Publications by authors named "Kucukardali Y"

Context: Asthma incidence in the older people also increases as the number of individuals over the age of 65 increases in society. The goals of asthma management include restoring expected levels of physical activity and preserving muscle mass as well as preventing symptoms and improving pulmonary function. A limited number of studies have explored the effects of superimposed neuromuscular electrical stimulation (NMES) on the quadriceps muscle for older patients with asthma.

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can lead to multiorgan dysfunction through pulmonary and systemic inflammation. Infection also affects the thyroid gland directly via cytopathological effects of the virus or indirectly through cytokines, complement systems and coagulation mechanisms. The thyroid gland regulates innate and adaptive immune systems by genomic and nongenomic pathways.

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Introduction: Due to its widespread distribution and effects, type 2 diabetes is a frequently researched topic. However, the amount of information about type 2 diabetes in nursing homes residents is inadequate. The aim of this study is to elucidate on the frequency, treatments, comorbidities, and deaths of nursing home residents diagnosed with type 2 diabetes.

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Aims: To assess diabetic patients' knowledge and practices regarding foot care.

Methods: This study was conducted as a cross-sectional study in 1030 patients between November 2017 and February 2018.The descriptive survey instrument was developed by the investigators.

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Article Synopsis
  • - The study analyzed clinical outcomes of diabetic patients with foot infections caused by multidrug-resistant organisms across 19 centers from May 2011 to December 2015, involving 791 patients with a median age of 62.
  • - Severe infections were noted in 11% of patients, with notable complications like osteomyelitis in 36.8%, and common pathogens included S. aureus, P. aeruginosa, and E. coli, with significant resistance rates found among these bacteria.
  • - Key predictors for death included dialysis, isolation of Klebsiella spp., and chronic heart failure, with methicillin-resistant Staphylococcus being the most frequent pathogen among rehospitalized patients.
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We aimed to investigate the predictors for limb loss among patients with diabetes who have complicated skin/soft-tissue infections. In this observational study, consecutive patients with diabetic foot infection (DFI) from 17 centres in Turkey, between May 2011 and May 2013 were included. The Turkish DFI Working Group performed the study.

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Aging is defined as the accumulation of progressive organ dysfunction. Controlling the rate of aging by clarifying the complex pathways has a significant clinical importance. Nowadays, sirtuins have become famous molecules for slowing aging and decreasing age-related disorders.

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Article Synopsis
  • - The study aimed to assess the prevalence of chronic kidney disease (CKD) among nursing home residents and its impact on comorbidities and mortality over an 8-year period from 2005 to 2013.
  • - Out of 612 patients, 39.9% were found to have CKD, with older age, being female, and having hypertension as significant risk factors; 41.1% of residents died by the end of the study, with higher mortality rates observed in those with CKD.
  • - The findings suggest that CKD is common in nursing homes, and its presence is linked to increased mortality, highlighting the need for early CKD detection to improve patient management and outcomes.
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Aim: The aim was to evaluate the therapeutic effectiveness of granulocyte colony-stimulating factor (G-CSF) mobilized peripheral blood mononuclear cells (PBMNCs) in critical limb ischemia (CLI) of type 2 diabetic patients.

Method: Forty diabetic patients with CLI were enrolled and randomized to treatment and control groups. In the treatment group, the patients received subcutaneous injections of recombinant human G-CSF (30 MU/day) for 5 days to mobilize stem cells.

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In spite of the fact that an indirect relationship between NEIL1 gene and Type 2 diabetes has been demonstrated in animal model studies, there have been no human studies showing this relationship. In our study, we aimed to show the relationship between NEIL1 mutation and Type 2 diabetes in humans. The study group consisted 70 patients with Type 2 diabetes and the control group consisted of 50 healthy individuals.

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Article Synopsis
  • The study investigates how body iron levels and oxidative stress relate to cognitive function in elderly nursing home residents, measuring their cognitive status using the Mini-Mental State Examination (MMSE).
  • Among 87 participants, those with cognitive dysfunction had higher serum iron and malondialdehyde (MDA) levels, but lower glutathione peroxidase (GSH-Px) enzyme activity compared to their cognitively normal counterparts.
  • The findings suggest that elevated iron markers and oxidative stress are linked to cognitive dysfunction, yet no direct correlation was found between iron deposition and oxidative stress, indicating a need for further research on potential treatments.
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  • This study aimed to explore how anaemia affects cognitive functions and daily living activities in elderly individuals.
  • Conducted with 180 participants, the results showed that anaemic individuals had lower haemoglobin levels and performed worse on cognitive tests (MMSE) and daily activities than nonanaemic individuals.
  • The findings suggest that anaemia in the elderly leads to increased dependency in daily tasks and impaired cognitive abilities, indicating the need for better management of anaemia in this population.
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  • The study evaluated 142 ICU patients for pressure ulcers (PUs) upon admission, finding a 9.8% prevalence of PUs and identifying risk factors using the Norton Scale and NRS-2002 screening.
  • Significant differences were observed between patients with PUs and those without in terms of Norton scores, nutritional status (albumin levels), and hospitalization duration, indicating that lower scores were linked to a higher incidence of PUs.
  • The results suggest that consistent screening and adherence to NPUAP guidelines can potentially reduce PU incidence in ICU settings, particularly in patients with certain risk factors like low Norton scores, longer hospital stays, and malnutrition.
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The aim of this study is to produce the relation between cognitive and functional performance and some biochemical parameters in elderly population. So, we searched for the correlation between the activities of daily living (ADL), mini-mental state examination (MMSE) and body weight, age, hemoglobin, albumin, serum sodium level of 180 elderly people in five nursing homes. Face-to-face interviews and questionnaires were applied to evaluate ADL.

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Background And Aims: To investigate the association of plasma osteoprotegerin (OPG) levels with diabetic neuropathy.

Methods: Forty-two diabetic patients (21 female and 21 male) and twenty-four non-diabetic healthy control subjects (12 female and 12 male) were included in the study. All consecutive diabetic patients who came for routine follow-up at our outpatient clinic were invited to participate in this clinical study.

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A 53-year-old male patient was admitted to our hospital with abdominal pain in the right upper quadrant. There was no change in laboratory investigations other than a slight increase in serum levels of alkaline phosphatase (ALP), alanine aminotransferase (ALT), and gamma glutamyl transferase (GGT). Computed tomography (CT) of the abdomen showed multiple hepatic nodular lesions in the liver.

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  • This study aimed to analyze the epidemiological characteristics of nosocomial Candida infections in ICUs and identify risk factors affecting mortality rates, involving 940 patients hospitalized in Istanbul in 2006.
  • Out of 48 patients with isolated Candida infections, the most common types were bloodstream and urinary tract infections, with a 55.2% overall mortality rate.
  • Key risk factors for higher mortality included long hospital stays, extensive antibiotic use, diabetes mellitus, the need for mechanical ventilation, and infection with non-albicans Candida species.
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  • The study explores the relationship between serum asymmetric dimethylarginine (ADMA) levels, a marker of endothelial dysfunction, and familial Mediterranean fever (FMF), finding that FMF patients have higher ADMA and C-reactive protein (CRP) levels than healthy controls.
  • Researchers assessed 38 male FMF patients and 23 healthy volunteers, noting that ADMA levels increased during acute attacks and were lower in patients using colchicine.
  • The findings suggest that elevated ADMA may reflect inflammation-related endothelial dysfunction in FMF, and regular colchicine treatment could play a role in preventing both this dysfunction and amyloidosis.*
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The two most common forms of inherited normotensive hypokalemic metabolic alkalosis are Bartter's and Gitelman's syndromes. Bartter's is mostly seen in children, while Gittelman's is mostly seen in adolescents and adults. We analyze three subjects of adult-onset Gitelman's and Bartter's syndrome.

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Diabetes mellitus is frequently associated with the malignant ventricular arrhythmias and sudden death. The QT dispersion is the difference between the longest and shortest QT interval calculated from the standard 12-lead electrocardiogram. The QT dispersion is suggested as an index of myocardial electrical activity.

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Objective: It has been known that ischemia or occlusion of coronary arteries in animal models increases the production of vascular endothelial growth factor (VEGF); however, little is known about the relationship between coronary artery disease and VEGF in humans. In this study, our aim was to evaluate the relationships between the degree of coronary occlusion and plasma VEGF level as well as other risk factors, including age, weight, arterial blood pressure, cholesterol, triglyceride, blood glucose, and high-sensitive C-reactive protein (hsCRP) in patients with established coronary artery disease.

Materials And Methods: Our study group consisted of 77 patients.

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Myocardial diastolic dysfunction is the relaxation abnormality of ventricles that limits the diastolic filling and generally precedes diastolic heart failure. Diastolic dysfunction is a common finding in diabetes. Diabetic patients receive hyperbaric oxygen (HBO) therapy for non-healing lower extremity ulcers, and exposure to HBO therapy is known to influence cardiovascular functions.

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The syndrome of inappropriate antidiuretic hormone (SIADH) secretion is a common consequence of neurologic and pulmonary infections as well as drug intake and many other clinical situations. This report describes SIADH that developed in an elderly woman with single dermatomal herpes varicella zoster ophthalmicus without evidence of varicella zoster encephalitis or dissemination. A 76-year-old woman was admitted to our department for evaluation of left facial pain, confusion and disorientation.

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We presented 23 patients with necrotizing fasciitis (NF), 15 of whom had uncontrolled diabetes mellitus (DM), for risk factors, clinical signs, laboratory findings and prognosis during the period 1998 and 2006 in Istanbul. A hospital incidence of NF was 14.2/100,000 admissions.

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Objective: The purpose of this trial was to determine the spectrum of diseases with fever of unknown origin (FUO) in Turkey.

Methods: A prospective multicenter study of 154 patients with FUO in twelve Turkish tertiary-care hospitals was conducted.

Results: The mean age of the patients was 42+/-17 years (range 17-75).

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