils, CRP, INR, aPTT, D-dimer levels compared to ward patients. PAF-AH activity was significantly increased in ICU patients compared to the control group (p < .05). A positive correlation was found between PAF-AH and D-Dimer in the ICU group.&#x0D; Conclusion: We found increased PAF-AH activity in patients with Covid-19. It’s important to spot the PAF-AH activity in cardiovascular events that develop due to coagulation problems, which are likely to be seen on these patients in the future.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135937969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determination of the Relationship Between Family and Social Support and Anxiety-Depression Levels in Liver Transplant Patients 肝移植患者家庭和社会支持与焦虑抑郁水平关系的研究
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-11 DOI: 10.33808/clinexphealthsci.888309
Kezban KORAŞ SÖZEN, Neziha KARABULUT
Objective: The present study was conducted to determine of the relationship between family and social support and anxiety-depression levels in liver transplant patients. Methods: The Introductory Characteristics Determination Form, Hospital Anxiety and Depression Scale (HADS), Multidimensional Perceived Social Support Scale (MPSSS) and Perceived Family Support Scale (PFSS) were used to question the socio-demographic characteristics of the patients. Results: When the distribution of the mean anxiety and depression scores according to their introductory characteristics of the patients was examined, it was determined that the mean score of HADS was found to be high (HAD-A=19.71±3.29, HAD-D=15.90±1.99). The mean MPSSS of the patients was found to be at moderate level as 54.56±17.40; and the mean total score of the PFSS of the patients was found to be at high level as 35.77± 7.16. It was determined that family and social support was effective in reducing the depression levels after liver transplantation. Conclusions: It was found that family and social support was influential in reducing the depression levels after liver transplantation.
目的:探讨家庭和社会支持与肝移植患者焦虑抑郁水平的关系。 方法:采用引入性特征确定表、医院焦虑抑郁量表(HADS)、多维感知社会支持量表(MPSSS)和感知家庭支持量表(PFSS)对患者的社会人口学特征进行调查。 结果:根据患者的介绍特征检查焦虑、抑郁平均得分的分布,确定HADS的平均得分较高(HAD-A=19.71±3.29,HAD-D=15.90±1.99)。患者平均MPSSS为54.56±17.40,处于中等水平;患者PFSS平均总分为35.77±7.16分,处于较高水平。结果表明,家庭和社会支持可有效降低肝移植术后抑郁水平。 结论:家庭和社会支持对降低肝移植术后抑郁水平有影响。
{"title":"Determination of the Relationship Between Family and Social Support and Anxiety-Depression Levels in Liver Transplant Patients","authors":"Kezban KORAŞ SÖZEN, Neziha KARABULUT","doi":"10.33808/clinexphealthsci.888309","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.888309","url":null,"abstract":"Objective: The present study was conducted to determine of the relationship between family and social support and anxiety-depression levels in liver transplant patients.&#x0D; Methods: The Introductory Characteristics Determination Form, Hospital Anxiety and Depression Scale (HADS), Multidimensional Perceived Social Support Scale (MPSSS) and Perceived Family Support Scale (PFSS) were used to question the socio-demographic characteristics of the patients.&#x0D; Results: When the distribution of the mean anxiety and depression scores according to their introductory characteristics of the patients was examined, it was determined that the mean score of HADS was found to be high (HAD-A=19.71±3.29, HAD-D=15.90±1.99). The mean MPSSS of the patients was found to be at moderate level as 54.56±17.40; and the mean total score of the PFSS of the patients was found to be at high level as 35.77± 7.16. It was determined that family and social support was effective in reducing the depression levels after liver transplantation.&#x0D; Conclusions: It was found that family and social support was influential in reducing the depression levels after liver transplantation.","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135937967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Vitro Investigation of Shear Bond Strength of Titanium Alloy Bonded to Monolithic Zirconia Prepared Via Different Surface Roughening Methods Using Different Cements 使用不同粘结剂通过不同表面粗化方法制备的整体氧化锆粘结钛合金的剪切粘结强度体外研究
IF 0.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.33808/clinexphealthsci.1216743
Gülay Çakir, Zeliha ŞANIVAR ABBASGHOLIZADEH, Yılmaz Umut Aslan
Objective: To evaluate the shear bond strength (SBS) of yttrium-stabilized tetragonal zirconia polycrystals bonded to titanium alloys via different surface treatment methods using four different cements. Methods: Eighty titanium and monolithic zirconia discs were prepared with computer-aided design/manufacturing (CAD/CAM) technology. All titanium discs and 40 of monolithic zirconia discs were polished by using silicon carbide paper and sandblasted with 50 μm aluminum oxide (Al2O3). Tribochemical silica coating was applied to remaining 40 monolithic zirconia discs. The monolithic zirconia discs were divided into eight groups after surface treatment (n=10). Titanium discs were cemented using conventional glass ionomer cement (GIC), resin-modified GIC, self- adhesive resin cement, and dual-cure resin cement. The SBS test was performed using a universal testing machine. The failure patterns were examined by using a scanning electron microscope (SEM). Data were statistically analyzed with one-way analysis of variance (ANOVA), two-way ANOVA and Tukey’s test (α
目的评估钇稳定四方氧化锆多晶体通过不同表面处理方法与钛合金粘接后的剪切粘接强度(SBS),并使用四种不同的水门汀。 方法:使用计算机辅助设计/制造(CAD/CAM)技术制备了 80 个钛盘和整体氧化锆盘。所有钛盘和 40 个整体氧化锆盘均使用碳化硅纸抛光,并用 50 μm 氧化铝(Al2O3)喷砂。其余 40 个单片氧化锆盘上涂有摩擦化学二氧化硅涂层。经过表面处理的整体氧化锆盘被分为八组(n=10)。使用传统玻璃离子水泥(GIC)、树脂改性 GIC、自粘树脂水泥和双固化树脂水泥粘接钛盘。使用万能试验机进行 SBS 试验。使用扫描电子显微镜(SEM)对失效模式进行检查。数据采用单因素方差分析(ANOVA)、双因素方差分析和 Tukey 检验进行统计分析(α
{"title":"In Vitro Investigation of Shear Bond Strength of Titanium Alloy Bonded to Monolithic Zirconia Prepared Via Different Surface Roughening Methods Using Different Cements","authors":"Gülay Çakir, Zeliha ŞANIVAR ABBASGHOLIZADEH, Yılmaz Umut Aslan","doi":"10.33808/clinexphealthsci.1216743","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.1216743","url":null,"abstract":"Objective: To evaluate the shear bond strength (SBS) of yttrium-stabilized tetragonal zirconia polycrystals bonded to titanium alloys via different surface treatment methods using four different cements. Methods: Eighty titanium and monolithic zirconia discs were prepared with computer-aided design/manufacturing (CAD/CAM) technology. All titanium discs and 40 of monolithic zirconia discs were polished by using silicon carbide paper and sandblasted with 50 μm aluminum oxide (Al2O3). Tribochemical silica coating was applied to remaining 40 monolithic zirconia discs. The monolithic zirconia discs were divided into eight groups after surface treatment (n=10). Titanium discs were cemented using conventional glass ionomer cement (GIC), resin-modified GIC, self- adhesive resin cement, and dual-cure resin cement. The SBS test was performed using a universal testing machine. The failure patterns were examined by using a scanning electron microscope (SEM). Data were statistically analyzed with one-way analysis of variance (ANOVA), two-way ANOVA and Tukey’s test (α","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139342799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuropsychological and Clinical Correlations of Optical Coherence Tomography Findings in Patients with Schizophrenia 精神分裂症患者光学相干断层扫描表现的神经心理学和临床相关性
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-08-14 DOI: 10.33808/clinexphealthsci.1331234
Ayşe SAKALLI KANİ, Cansun ŞAHİN ÇAM, Esra BİBEROĞLU ÇELİK, Uzay DURAL, Melike DURAN DÖNMEZ, Semra AKKAYA TURHAN, Ebru TOKER, Mesut YILDIZ
Objective: There are increasing studies examining retinal fiber layer (RNFL) and ganglion cell layer (GCL) thinning in patients with schizophrenia. However, the results are controversial, and clinical and cognitive reflections of these findings remain unclear. With this study, we aim to examine retinal abnormalities and establish correlations with cognitive and clinical parameters. Methods: In this cross-sectional study, we examined 29 patients with schizophrenia and 13 age and gender-matched healthy controls. All participants underwent psychometric assessment, neuropsychological tests, and optical coherence tomography (OCT) measurements. The retinal fiber layer and ganglion cell layer thickness were used as retinal parameters. Results: Five patients dropped out during the OCT measurement process, 24 patients with schizophrenia and nine healthy controls were included in the analysis. There was no statistically significant difference between groups in measuring retinal nerve fiber layer or ganglion cell layer thicknesses. The verbal fluency test score negatively correlated with left RNFL superior ( ρ – .422, p
目的:对精神分裂症患者视网膜纤维层(RNFL)和神经节细胞层(GCL)变薄的研究越来越多。然而,结果是有争议的,这些发现的临床和认知反映仍然不清楚。在这项研究中,我们的目的是检查视网膜异常,并建立与认知和临床参数的相关性。 方法:在这项横断面研究中,我们检查了29例精神分裂症患者和13例年龄和性别匹配的健康对照。所有参与者都进行了心理测量评估、神经心理测试和光学相干断层扫描(OCT)测量。以视网膜纤维层和神经节细胞层厚度作为视网膜参数。 结果:5例患者在OCT测量过程中退出,24例精神分裂症患者和9例健康对照纳入分析。各组间测量视网膜神经纤维层及神经节细胞层厚度差异无统计学意义。语言流畅性测试分数与左侧RNFL优势呈负相关(ρ - 0.422, p
{"title":"Neuropsychological and Clinical Correlations of Optical Coherence Tomography Findings in Patients with Schizophrenia","authors":"Ayşe SAKALLI KANİ, Cansun ŞAHİN ÇAM, Esra BİBEROĞLU ÇELİK, Uzay DURAL, Melike DURAN DÖNMEZ, Semra AKKAYA TURHAN, Ebru TOKER, Mesut YILDIZ","doi":"10.33808/clinexphealthsci.1331234","DOIUrl":"https://doi.org/10.33808/clinexphealthsci.1331234","url":null,"abstract":"Objective: There are increasing studies examining retinal fiber layer (RNFL) and ganglion cell layer (GCL) thinning in patients with schizophrenia. However, the results are controversial, and clinical and cognitive reflections of these findings remain unclear. With this study, we aim to examine retinal abnormalities and establish correlations with cognitive and clinical parameters.&#x0D; Methods: In this cross-sectional study, we examined 29 patients with schizophrenia and 13 age and gender-matched healthy controls. All participants underwent psychometric assessment, neuropsychological tests, and optical coherence tomography (OCT) measurements. The retinal fiber layer and ganglion cell layer thickness were used as retinal parameters.&#x0D; Results: Five patients dropped out during the OCT measurement process, 24 patients with schizophrenia and nine healthy controls were included in the analysis. There was no statistically significant difference between groups in measuring retinal nerve fiber layer or ganglion cell layer thicknesses. The verbal fluency test score negatively correlated with left RNFL superior ( ρ – .422, p","PeriodicalId":10192,"journal":{"name":"Clinical and Experimental Health Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135307678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Clinical and Experimental Health Sciences
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