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Transcranial direct current stimulation ameliorates motor and cognitive functions by regulating neuronal excitotoxicity in experimental Parkinson’s disease model 经颅直流电刺激通过调节神经元兴奋性毒性改善帕金森病实验模型的运动和认知功能
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1322361
Güven AKÇAY, Serhan TAMERER
Purpose: In the study, the therapeutic effects of early and long-term transcranial direct current stimulation (tDCS) in Parkinson's disease (PD) rats with 6-hydroxydopamine (6-OHDA) lesions of tDCS were investigated. Materials and Methods: After early and prolonged tDCS administration in PD animals (starting 24 hours after PD lesion, 1000 mA anodal tDCS, 30 min/day, 13 days), the effects of tDCS on motor and cognitive function behaviors and glutamatergic neuron excitotoxicity were determined by Ca2+, glutamate, and NMDAR1 levels. Results: We found that the 13-day tDCS intervention significantly reduced 6-OHDA-induced motor deficits in locomotor activity, learning, and memory-like behavior. Biochemically, we showed that it also reduces Ca2+, glutamate, and NMDAR1 levels, which cause hippocampal neuronal damage. Conclusion: These results suggest that early and long-term tDCS may exert neuroprotective effects and reduce the exacerbation of motor and cognitive impairments in a rat model of 6-OHDA-induced PD. However, it also shows that tDCS has an effect on the glutamatergic pathway in PD and prevents neuronal excitotoxicity. Furthermore, this preclinical model may increase the potential use of therapeutic tDCS and serve as a translation platform to further define the therapeutic mechanism of tDCS for PD or other disorders.
目的:观察早期和长期经颅直流电刺激(tDCS)对帕金森病(PD)大鼠6-羟多巴胺(6-OHDA)损伤的治疗效果。 材料和方法:在PD动物早期和长期给予tDCS (PD病变后24小时开始,1000 mA的tDCS, 30分钟/天,13天)后,通过Ca2+,谷氨酸和NMDAR1水平测定tDCS对运动和认知功能行为以及谷氨酸神经元兴奋毒性的影响。& # x0D;结果:我们发现13天的tDCS干预显著减少了6-羟色胺引起的运动活动、学习和记忆样行为的运动缺陷。从生化角度来看,我们发现它还能降低Ca2+、谷氨酸和NMDAR1水平,从而导致海马神经元损伤。 结论:在6-羟多巴胺诱导的PD大鼠模型中,早期和长期tDCS可发挥神经保护作用,减轻运动和认知损伤的加重。然而,这也表明tDCS对PD的谷氨酸能通路有影响,并阻止神经元兴奋性毒性。此外,该临床前模型可能会增加治疗性tDCS的潜在应用,并作为一个翻译平台,进一步确定tDCS对PD或其他疾病的治疗机制。
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 Materials and Methods: After early and prolonged tDCS administration in PD animals (starting 24 hours after PD lesion, 1000 mA anodal tDCS, 30 min/day, 13 days), the effects of tDCS on motor and cognitive function behaviors and glutamatergic neuron excitotoxicity were determined by Ca2+, glutamate, and NMDAR1 levels. 
 Results: We found that the 13-day tDCS intervention significantly reduced 6-OHDA-induced motor deficits in locomotor activity, learning, and memory-like behavior. Biochemically, we showed that it also reduces Ca2+, glutamate, and NMDAR1 levels, which cause hippocampal neuronal damage.
 Conclusion: These results suggest that early and long-term tDCS may exert neuroprotective effects and reduce the exacerbation of motor and cognitive impairments in a rat model of 6-OHDA-induced PD. However, it also shows that tDCS has an effect on the glutamatergic pathway in PD and prevents neuronal excitotoxicity. Furthermore, this preclinical model may increase the potential use of therapeutic tDCS and serve as a translation platform to further define the therapeutic mechanism of tDCS for PD or other disorders.","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277757","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
Bazı etanolik bitki ekstrelerinin histon deasetilaz inhibitör ve antioksidan aktiviteleri: Kanser için yeni bir terapötik yaklaşım 一些乙醇植物提取物的组蛋白去乙酰化酶抑制和抗氧化活性:治疗癌症的新方法
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1316664
Eda DAĞSUYU, Refiye YANARDAĞ
Purpose: The aim of this study was to evaluate histone deacetylase inhibitory and antioxidant activities of some ethanolic plant extracts. Materials and Methods: In this study, the inhibitory effects of ethyl alcohol extracts prepared from various plants and some chemical compounds on histone deacetylase activity were investigated. In addition, the antioxidant activity of plant-derived active substances, which have had an important value in alternative medicine in recent years, has been determined to replace chemicals. Results: All the plant extracts and chemical substances used in the study showed histone deacetylase inhibitory effect (with IC50 range of 0.000078-319.0 µg/mL) and antioxidant activity. The results indicated that the percentage of histone deacetylase inhibition and antioxidant activities increased with increasing concentrations of the plant extracts and chemical compounds. Conclusion: These plant extracts which are potential sources of histone deacetylase inhibitors may be appropriately used as an alternative support to drug treatment rather than the use of toxic chemicals.
目的:研究几种植物乙醇提取物对组蛋白去乙酰酶的抑制作用和抗氧化活性。& # x0D;材料与方法:研究了不同植物乙醇提取物及化合物对组蛋白去乙酰化酶活性的抑制作用。此外,近年来在替代医学中具有重要价值的植物源性活性物质的抗氧化活性已被确定为替代化学药品。 结果:所有植物提取物和化学物质均具有抑制组蛋白去乙酰化酶的作用(IC50范围为0.000078 ~ 319.0µg/mL)和抗氧化活性。结果表明,组蛋白去乙酰化酶抑制率和抗氧化活性随植物提取物和化合物浓度的增加而增加。& # x0D;结论:这些植物提取物是组蛋白去乙酰化酶抑制剂的潜在来源,可以适当地作为药物治疗的替代支持,而不是使用有毒化学物质。
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 Materials and Methods: In this study, the inhibitory effects of ethyl alcohol extracts prepared from various plants and some chemical compounds on histone deacetylase activity were investigated. In addition, the antioxidant activity of plant-derived active substances, which have had an important value in alternative medicine in recent years, has been determined to replace chemicals.
 Results: All the plant extracts and chemical substances used in the study showed histone deacetylase inhibitory effect (with IC50 range of 0.000078-319.0 µg/mL) and antioxidant activity. The results indicated that the percentage of histone deacetylase inhibition and antioxidant activities increased with increasing concentrations of the plant extracts and chemical compounds. 
 Conclusion: These plant extracts which are potential sources of histone deacetylase inhibitors may be appropriately used as an alternative support to drug treatment rather than the use of toxic chemicals.","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277758","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
Vücut ve kulak akupunkturu kombinasyon tedavisinin obezite kontrolündeki etkilerinin değerlendirilmesi: retrospektif bir çalışma 体针和耳针联合疗法对肥胖控制效果的评估:一项回顾性研究
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1314635
Duygu İlke YILDIRIM
Purpose: The aim of this study is to retrospectively evaluate the effects of body (abdominal) and auricular acupuncture combination therapy on anthropometric measurements and blood parameters in obesity control. Materials and Methods: This study is a descriptive, cross-sectional and retrospective study. This study was carried out by retrospectively scanning the patient files of the patients who applied to the obesity center between 01.05.2019 and 15.02.2020 and wanted to have acupuncture. Results: There are 10 points selected: Shenmen (HT7, spirit gate), point zero, small intestine, large intestine, stomach, esophagus, mouth, appetite control (hunger), antidepressant and spleen point. The abdominal acupuncture points applied to the patients for the treatment of obesity are shown in this study. There are 6 points selected: ST 25, ST 26, REN 12 (CV12), REN 10 (CV10), REN 6 (CV6), REN 4 (CV4). The results show that combined ear and abdominal acupuncture resulted in significant weight loss in all participants in the acupuncture group. The mean high-density lipoprotein cholesterol (HDL-C) mean scores of the patients who underwent acupuncture were significantly higher whereas the mean low-density lipoprotein cholesterol (LDL-C) scores was significantly lower than the patients who did not receive acupuncture. Conclusion: Ear and abdominal acupuncture applications applied for three months for weight loss in obese individuals provided significant weight loss, along with a significant decrease in waist/hip ratio and improvement in all other blood parameters.
目的:本研究旨在回顾性评价体(腹)耳针联合疗法对肥胖控制中人体测量和血液参数的影响。材料与方法:本研究为描述性、横断面、回顾性研究。本研究通过回顾性扫描2019年5月1日至2020年2月15日期间向肥胖中心申请针灸治疗的患者的患者档案进行。 结果:有10个穴位选定:神门穴(HT7、灵门)、零点穴、小肠穴、大肠穴、胃穴、食道穴、口穴、控制食欲穴(饥饿穴)、抗抑郁穴和健脾穴。在本研究中显示了腹部穴位用于治疗肥胖的患者。有6个点可供选择:ST 25, ST 26, REN 12 (CV12), REN 10 (CV10), REN 6 (CV6), REN 4 (CV4)。结果显示,耳部和腹部联合针灸组的所有参与者都有明显的体重减轻。针刺组患者的平均高密度脂蛋白胆固醇(HDL-C)得分显著高于未针刺组,而低密度脂蛋白胆固醇(LDL-C)得分显著低于未针刺组。 结论:耳针和腹针应用于肥胖个体三个月的减肥可以显著减轻体重,同时腰臀比显著降低,所有其他血液参数均有改善。
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 Materials and Methods: This study is a descriptive, cross-sectional and retrospective study. This study was carried out by retrospectively scanning the patient files of the patients who applied to the obesity center between 01.05.2019 and 15.02.2020 and wanted to have acupuncture.
 Results: There are 10 points selected: Shenmen (HT7, spirit gate), point zero, small intestine, large intestine, stomach, esophagus, mouth, appetite control (hunger), antidepressant and spleen point. The abdominal acupuncture points applied to the patients for the treatment of obesity are shown in this study. There are 6 points selected: ST 25, ST 26, REN 12 (CV12), REN 10 (CV10), REN 6 (CV6), REN 4 (CV4). The results show that combined ear and abdominal acupuncture resulted in significant weight loss in all participants in the acupuncture group. The mean high-density lipoprotein cholesterol (HDL-C) mean scores of the patients who underwent acupuncture were significantly higher whereas the mean low-density lipoprotein cholesterol (LDL-C) scores was significantly lower than the patients who did not receive acupuncture.
 Conclusion: Ear and abdominal acupuncture applications applied for three months for weight loss in obese individuals provided significant weight loss, along with a significant decrease in waist/hip ratio and improvement in all other blood parameters.","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277763","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 drug-drug interactions in critically ill pediatric patients 危重儿科患者药物-药物相互作用的评价
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1341543
Nursel SURMELİOGLU, Hatice Yağmur SOYSAL, İkbal TÜRKER, Faruk EKİNCİ, Ozden OZGUR HOROZ, Dinçer YILDIZDAŞ
Purpose: The aim of this study was to determine the drug-drug interactions that are frequently encountered in critically ill patients and the factors that predict these interactions. Materials and Methods: All patients who were admitted to the pediatric intensive care unit (13 bed) of a university hospital and used more than one drug in their treatment were included in this prospective and cross-sectional study. Patients' demographics, laboratory findings, and medications included in their treatment were evaluated daily by a clinical pharmacist. The UpToDate® database was used to detect potential drug interactions. Results: During the study, 797 potential drug-drug interactions were detected in 55 (83.33%) of 66 patients followed. All these interactions were evaluated by the clinical pharmacist and 114 recommendations were made to the physicians following the treatment regarding these potential interactions. Eighty-five (74.56%) of these recommendations were accepted by physicians. Within the scope of the study, each patient was followed up for a median of 9 (2-63) days, and the median value of potential drug interactions detected during this period was calculated as 7 (1-89). Conclusion: The existence of pDDIs was significantly associated with the number of prescribed medications. Exposure to pDDIs is frequent in critically ill pediatric patients and related to the number of medications. Daily and close cooperation between clinicians and clinical pharmacists is recommended to prevent harmful outcomes of DDIs. In order to minimize this risk, it is recommended to avoid polypharmacy as much as possible and to offer alternatives to inducer and inhibitor drugs in treatment.
目的:本研究的目的是确定危重患者经常遇到的药物-药物相互作用以及预测这些相互作用的因素。& # x0D;材料和方法:所有在一所大学附属医院儿科重症监护室(13个床位)住院并在治疗中使用一种以上药物的患者均纳入本前瞻性和横断面研究。临床药剂师每天对患者的人口统计、实验室检查结果和治疗中的药物进行评估。UpToDate®数据库用于检测潜在的药物相互作用。& # x0D;结果:在随访的66例患者中,55例(83.33%)检出797种潜在药物相互作用。临床药剂师对所有这些相互作用进行了评估,并就这些潜在的相互作用向治疗后的医生提出了114项建议。其中85条(74.56%)建议被医生接受。在研究范围内,每位患者的随访时间中位数为9(2-63)天,在此期间检测到的潜在药物相互作用的中位数为7(1-89)。& # x0D;结论:pddi的存在与用药次数有显著相关。暴露于pDDIs是常见的危重儿科患者,并与药物的数量有关。建议临床医生和临床药师每天密切合作,以防止ddi的有害后果。为了尽量减少这种风险,建议尽可能避免多种用药,并在治疗中提供诱导和抑制剂药物的替代品。
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 Materials and Methods: All patients who were admitted to the pediatric intensive care unit (13 bed) of a university hospital and used more than one drug in their treatment were included in this prospective and cross-sectional study. Patients' demographics, laboratory findings, and medications included in their treatment were evaluated daily by a clinical pharmacist. The UpToDate® database was used to detect potential drug interactions. 
 Results: During the study, 797 potential drug-drug interactions were detected in 55 (83.33%) of 66 patients followed. All these interactions were evaluated by the clinical pharmacist and 114 recommendations were made to the physicians following the treatment regarding these potential interactions. Eighty-five (74.56%) of these recommendations were accepted by physicians. Within the scope of the study, each patient was followed up for a median of 9 (2-63) days, and the median value of potential drug interactions detected during this period was calculated as 7 (1-89). 
 Conclusion: The existence of pDDIs was significantly associated with the number of prescribed medications. Exposure to pDDIs is frequent in critically ill pediatric patients and related to the number of medications. Daily and close cooperation between clinicians and clinical pharmacists is recommended to prevent harmful outcomes of DDIs. In order to minimize this risk, it is recommended to avoid polypharmacy as much as possible and to offer alternatives to inducer and inhibitor drugs in treatment.","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277836","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
Assessment of dural invasion in complex cases operated on by collaborative efforts of neurosurgery and otolaryngology for pathologies associated with the frontal sinus 神经外科与耳鼻喉科联合治疗额窦相关病变的复杂病例硬脑膜侵犯评估
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1351185
Tolga GEDİZ, Özer GÜR
Purpose: The aim of this study was to evaluate the common interventions performed by neurosurgery and otolaryngology in dural invasion in frontal sinus related pathologies. Materials and Methods: A comprehensive study involving 45 patients who underwent surgical interventions for frontal sinus-associated pathologies between January 2018 and July 2023 was conducted collaboratively by otorhinolaryngology and neurosurgery departments. Patient data, including demographics, pathology types, and surgical approaches, were collected from medical records, surgical reports, imaging studies, and videos. Interdisciplinary surgical teams executed tailored interventions with documented techniques. Results: Among 45 patients, 31 were female (68.8%) with a mean age of 44. Posterior wall defects were detected in 13 (28.8%) patients, and intervention was necessary for only 8 of them. Among the 8 (17.7%) patients with identified dural invasion, pathological dural tissue was excised, and duraplasty was performed in 5 (11.1%) cases. There were no neurological complications observed in patients during the postoperative period. Conclusion: Despite limitations, the findings contribute to evolving knowledge and highlight the need for prospective studies to optimize patient care strategies.
目的:本研究的目的是评估神经外科和耳鼻喉科对硬脑膜侵犯额窦相关病变的常见干预措施。 材料与方法:由耳鼻喉科和神经外科合作,对2018年1月至2023年7月期间接受额窦相关病变手术治疗的45例患者进行综合研究。从医疗记录、手术报告、影像研究和视频中收集患者数据,包括人口统计学、病理类型和手术入路。跨学科的外科团队采用记录在案的技术进行了量身定制的干预。& # x0D;结果:45例患者中,女性31例(68.8%),平均年龄44岁。13例(28.8%)患者发现后壁缺损,其中只有8例需要干预。在8例(17.7%)确诊硬脑膜侵犯的患者中,切除病理硬脑膜组织,5例(11.1%)行硬脑膜成形术。术后未见神经系统并发症。 结论:尽管存在局限性,但研究结果有助于知识的发展,并强调了前瞻性研究优化患者护理策略的必要性。
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 Materials and Methods: A comprehensive study involving 45 patients who underwent surgical interventions for frontal sinus-associated pathologies between January 2018 and July 2023 was conducted collaboratively by otorhinolaryngology and neurosurgery departments. Patient data, including demographics, pathology types, and surgical approaches, were collected from medical records, surgical reports, imaging studies, and videos. Interdisciplinary surgical teams executed tailored interventions with documented techniques. 
 Results: Among 45 patients, 31 were female (68.8%) with a mean age of 44. Posterior wall defects were detected in 13 (28.8%) patients, and intervention was necessary for only 8 of them. Among the 8 (17.7%) patients with identified dural invasion, pathological dural tissue was excised, and duraplasty was performed in 5 (11.1%) cases. There were no neurological complications observed in patients during the postoperative period.
 Conclusion: Despite limitations, the findings contribute to evolving knowledge and highlight the need for prospective studies to optimize patient care strategies.","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136276530","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
Insulin resistance and cardiovascular risk factors in childhood metabolic dysfunction-associated steatotic liver disease 儿童代谢功能障碍相关脂肪变性肝病的胰岛素抵抗和心血管危险因素
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1326206
Meltem GÜMÜŞ, Alaaddin YORULMAZ, Hakan CANDAN, Anna Carina ERGANİ, Reyhan GÜMÜŞTEKİN, Fuat BUĞRUL, Hüsamettin VATANSEV, Halil Haldun EMİROĞLU
Purpose: The objectives of the present study were to develop biochemical indices as a more practical way for the early diagnosis of cases with suspected metabolic dysfunction-assosiated steatotic liver disease (MASLD) and to develop easy biomarkers to enable clinicians to recognize MASLD in obese children. Materials and Methods: A total of 90 patients who had MASLD and 70 healthy volunteering children between the ages of 6-18 who were diagnosed with reference to the ESPGHAN 2012 Guideline between January 2020 and March 2023 were included. Age, gender, Anthropometric measurements and biochemical analysis were determined. Some Biochemical ratios such as HOMA-IR, HOMA-β, FGIR, QUICKI, AIP etc were calculated. Results: There were 40 (44.4%) girls and 50 (55.6%) boys in the patient group.A positive correlation was found between AST, GGT, TSH, LDL, TG, total cholesterol, HDL, FAS, insulin, HOMA-IR, HOMA-β, QUICKI score, FGIR, MHR, LHR, LKR, THR ALT/AST ratios and Systemic Immun Inflammatory Index values in the analysis. The ROC analysis results of the HOMA-IR value was taken as 2.94, the specificity of the diagnostic value was found to be 52.20% and the sensitivity was 80.0%. Conclusion: MASLD has an increasing trend today.Based on the design of the present study, it was concluded that almost all of the biochemical parameters and biomarkers obtained are among the most accurate and useful indices to determine MASLD and IR and predict complications.
目的:本研究的目的是开发生化指标作为一种更实用的方法来早期诊断疑似代谢功能障碍相关脂肪变性肝病(MASLD),并开发简单的生物标志物,使临床医生能够识别肥胖儿童的MASLD。& # x0D;材料与方法:纳入2020年1月至2023年3月期间根据ESPGHAN 2012指南诊断的90名MASLD患者和70名年龄在6-18岁之间的健康志愿儿童。测定年龄、性别、人体测量和生化分析。计算HOMA- ir、HOMA-β、FGIR、QUICKI、AIP等生化比值。 结果:患者组中女孩40例(44.4%),男孩50例(55.6%)。分析发现AST、GGT、TSH、LDL、TG、总胆固醇、HDL、FAS、胰岛素、HOMA- ir、HOMA-β、QUICKI评分、fgr、MHR、LHR、LKR、THR、ALT/AST比值与全身免疫炎症指数值呈正相关。取HOMA-IR值的ROC分析结果为2.94,发现诊断价值的特异性为52.20%,敏感性为80.0%。 结论:MASLD呈上升趋势。基于本研究的设计,我们得出结论,几乎所有获得的生化参数和生物标志物都是确定MASLD和IR并预测并发症的最准确和有用的指标。
{"title":"Insulin resistance and cardiovascular risk factors in childhood metabolic dysfunction-associated steatotic liver disease","authors":"Meltem GÜMÜŞ, Alaaddin YORULMAZ, Hakan CANDAN, Anna Carina ERGANİ, Reyhan GÜMÜŞTEKİN, Fuat BUĞRUL, Hüsamettin VATANSEV, Halil Haldun EMİROĞLU","doi":"10.17826/cumj.1326206","DOIUrl":"https://doi.org/10.17826/cumj.1326206","url":null,"abstract":"Purpose: The objectives of the present study were to develop biochemical indices as a more practical way for the early diagnosis of cases with suspected metabolic dysfunction-assosiated steatotic liver disease (MASLD) and to develop easy biomarkers to enable clinicians to recognize MASLD in obese children. 
 Materials and Methods: A total of 90 patients who had MASLD and 70 healthy volunteering children between the ages of 6-18 who were diagnosed with reference to the ESPGHAN 2012 Guideline between January 2020 and March 2023 were included. Age, gender, Anthropometric measurements and biochemical analysis were determined. Some Biochemical ratios such as HOMA-IR, HOMA-β, FGIR, QUICKI, AIP etc were calculated.
 Results: There were 40 (44.4%) girls and 50 (55.6%) boys in the patient group.A positive correlation was found between AST, GGT, TSH, LDL, TG, total cholesterol, HDL, FAS, insulin, HOMA-IR, HOMA-β, QUICKI score, FGIR, MHR, LHR, LKR, THR ALT/AST ratios and Systemic Immun Inflammatory Index values in the analysis. The ROC analysis results of the HOMA-IR value was taken as 2.94, the specificity of the diagnostic value was found to be 52.20% and the sensitivity was 80.0%.
 Conclusion: MASLD has an increasing trend today.Based on the design of the present study, it was concluded that almost all of the biochemical parameters and biomarkers obtained are among the most accurate and useful indices to determine MASLD and IR and predict complications.","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277453","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
Effects of postoperative lateral positioning on outcomes of patients with subarachnoid hemorrhage 术后侧卧位对蛛网膜下腔出血患者预后的影响
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1277791
Ceylan KİŞİAL, Sevilay ERDEN
Purpose: This study was conducted to investigate the effects of postoperative lateral positioning on the patients’ outcomes with subarachnoid hemorrhage. Materials and Methods: This study, which is a randomized controlled intervention study, was conducted with 42 (experimental group: 21, control group: 21) patients who underwent subarachnoid hemorrhage surgery in the neurosurgery intensive care unit of a university hospital and met the sampling criteria. In the study, "Patient Descriptive Information Form" and "Patient Results Form" were used as data collection tools. A total of 42 patients operated on for subarachnoid hemorrhage were included in the study. While the patients in the intervention group were placed in the left lateral, right lateral, and semi-fowler position (30 degrees) every 2 to 4 hours for the first 72 hours, those in the control group were routinely placed in the semi-fowler position (20 to 45 degrees). Results: The power of hydrogen value and partial oxygen pressure and arterial oxygen saturation at the 48th hour in the intervention group were statistically significantly higher than the control group at the 72nd hour. In the intervention group, a slight decrease was observed only in the heart rate at 72 hours, which was near normal. Conclusion: Lateral and semi-fowler positions with a 2 to 4 hour interval contributed to improved oxygenation and prevented secondary complications of subarachnoid hemorrhage.
目的:探讨术后侧卧位对蛛网膜下腔出血患者预后的影响。& # x0D;材料与方法:本研究为随机对照干预研究,选取某大学附属医院神经外科重症监护室行蛛网膜下腔出血手术的患者42例(实验组21例,对照组21例),符合抽样标准。本研究采用《患者描述性信息表》和《患者结果表》作为数据收集工具。本研究共纳入42例蛛网膜下腔出血手术患者。干预组患者前72小时每2 ~ 4小时取左、右、半捕虫位(30度),对照组患者常规取半捕虫位(20 ~ 45度)。& # x0D;结果:干预组患者第48小时氢值、分氧压、动脉血氧饱和度功率均高于对照组第72小时。在干预组中,仅在72小时时观察到心率略有下降,接近正常水平。结论:间隔2 ~ 4小时的侧卧位和半捕虫位有助于改善氧合,预防蛛网膜下腔出血的继发性并发症。
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 Materials and Methods: This study, which is a randomized controlled intervention study, was conducted with 42 (experimental group: 21, control group: 21) patients who underwent subarachnoid hemorrhage surgery in the neurosurgery intensive care unit of a university hospital and met the sampling criteria. In the study, \"Patient Descriptive Information Form\" and \"Patient Results Form\" were used as data collection tools. A total of 42 patients operated on for subarachnoid hemorrhage were included in the study. While the patients in the intervention group were placed in the left lateral, right lateral, and semi-fowler position (30 degrees) every 2 to 4 hours for the first 72 hours, those in the control group were routinely placed in the semi-fowler position (20 to 45 degrees). 
 Results: The power of hydrogen value and partial oxygen pressure and arterial oxygen saturation at the 48th hour in the intervention group were statistically significantly higher than the control group at the 72nd hour. In the intervention group, a slight decrease was observed only in the heart rate at 72 hours, which was near normal.
 Conclusion: Lateral and semi-fowler positions with a 2 to 4 hour interval contributed to improved oxygenation and prevented secondary complications of subarachnoid hemorrhage.","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277457","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
The expression of TRPV6 and PMCA1 in the mid-secretory endometrium of infertile patients with unexplained infertility and endometriosis TRPV6和PMCA1在不明原因不孕症和子宫内膜异位症患者中分泌性子宫内膜中的表达
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1310778
Tuba OZCAN METİN, Nafiye YILMAZ, Banu YILMAZ, Şakir Necat YILMAZ, Mehmet Emin ERDAL, İlay BURAN, Gülhan TEMEL, Adem DOĞANER
Purpose: The goal of this study was to evaluate the expression of transient receptor potential vanilloid 6 (TRPV6) and plasma membrane Ca2+ ATPase 1 (PMCA1) in the endometrium of infertile women with unexplained infertility (UI) and endometriosis (E), and to compare the findings to healthy fertile women. Materials and Methods: Endometrial expression of TRPV6 and PMCA1 proteins was evaluated during the mid-secretory phase using the immunohistochemical method, and mRNA levels were measured by real-time PCR. Calcium concentrations were determined using Inductively coupled plasma-mass spectrometry (ICP-MS). Results: TRPV6 and PMCA1 protein expression were significantly increased in both luminal and glandular epithelium of UI or E groups compared to the control group. TRPV6 mRNA expression levels were significantly lower in the UI group (0.525 ± 0.087) compared to the control group (0.809 ± 0.073). There was no significant difference in PMCA1 mRNA expression levels between the groups. Calcium concentration was significantly higher in women with UI (median (Q1-Q3): 50.57 [40.67-51.37], compared to the control group (median (Q1-Q3): 24.29 [20.11-25.55]). Conclusion: The present findings demonstrate altered expressions of TRPV6 and PMCA1 mRNA and protein, along with differences in calcium concentration among patients, especially those with the UI during the window of implantation. These differences might potentially be considered as one of the underlying causes of infertility. Further studies are needed to elucidate the functional roles of these channels and to develop new strategies for pharmaceutical intervention in the treatment of infertility.
目的:本研究的目的是评估不明原因不孕症(UI)和子宫内膜异位症(E)不孕妇女子宫内膜中瞬时受体电位香素样蛋白6 (TRPV6)和质膜Ca2+ atp酶1 (PMCA1)的表达,并与健康不孕妇女进行比较。材料与方法:采用免疫组化方法检测分泌中期子宫内膜TRPV6和PMCA1蛋白的表达,real-time PCR检测mRNA水平。采用电感耦合等离子体质谱法(ICP-MS)测定钙浓度。& # x0D;结果:与对照组相比,UI组和E组的管腔上皮和腺上皮中TRPV6和PMCA1蛋白的表达均显著升高。UI组TRPV6 mRNA表达水平(0.525±0.087)明显低于对照组(0.809±0.073)。各组间PMCA1 mRNA表达水平无显著差异。尿失速妇女的钙浓度明显高于对照组(中位数(Q1-Q3): 50.57[40.67-51.37],中位数(Q1-Q3): 24.29[20.11-25.55])。 结论:TRPV6和PMCA1 mRNA和蛋白表达改变,钙浓度在患者间存在差异,尤其是尿路患者在种植窗期。这些差异可能被认为是不孕的潜在原因之一。需要进一步的研究来阐明这些通道的功能作用,并制定药物干预治疗不孕症的新策略。
{"title":"The expression of TRPV6 and PMCA1 in the mid-secretory endometrium of infertile patients with unexplained infertility and endometriosis","authors":"Tuba OZCAN METİN, Nafiye YILMAZ, Banu YILMAZ, Şakir Necat YILMAZ, Mehmet Emin ERDAL, İlay BURAN, Gülhan TEMEL, Adem DOĞANER","doi":"10.17826/cumj.1310778","DOIUrl":"https://doi.org/10.17826/cumj.1310778","url":null,"abstract":"Purpose: The goal of this study was to evaluate the expression of transient receptor potential vanilloid 6 (TRPV6) and plasma membrane Ca2+ ATPase 1 (PMCA1) in the endometrium of infertile women with unexplained infertility (UI) and endometriosis (E), and to compare the findings to healthy fertile women.
 Materials and Methods: Endometrial expression of TRPV6 and PMCA1 proteins was evaluated during the mid-secretory phase using the immunohistochemical method, and mRNA levels were measured by real-time PCR. Calcium concentrations were determined using Inductively coupled plasma-mass spectrometry (ICP-MS). 
 Results: TRPV6 and PMCA1 protein expression were significantly increased in both luminal and glandular epithelium of UI or E groups compared to the control group. TRPV6 mRNA expression levels were significantly lower in the UI group (0.525 ± 0.087) compared to the control group (0.809 ± 0.073). There was no significant difference in PMCA1 mRNA expression levels between the groups. Calcium concentration was significantly higher in women with UI (median (Q1-Q3): 50.57 [40.67-51.37], compared to the control group (median (Q1-Q3): 24.29 [20.11-25.55]).
 Conclusion: The present findings demonstrate altered expressions of TRPV6 and PMCA1 mRNA and protein, along with differences in calcium concentration among patients, especially those with the UI during the window of implantation. These differences might potentially be considered as one of the underlying causes of infertility. Further studies are needed to elucidate the functional roles of these channels and to develop new strategies for pharmaceutical intervention in the treatment of infertility.","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277578","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
Surgical outcomes and long-term follow-up of patients with large ventricular septal defects with severe pulmonary arterial hypertension: single-center experience 大室间隔缺损合并严重肺动脉高压患者的手术效果和长期随访:单中心经验
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1335119
Ali ORGUN, Niyazi TOKEL, İlkay ERDOĞAN, Birgül VARAN, Murat ÖZKAN, Mehmet Sait AŞLAMACI
Purpose: In this retrospective study, pediatric patients who underwent surgery for large ventricular septal defect (VSD) with severe pulmonary arterial hypertension (PAH) were evaluated in detail in terms of clinical characteristics, and long-term results, and reinterpreted with the current surgical criteria. Materials and Methods: Twenty-four patients who underwent surgery for large VSD due to PAH between 1994 and 2005 were included in the study. The patients were divided into two groups according to their pulmonary vascular resistance index (PVRI) and compared (group 1 with PVRI
目的:在这项回顾性研究中,对接受大室间隔缺损(VSD)合并严重肺动脉高压(PAH)手术的儿童患者的临床特征和长期结果进行详细评估,并根据现行手术标准进行重新解释。材料与方法:本研究纳入了1994 - 2005年间24例因PAH手术治疗大室间隔缺损的患者。根据肺血管阻力指数(PVRI)将患者分为两组,并将第一组与PVRI进行比较
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 Materials and Methods: Twenty-four patients who underwent surgery for large VSD due to PAH between 1994 and 2005 were included in the study. The patients were divided into two groups according to their pulmonary vascular resistance index (PVRI) and compared (group 1 with PVRI","PeriodicalId":10748,"journal":{"name":"Cukurova Medical Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277621","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
Effect of body satisfaction on online impulse purchase behavior of young people 身体满意度对青少年网络冲动购买行为的影响
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-30 DOI: 10.17826/cumj.1336920
Mustafa KALE, Saadet SAĞTAŞ, Yonca BİR, Ayşe Şenay KOÇ, Murat KOÇ
Purpose: This research aims to determine the effect of body satisfaction on impulse purchase behaviour and to detect differences in body satisfaction and impulse buying behaviour according to demographic factors. Materials and Method: The data were collected from 346 students educating different departments at a foundation university in Mersin. The survey method was used and analyzed with path analysis, independent samples t-test, and one-way ANOVA. Results: The positive effect of body satisfaction was observed on impulse buying behaviour. And differences in body satisfaction and impulse buying behaviour were investigated according to gender and monthly budget. Body satisfaction differs by gender, while impulse buying behaviour to a monthly budget. Conclusion: Purchase behaviour tends to increase when body satisfaction increases. Body satisfaction is higher among male students, and the purchase behaviour of students with a high monthly budget is more.
目的:本研究旨在确定身体满意度对冲动购买行为的影响,并根据人口统计学因素检测身体满意度和冲动购买行为的差异。资料与方法:数据收集自德国梅尔辛市一所基础大学不同院系的346名学生。采用调查方法,采用通径分析、独立样本t检验和单因素方差分析进行分析。结果:身体满意度对冲动购买行为有正向影响。根据性别和月预算调查了身体满意度和冲动购买行为的差异。身体满意度因性别而异,而冲动购买行为与每月预算有关。结论:随着身体满意度的提高,购买行为趋于增加。男生的身体满意度较高,月预算较高的学生的购买行为较多。
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引用次数: 0
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Cukurova Medical Journal
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