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Nephrocalcinosis (NC) is defined as calcium deposition in the kidney parenchyma and tubules. This study aims to determine the etiology, risk factors and follow-up results of patients with NC in Turkey.
Patients diagnosed with NC in the Pediatric Nephrology Department Units of 19 centers from all geographical regions of Turkey over a 10-year period (2010?2019) were included in the study. The medical records from the centers were reviewed and demographic data, admission complaints, medical history, systemic and genetic disorders, risk factors for NC, treatment details and presence of NC after one year follow-up were recorded retrospectively.
The study sample included 195 patients (88 females, 107 males). The mean age at diagnosis was 39.44±47.25 (0.5?208) months; 82/190 patients (43.2%) were diagnosed incidentally; 46/195 patients (23.6%) had an underlying disease; idiopathic hypercalciuria was detected in 75/195 (38.4%) patients. The most common systemic diseases were distal renal tubular acidosis in 11/46 patients (23.9%), primary hyperoxaluria in 9/46 patients (19.6%) and Bartter syndrome in 7/46 patients (15.3%). After one year of follow-up, NC resolved in 56/159 patients (35.2%) and they all did not have an underlying systemic disease.
The most common presentation of NC was incidental. Distal renal tubular acidosis and primary hyperoxaluria were the main systemic diseases leading to NC, while hypercalciuria was the most common metabolic risk factor. Nephrocalcinosis was found to remain in most of the patients at a one year follow-up. It may resolve particularly in patients with no underlying systemic disease.
The most common presentation of NC was incidental. Distal renal tubular acidosis and primary hyperoxaluria were the main systemic diseases leading to NC, while hypercalciuria was the most common metabolic risk factor. Nephrocalcinosis was found to remain in most of the patients at a one year follow-up. It may resolve particularly in patients with no underlying systemic disease.
We evaluated the feasibility of producing splints with 3D printer technology to prevent contractures in burned children in our clinical prospective study.
After approvals, children with burns greater than 2nd degree were included in the study. Age, gender, burn percentages, printing time, filament types, number of filament trials, splint suitability, patient and doctor comments, pre-clinical clinical trials? significances and financial impact were evaluated statistically.
Seventy-six trials were conducted on 18 patients. Fourteen of the patients are male and 4 are female. Average age of boys and girls are 5 and 3 respectively. Burn percentage was 36,9±13. PLAFlex, PolyFlex, nGenFlex, TPU were the main filaments that were used in the study. Printing time differs from 4 to 29 hours according to body regions. Splints were suitable for 81,25% in upper extremity, for 66,7% in lower extremity and for 100% in mouth. Burn percentage was significantly correlated with total number of filament (p=0,049). Other statistical evaluations were insignificant.
The 3D printer seems to be useful in children with burns. However, there difficulties caused by some reasons like production must be overcome. By increasing clinical experience, this emerging custom-made technology may become standard, and documented problems can be solved.
The 3D printer seems to be useful in children with burns. However, there difficulties caused by some reasons like production must be overcome. By increasing clinical experience, this emerging custom-made technology may become standard, and documented problems can be solved.
The present study aimed to assess erythrocyte morphology in newly diagnosed type 2 diabetes mellitus patients using scanning electron microscopy.
In total, 30 patients admitted to endocrine outpatient clinics were included in the study. The patients were divided into two groups according to their fasting blood glucose levels type 2 diabetes mellitus (n = 15, fasting blood glucose levels ? 126 mg/dL) and control (n = 15, fasting blood glucose levels < 99 mg/dL). The patient?s demographic characteristics, haemoglobin A1c levels and scanning electron microscopy findings regarding erythrocyte morphology were recorded.
There was no significant difference between the control and type 2 diabetes mellitus group in terms of the participants?age (51.13 ± 8.53 vs. 50.33 ± 8.72 years, p = 0.8) and the male/female ratio (9/6 vs. 9/6) respectively. CP127374 In the control group, discocytes were abundant, echinocytes were rare and spherocytes were absent. On the other hand, discocytes were less common and echinocyte-shaped ocyte deformability and the formation of echinocytes and spherocytes due to eryptosis. The possibility of decreased erythrocyte deformability due to excessive eryptosis may disturb microcirculation in newly diagnosed, treatment-naïve type 2 diabetes mellitus patients who do not have any complications.Interleukin-21 A Potential Biomarker For Diagnosis and Predicting Prognosis in COVID-19 Patients Abstract Introduction COVID-19 patients have a wide spectrum of disease severity. Several biomarkers were evaluated as predictors for progression towards severe disease. IL-21 is a member of common ?-chain cytokine family and creates some specific effects during programming and maintenance of antiviral immunity. We aimed to assess IL-21 as a biomarker for diagnosis and outcome prediction in patients hospitalized with COVID-19. Method Patients with a preliminary diagnosis of COVID-19 and pneumonia other than COVID-19 admitted to a tertiary care hospital were included consecutively in this comparative study. Results The study population consisted of 51 patients with COVID-19 and 11 patients with non-COVID-19 pneumonia. Serum IL-21 concentration was markedly higher and serum CRP concentration was significantly lower in COVID-19 patients compared to non-COVID-19 pneumonia patients. Within COVID-19 patients 10 patients
The aim of this study was to investigate the effect of vitamin D on the disease prognosis and biochemical parameters in patients with mild obstructive sleep apnea syndrome(OSAS).
Nineteen adult male individuals(18-65 years) who were diagnosed with mild OSAS after polysomnography and had low vitamin D levels were included in the study. Each week, patients took 50.000 IU Vitamin D3 supplementation for 8 weeks. Polysomnography, biochemical parameters FBG (fasting blood glucose), lipid profile (TG, TC, LDL-C, HDL-C, VLDL-C), calcium, phosphorus, parathormone, calcitonin, serum 25(OH)D, insulin, CRP, TNF-?, IL-6 and IL-10 of patients were evaluated at the beginning of study and at the end of the study. All assessments, including polysomnography, were repeated after 8 weeks.
Serum vitamin D levels were initially 19.5 ± 5.01 ng / mL and increased to 41.8 ± 10.51 ng / mL (p <0.001) at the end of the study. FBG, TC and HOMA-IR of the patients were significantly decreased (p <0.05). CRP,TNF-?, IL-6 and IL-10 levels were also correlated with serum vitamin D levels (p <0.05). There was a significant decrease in number of obstructive apneas, apneas and hypopneas, apnea index, hypopnea index and apnea hypopnea index of the patients (p <0.05).
As a result, it is thought that vitamin D supplementation may have a positive effect on the disease prognosis of mild OSAS.
As a result, it is thought that vitamin D supplementation may have a positive effect on the disease prognosis of mild OSAS.
We aimed to report outcomes of pregnant patients with asthma under omalizumab treatment and their infants in our county.
Patients with asthma who received omalizumab for at least 6 months and at least one dose during their pregnancy were retrospectively evaluated using a questionnaire regarding their disease and therapy, the health of their infants.
20 pregnant patients and their 23 infant?s data were analyzed. The mean delivery age was 31.8±7.4 years. They received omalizumab for 28.9±21.8 months. Eight (36.4%) patients showed exacerbation of the disease during pregnancy. Forced expiratory volume in 1 second (FEV1) and asthma control test (ACT) scores at the starting time of omalizumab administration, first month of the pregnancy, and after delivery were 71±18%, 83.4±10.5%, and 80.5±13% (FEV1), and 11.9±4.9, 20.2±2.6, and 20.4±2.2 (ACT), respectively. One patient gave birth to twin infants, two patients to two infants each in different years, and 17 to one infant each. Three (13%) infants had low birth weight and five (21.7%) were born prematurely. No congenital anomalies were detected. Seven (30.4%) infants presented atopic diseases during their life.
Omalizumab treatment during pregnancy seems to be safe for both patients and their infants.
Omalizumab treatment during pregnancy seems to be safe for both patients and their infants.The aim of this study was to investigate the administration of cinnamon extract that is known to be effective in decreasing the high blood glucose and the distribution of NGF and Trk-A receptor in pancreas with immunohistochemistry way. The experimental groups were defined as control, sham, cinnamon, diabetes, and diabetes-cinnamon. At the end of the experiment, the pancreatic tissue samples were obtained for the rats. The Hematoxylin- Eosin and triple staining were used to examine histology. The immunohistochemical methods were performed on the sections of pancreatic tissue. In all groups, the body weight and fasting blood glucose obtained from the male and female rats and the values were statistically evaluated. The NGF immunoreactivity was observed in acinus, excretory pars, excretorius ducts and islets of Langerhans for the pancreatic tissues of female and male rats in all groups. The Trk-A immunoreactivity was observed in acinus and islets of Langerhans for the pancreatic tissues of female and male rats in the control, sham and cinnamon groups. As a result, it was determined that the cinnamon, which is effective on blood glucose levels, has a positive effect on the NGF production in pancreas.Background There are no extensive studies on the QL in children who completed Acute Lymphoblastic Leukemia(ALL) treatment and currently living without any disease in Turkey. Our study aimed to analyze both the QL and the effects of physical, neurocognitive capacities on QL in childhood ALL survivors aged 7-12 years at the time of recruitment. Methods PedsQL cancer module 3.0 child and proxy report, for ages 5-7 and 8-12 years, WeeFIM scale, BOT-2, RPM, reading, writing, and mathematics assessment tools, sociodemographic information form were carried out to the children and their family. Results There was no effect of the months since the completion of therapy on pain, anxiety, cognitive problems, perceived physical appearance, and the total QL scores of children and proxy reports (p > 0.05). Children's physical capacities were significantly worse than healthy controls and have not reached the level of healthy children even after a long time since completion of ALL therapy. There was a significant association between physical capacity and daily independent living status(p less then 0.001). Reading, writing, and mathematical skills were significantly associated with the mean time off-treatment (p less then 0.001), and the total score of RPM and PedsQL of those with mathematical difficulties were significantly lower than those without any difficulty(p less then 0.05). Keywords ALL, QL, Neurocognitive and Physical Outcome.
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