Publications by authors named "Karaca I"

Background: Repository corticotropin injection (RCI) has been suggested to exert immunomodulatory and anti-inflammatory effects in ocular inflammation. The index retrospective study aimed to evaluate the efficacy and tolerability of subcutaneous RCI in patients with active scleritis or uveitis.

Main Body: Medical records of patients who were diagnosed with different types of active scleritis or uveitis and received RCI for more than six months at a tertiary eye center were reviewed.

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Aims/background: Fear of childbirth (FoC) and its extreme form, tokophobia, is a clinical condition that can lead to many negative consequences, and its importance is increasingly understood. This article aims to assess the severity of FoC and anxiety levels according to different attachment styles and to investigate the relationships between these factors.

Design/methods: A cross-sectional study was conducted in a state hospital in the largest city in Turkey.

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We wrote the letter in response to the insightful comments made by Dr. Vassallo J regarding our recently published study, “Association of Oral Montelukast with Reduced Odds of Developing Exudative Age-Related Macular Degeneration.” Our study underscored the potential treatment for AMD through managing mast cell activation.

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Objective: To compare pelvic floor muscle and organ structures in women with and without hemorrhoidal disease (HD) using magnetic resonance imaging (MRI).

Material And Methods: Pelvic MRI measurements and computer-based medical records of women diagnosed with HD between January 2018 and March 2021 were analyzed. Parameters including pubococcygeal distance, puborectal distance, posterior anorectal angle, obturator internus muscle area, presence of levator ani muscle defect, genital hiatus length, vaginal length, uterocervical angle, cervix-upper vagina angle, and cervix-middle vagina angle were evaluated.

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The morphological characteristics of tissue engineering scaffolds, such as pore and window diameters, are crucial, as they directly impact cell-material interactions, attachment, spreading, infiltration of the cells, degradation rate and the mechanical properties of the scaffolds. Scanning electron microscopy (SEM) is one of the most commonly used techniques for characterizing the microarchitecture of tissue engineering scaffolds due to its advantages, such as being easily accessible and having a short examination time. However, SEM images provide qualitative data that need to be manually measured using software such as ImageJ to quantify the morphological features of the scaffolds.

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Objective: To compare the age-specific clinical features of molar pregnancy and to describe the risk factors associated with this situation.

Method: This retrospective case-control study was conducted at the Department of Obstetrics and Gynecology. Tepecik Education and Research Hospital, Izmir, Turkey.

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Suture-associated infections on surgical sites are known to be related to the surface characteristics of the sutures. The present study aimed to fabricate a novel functional suture for surgical procedures and characterize its antioxidative, antimicrobial, and in vitro wound healing properties. St John's wort, , extract (eHp), and biogenic silver nanoparticles (AgNPs) have been combined and used for coating the silk sutures.

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Article Synopsis
  • The study aimed to determine if ultra-wide-field fluorescein angiography (UWFFA) at the initial visit impacts the evaluation of disease activity and management in patients at a uveitis clinic.
  • A total of 158 patient visits were analyzed, with assessments made using clinical exams, UWFFP, SD-OCT, and UWFFA, comparing evaluations with and without UWFFA.
  • Results showed that UWFFA led to a significant increase in identifying active disease and resulted in management changes for over a quarter of the eyes evaluated, highlighting its importance in uveitis assessment.
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  • - The study aimed to analyze risk factors for developing anti-adalimumab antibodies (AAA) in patients with non-infectious uveitis undergoing treatment with adalimumab, using a retrospective case-control method.
  • - Out of 31 patients, those who tested positive for AAA had significant differences compared to those who tested negative, particularly concerning gender, systemic disease presence, and baseline inflammation. Notably, interruptions in anti-TNF therapy and disease flare-ups during treatment increased the likelihood of developing AAA.
  • - Conversely, patients receiving weekly doses of adalimumab showed a lower risk of developing AAA, indicating that treatment frequency could play a role in patient management for those at higher risk.
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BACKGROUND Chronic anal fissure is a common condition that causes pain and discomfort and has a significant impact on quality of life. When conservative management fails, surgical sphincterotomy can be successful. This retrospective study from a single center in Turkey included 188 patients with chronic anal fissures and aimed to compare outcomes from open and closed sphincterotomy.

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  • Ocular inflammatory diseases like scleritis and uveitis are treated with immunomodulatory therapies (IMTs) to reduce reliance on steroids, using both conventional and biologic agents, including cyclophosphamide (CP), an effective but potentially harmful treatment option.
  • A study reviewed the medical records of 1295 patients at Stanford’s Uveitis Clinic from 2017 to 2022, focusing on 7 patients who received CP therapy for severe ocular inflammatory diseases that didn’t respond to other IMTs.
  • The average age of these patients was 61.6 years, with various underlying conditions, and after a mean follow-up of 34.4 months on CP therapy,
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Olfactory systems are indispensable for insects as they, including Western Flower Thrips (), use olfactory cues for ovipositing and feeding. use odorant binding proteins (OBPs) to transport semiochemicals to odorant receptors to induce a behavioural response from the sensillum lymph of the insect's antennae. This study identifies four OBPs of and analyses their expression at three stages of growth: larvae, adult males and adult females.

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  • The review updates the role of corticosteroids and immunomodulatory therapy (IMT) in treating infectious uveitis, focusing on managing inflammation rather than the infection itself.
  • Corticosteroids are mainly used alongside other treatments for infectious uveitis, especially in cases where inflammation worsens or doesn't resolve after initial treatment.
  • The review highlights a lack of consensus on IMT's effectiveness in infectious uveitis, pointing out its occasional use in persistent cases, while providing options for clinicians managing these complex conditions.
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  • * The article reviews the use of anti-TNF-α agents in treating NIU, noting their success in improving patient outcomes, while also addressing obstacles in further research and drug development in this area.
  • * Despite the effectiveness of existing anti-TNF-α medications like infliximab and adalimumab, the future of developing new options in this category may be limited due to expiring patents and competition from biosimilars and other novel treatments.
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  • A 57-year-old diabetic man initially diagnosed with coccidioidomycosis (CI) presented with vision problems in his left eye, leading to an MRI and other tests that showed signs of neurosarcoidosis instead.* -
  • Despite starting antifungal therapy that provided minimal improvement, further biopsy and PET CT asserted the diagnosis of sarcoidosis, prompting a treatment shift to prednisone and later infliximab, effectively managing his symptoms.* -
  • This case highlights the importance of accurate differential diagnosis, as symptoms of neurosarcoidosis can mimic those of other conditions like coccidioidomycosis, impacting treatment decisions.*
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Periodontal diseases are one of the greatest healthcare burdens worldwide. The periodontal tissue compartment is an anatomical tissue interface formed from the periodontal ligament, gingiva, cementum, and bone. This multifaceted composition makes tissue engineering strategies challenging to develop due to the interface of hard and soft tissues requiring multiphase scaffolds to recreate the native tissue architecture.

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  • - The study reports two cases of ocular ischemic syndrome (OIS) that were overlooked due to negative carotid duplex ultrasound (DUS) results, but later confirmed through angiography.
  • - In the first case, a 67-year-old woman was misdiagnosed with retinal vasculitis but showed severe stenosis in the aortic arch after further imaging, leading to successful treatment that resolved her symptoms.
  • - The second case involved a 41-year-old man with systematic vasculitis, where delayed retinal perfusion was detected despite a negative DUS, and MRA confirmed stenosis in the ophthalmic artery.
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  • A study was conducted to examine changes over time in patients with non-paraneoplastic autoimmune retinopathy (npAIR) using various diagnostic methods.
  • The research involved a retrospective review of 16 eyes from 8 patients, assessing structural and functional changes through tests like wide-angle fundus photography, optical coherence tomography, and electrophysiological assessments over a median follow-up of 11.5 months.
  • Findings indicated that multimodal testing was effective in detecting both structural and functional decline in patients, with adaptive optics scanning laser ophthalmoscopy showing superior sensitivity in monitoring retinal microstructure changes.
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Real-real time CO-sensitive freshness indicators, phenol red (PR) and bromothymol blue (BTB) dyes, in three-layer system using cellulose based binder was developed to determine the freshness/spoilage of chicken breast. The developed indicators were used to monitor chicken meat spoilage packaged in polyamide/polyethylene (PA/PE) pouches under air and 100% nitrogen (N) at 4 °C for 10 days. Changes in the ΔE and ΔRGB values of the indicators, CO/O gas composition of packs, and chemical (TVBN, pH, trimethylamine), microbial, and sensory quality parameters of chicken breast meat were analyzed.

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Objective: The objective of this study was to investigate the breast densities and Breast Imaging-Reporting and Data System scores of patients with polycystic ovary syndrome and normoovulatory women and to determine whether these patients constitute a high-risk population for breast cancer.

Methods: This retrospective case-control study was conducted at our institution between January 2022 and December 2022, involving patients diagnosed with polycystic ovary syndrome. Menstrual periods, hyperandrogenemic findings, and ultrasound reports of the patients were retrieved from our hospital's database.

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Objective: We aimed to compare the inflammatory response with alterations in hemogram parameters, in patients who underwent laparoscopic hysterectomy and - for benign gynecologic conditions with ligasure plus monopolar cautery or harmonic plus conventional bipolar cautery.

Methods: Patients who underwent Laparoscopic hysterectomy with bilateral - between January 2017 and January 2022 for benign gynecologic pathology were identified. Patients were divided into two group, according to instruments used during surgery.

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