12 results on '"Elif Borekci"'
Search Results
2. Mean platelet volume is associated with myocardial perfusion defect in diabetic patients : cardiovascular topic
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Seyhan Karaçavuş, Elif Borekci, Fatih Altunkaş, Savaş Sarıkaya, Şafak Şahin, Kayıhan Karaman, Ali Riza Erbay, Yunus Keser Yılmaz, and Lütfi Akyol
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medicine.medical_specialty ,medicine.diagnostic_test ,Cholesterol ,business.industry ,General Medicine ,medicine.disease ,Coronary artery disease ,chemistry.chemical_compound ,Myocardial perfusion imaging ,Endocrinology ,chemistry ,Internal medicine ,Cardiology ,medicine ,Platelet ,Mean platelet volume ,Cardiology and Cardiovascular Medicine ,business ,Perfusion ,Body mass index ,Lipoprotein - Abstract
Aim: Our aim was to evaluate whether there was a relationship between mean platelet volume and myocardial perfusion defect in diabetic patients using myocardial perfusion imaging. Method: Forty-four diabetic patients with myocardial perfusion defect (group 1) and 44 diabetic patients without myocardial perfusion defect (group 2), matched for age and gender, were retrospectively examined. Levels of mean platelet volume (MPV) in the two groups were assessed. Results: MPV was higher in group 1 than group 2 patients (8.76 ± 0.76 and 8.25 ± 0.78 fl), respectively, p = 0.003). Levels of glucose, triglycerides (TG), total cholesterol (TC), low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, haemoglobin (Hb) and glycosylated haemoglobin (HbA1c), and body mass index (BMI) in the two groups were not statistically significantly different. Multivariate logistic regression analyses showed that MPV was the only variable independently associated with myocardial perfusion defects (OR: 2.401, 95% CI: 1.298-4.440, p = 0.013). Conclusion: This study showed that higher MPV was associated with myocardial perfusion defects. Higher MPV in diabetic patients was independently related to myocardial perfusion defects and may be an indicator of myocardial ischaemia.
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- 2014
3. Decreased serum vitamin D levels are associated with diabetic peripheral neuropathy in a rural area of Turkey
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Asuman Celikbilek, Mehmet Celikbilek, Mehmet Adam, Ayşe Yeşim Göçmen, Nermin Tanik, Namik Delibas, Elif Borekci, and Murat Suher
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Adult ,Male ,Vitamin ,medicine.medical_specialty ,Neurology ,Turkey ,Vitamin D-binding protein ,Calcitriol receptor ,Statistics, Nonparametric ,chemistry.chemical_compound ,Diabetic Neuropathies ,Internal medicine ,Diabetes mellitus ,medicine ,Vitamin D and neurology ,Humans ,Vitamin D ,Prospective cohort study ,Aged ,Electromyography ,business.industry ,Vitamin D-Binding Protein ,General Medicine ,Middle Aged ,medicine.disease ,Endocrinology ,Peripheral neuropathy ,chemistry ,Case-Control Studies ,Receptors, Calcitriol ,Female ,Neurology (clinical) ,business - Abstract
Data examining the association between vitamin D and diabetic peripheral neuropathy are limited. This study investigated the serum levels of vitamin D, vitamin D-binding protein (VDBP), and vitamin D receptor (VDR) in diabetics in the Yozgat region of Turkey, and assessed their relationships with diabetic peripheral neuropathy. 69 diabetic patients and 49 age- and sex-matched control subjects were enrolled in this clinical prospective study. All the diabetics underwent conventional sensory and motor nerve conduction studies, and diabetic peripheral neuropathy was confirmed or ruled out according to the electromyography findings and Douleur Neuropathique 4 questions. Serum vitamin D, VDBP and VDR levels were measured using commercial enzyme-linked immunosorbent assay kits. The serum vitamin D levels (p = 0.001) were significantly lower, while the VDR levels (p = 0.003) were higher, in diabetics than in controls. The serum VDBP levels were similar in both groups (p > 0.05). The serum vitamin D levels were significantly lower in diabetics with diabetic peripheral neuropathy than in those without (p = 0.032), whereas the serum VDBP and VDR levels were similar in these two groups (p > 0.05). The lower serum vitamin D levels in diabetics, especially in those with peripheral neuropathy, may suggest a neurotrophic effect of vitamin D.
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- 2014
4. A new knot-supporting instrument and knot technique for laparoscopic surgery
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Serhat Tanik, Elif Borekci, Kursad Zengin, Tugay Atalay, Hakan Ak, and Hasan Börekci
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Laparoscopic surgery ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Suture Techniques ,Physics::Medical Physics ,food and beverages ,Equipment Design ,General Medicine ,Mathematics::Geometric Topology ,Surgery ,Knot tying ,surgical procedures, operative ,Knot (unit) ,stomatognathic system ,Humans ,Medicine ,Laparoscopy ,Astrophysics::Earth and Planetary Astrophysics ,Knot-supporting instrument,intracorporeal knot,laparoscopic surgery ,business - Abstract
We report here an instrument designed by Dr Hasan Börekci that provides support to the knot to facilitate knot tying in laparoscopic procedures. We call the device the 'Börekci knot-supporting instrument' and the technique 'Börekci's knot technique'. Materials and methods: To evaluate the efficacy of this instrument, 17 surgeons performing laparoscopic surgery tied 3 knots using the classical intracorporeal method and then using the intracorporeal knot-supporting instrument. The times required to tie each knot were recorded and compared statistically. Results: Comparing the 2 knotting methods, the time spent tying the knots was shorter with the knot-supporting instrument in all 3 trials and the difference was significant (P = 0.026) in the third trial. Conclusion: This alternative technique can be used for all knots in laparoscopic surgery when classical intracorporeal knotting is difficult.
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- 2014
5. Rectus sheath hematoma and retroperitoneal bleeding due to rivaroxaban: a case report
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Elif Borekci
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medicine.medical_specialty ,030231 tropical medicine ,Rectus Abdominis ,Hemorrhage ,03 medical and health sciences ,0302 clinical medicine ,Rivaroxaban ,Rectus sheath hematoma ,Atrial Fibrillation ,medicine ,Humans ,Retroperitoneal Space ,cardiovascular diseases ,retroperitoneal bleeding ,Elderly patient ,Aged ,Hematoma ,business.industry ,Retroperitoneal haemorrhage ,Atrial fibrillation ,Articles ,General Medicine ,medicine.disease ,Surgery ,Stroke prevention ,cardiovascular system ,Female ,Rectus sheath hematoma, retroperitoneal bleeding, rivaroxaban ,Tomography, X-Ray Computed ,business ,Factor Xa Inhibitors ,medicine.drug - Abstract
Rivaroxaban is one of the new anti-coagulants that inhibit Factor Xa and rarely cause rectus sheath hematoma and retroperitoneal haemorrhage which are uncommon, life-threatening complications. Here is a case of an elderly patient on rivaroxaban therapy for the stroke prevention in non-valvular atrial fibrillation who developed rectus sheath hematoma and retroperitoneal bleeding.Keywords: Rectus sheath hematoma, retroperitoneal bleeding, rivaroxaban.
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- 2019
6. Osteoporosis and Vitamin D Deficiency in Patients with Sickle Cell Disease
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Adem Yaşar, Ayse Oguzhan Akkoca, Zeynep Tuğba Özdemir, Tekin Yildirim, Meral Ekim, Esra Akyüz Özkan, and Elif Borekci
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medicine.medical_specialty ,sickle-cell disease ,business.industry ,vitamin D deficiency ,lcsh:R ,Osteoporosis ,Cell ,lcsh:Medicine ,General Medicine ,Disease ,medicine.disease ,osteoporosis ,Gastroenterology ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,Physical therapy ,In patient ,business ,030215 immunology - Abstract
Aim: Bone disorders such as osteopenia or osteoporosis are the most common clinical manifestations seen in sickle cell disease (SCD) with a high of morbidity. There are many reasons, including vitamin D deficiency for the appearance of bone problems. In the present study we aimed to evaluate osteopathy in patients with SCD using bone mineral densitometry (BMD) and biochemical indices. Material and Method: 61 patients (29 female, 32 male) were included in the study. The age, gender, and biochemical parameters with BMD were evaluated using dual energy X-ray absorptiometry from lumbar vertebrae. According to Z scores, [-2] was considered as osteoporosis. Multivariate analysis was performed to determine the factors influencing BMD. Results: There were a total of 61 SCD patients. The average age was 21.06±5.06 (15-27) years and the mean BMI was 19.15±2.98 kg/m2. 23 patients were osteopenic (11 female, 12 male) (37.7%) and 26 were osteoporotic (12 female, 13 male) (44.3%). Twelve patients (6 female and 6 male) (18%) had normal Z scores. Vitamin D was found severely deficient (
- Published
- 2016
7. Health Anxiety Levels in Patients Admitted to Internal Medicine Outpatient Clinic for Several Times
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Ali Gül, Elif Borekci, and Tuğba Özdemir
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disease ,medicine.medical_specialty ,business.industry ,lcsh:R ,lcsh:Medicine ,internal medicine clinic ,General Medicine ,Internal medicine ,Family medicine ,Health anxiety ,Emergency medicine ,medicine ,Anxiety ,Outpatient clinic ,In patient ,medicine.symptom ,business - Abstract
Aim: Health anxiety (HA) in patients consist of incorrect reference to normal bodily sensations as a signs of a serious disease. The aim of this study is to investigate the HA in patients admitted to internal medicine outpatient clinic for several times within one year. Material and Method: 60 patients who admitted more than one time to internal medicine outpatient clinic within one year and the control group consisted of 60 people were enrolled in this study. Short-form of health anxiety inventory (SAE-KF) was given to these groups, The results were compared statistically. Results: SAE-KF scores were significantly higher in the patient group (11.17 ± 6.07) than the control group (10.71±4.44) (Z=-5.96, P
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- 2016
8. Is there any relationship between RDW levels and atrial fibrillation in hypertensive patient?
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Elif Borekci, Şafak Şahin, Fatih Altunkaş, Kayıhan Karaman, Yunus Keser Yılmaz, Lütfi Akyol, and Savaş Sarıkaya
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Erythrocyte Indices ,Male ,medicine.medical_specialty ,Acute coronary syndrome ,hypertension ,Blood Pressure ,Doppler echocardiography ,Risk Factors ,Internal medicine ,Atrial Fibrillation ,medicine ,Humans ,atrial fibrillation ,Lymphocyte Count ,Stroke ,Aged ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,Red blood cell distribution width ,Atrial fibrillation ,Articles ,General Medicine ,Odds ratio ,Middle Aged ,medicine.disease ,Echocardiography, Doppler ,Blood pressure ,Heart failure ,Hypertension ,Multivariate Analysis ,Cardiology ,Regression Analysis ,Female ,red blood cell distribution width ,business ,Biomarkers - Abstract
WOS:000335444500041 PubMed: 26060490 Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia and increases the risk of stroke and death. Patients with hypertensive have an increased risk of developing atrial fibrillation. RDW (Red blood cell distribution width) levels are elevated in cardiovascular disorders including heart failure, stable coronary disease, acute coronary syndrome, slow coronary flow and stroke. Objective: We aimed to investigate the relation between RDW and AF in patients with hypertensive Method: We retrospectively examined 126 consecutive hypertensive patients (63 hypertensive patients with AF and 63 hypertensive patients without AF matched with age and sex Results: The mean age of the study population was 71,09 +/- 8,50 (af group) and 70,97 +/- 8,24 (non-af group) years. RDW level was different among patients with atrial fibrillation and without atrial fibrillation.(15,13 +/- 1,58 and 14,05 +/- 1,15 p
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- 2014
9. Non-alcoholic fatty liver disease in patients with migraine
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Serkan Dogan, Mehmet Celikbilek, Sebnem Gursoy, Elif Borekci, Asuman Celikbilek, Mustafa Kozan, and Aylin Okur
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Adult ,Male ,medicine.medical_specialty ,Neurology ,Cross-sectional study ,Migraine Disorders ,Dermatology ,Gastroenterology ,Young Adult ,Insulin resistance ,Non-alcoholic Fatty Liver Disease ,Internal medicine ,medicine ,Humans ,medicine.diagnostic_test ,business.industry ,Fatty liver ,nutritional and metabolic diseases ,General Medicine ,Middle Aged ,medicine.disease ,digestive system diseases ,Psychiatry and Mental health ,Endocrinology ,Cross-Sectional Studies ,Migraine ,Abdominal ultrasonography ,Female ,Neurology (clinical) ,Metabolic syndrome ,business ,Body mass index - Abstract
Evidence suggests that migraine is associated with metabolic syndrome, which is also implicated in non-alcoholic fatty liver disease (NAFLD). Reported for the first time, we aimed to investigate the relationship between migraine and NAFLD in patients with migraine. A total of 90 consecutive migraine patients were enrolled in this cross-sectional study. The diagnosis of migraine was determined according to the International Classification of Headache Disorders-II diagnostic criteria. The diagnosis of NAFLD was based on abdominal ultrasonography findings. Anthropometric indices and the homeostasis model assessment of insulin resistance (HOMA-IR) were calculated, and serum insulin level measurements and other biochemical analyses were performed for each subject. The measurements of body mass index and waist circumference were significantly higher in migraine patients with NAFLD than in those without NAFLD (p0.001). Regarding the laboratory results, insulin (p = 0.024), alanine aminotransferase (p = 0.027), and triglyceride levels (p = 0.001) and the HOMA-IR (p = 0.039) were higher in migraineurs with NAFLD than in those without NAFLD. Among the headache characteristics, the presence of aura was higher, and disease and attack durations were significantly longer in migraineurs with NAFLD than in those without NAFLD (p = 0.005, p = 0.024, and p = 0.023; respectively). However, the headache characteristics did not correlate with either the hepatosteatosis grade or HOMA-IR in migraine patients (p0.05). Our results show that NAFLD may present in migraine patients with higher frequency of auras and longer disease and attack durations.
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- 2014
10. Assesment of Autonomic Function in Slow Coronary Flow using Heart Rate Variability and Heart Rate Turbulence
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Lütfü Akyol, Savas Sarıkaya, Yunus Keser Yılmaz, Elif Borekci, Kayıhan Karaman, Fatih Altunkaş, and Şafak Şahin
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Autonomic function ,medicine.medical_specialty ,business.industry ,General Medicine ,medicine.disease ,Sudden death ,Heart rate turbulence ,Sudden cardiac death ,Coronary arteries ,medicine.anatomical_structure ,Heart failure ,Internal medicine ,Ambulatory ,medicine ,Cardiology ,Heart rate variability ,business - Abstract
Background: Slow Coronary Flow Syndrome (SCFS) is an angiographic observation characterized by angiographically normal or near-normal coronary arteries with the delayed progression of contrast dye injected into the coronary tree. Previous studies suggested that these patients had autonomic dysfunction. Life threatening arrhythmias and sudden cardiac death have also been reported in these patients. Aim: Our aim was to assess autonomic function in slow coronary patients using heart rate variability and heart rate turbulence. Method: We selected 40 slow coronary patients and 30 healthy individuals with normal coronary. 24 hours ambulatory holter ECG recordings were obtained from all patients. Turbulence onset (TO), Turbulence slope (TS), Time domain HRV (SDNN, Mean RR, RMSSD, Pnn50 and triangular index (TI) were analysed and compared between two groups. Results: There were no difference in Mean RR (ms), RMSSD (ms) and Total Snn50 between groups. But SDNN (ms) and Triangular index (TI) were different between groups.( 128.52 ± 9.32 vs 174.25 ± 73 p
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- 2014
11. Elevated neurofilament light chain (NFL) mRNA levels in prediabetic peripheral neuropathy
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Lütfi Akyol, Mehmet Adam, Murat Suher, Asuman Celikbilek, Nermin Tanik, Elif Borekci, Seda Sabah, Neziha Yilmaz, and Hakan Ak
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Adult ,Male ,medicine.medical_specialty ,Enolase ,Intermediate Filaments ,Nephropathy ,Prediabetic State ,Neurofilament Proteins ,Internal medicine ,Genetics ,medicine ,Humans ,Prediabetes ,Prospective Studies ,RNA, Messenger ,Molecular Biology ,Glycemic ,Aged ,business.industry ,Peripheral Nervous System Diseases ,General Medicine ,Middle Aged ,medicine.disease ,Pathophysiology ,Endocrinology ,Peripheral neuropathy ,Gene Expression Regulation ,Phosphopyruvate Hydratase ,Peripheral nerve injury ,Female ,business ,Retinopathy - Abstract
Evidence suggests that peripheral nerve injury occurs during the early stages of disease with mild glycemic dysregulation. Two proteins, neuron-specific enolase (NSE) and neurofilament light chain (NFL), have been examined previously as possible markers of neuronal damage in the pathophysiology of neuropathies. Herein, we aimed to determine the potential value of circulatory NSE and NFL mRNA levels in prediabetic patients and in those with peripheral neuropathy. This prospective clinical study included 45 prediabetic patients and 30 age- and sex-matched controls. All prediabetic patients were assessed with respect to diabetes-related microvascular complications, such as peripheral neuropathy, retinopathy and nephropathy. mRNA levels of NSE and NFL were determined in the blood by real-time polymerase chain reaction. NSE mRNA levels were similar between prediabetic and control groups (p0.05), whereas NFL mRNA levels were significantly higher in prediabetics than in controls (p0.001). NSE mRNA levels did not significantly differ between prediabetic patients with and without peripheral neuropathy (p0.05), while NFL mRNA levels were significantly higher in prediabetics with peripheral neuropathy than in those without (p = 0.038). According to correlation analysis, NFL mRNA levels were positively correlated with the Douleur Neuropathique 4 questionnaire score in prediabetic patients (r = 0.302, p = 0.044). This is the first study to suggest blood NFL mRNA as a surrogate marker for early prediction of prediabetic peripheral neuropathy, while NSE mRNA levels may be of no diagnostic value in prediabetic patients.
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- 2013
12. The effect of hyperglycemic peak induced by oral glucose tolerance test on the oxidant and antioxidant levels
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Zeynep Tuğba Özdemir, Elif Turan, Ayşe Yeşim Göçmen, Tekin Yildirim, Yalcin Aral, Elif Borekci, Department of Internal Medical Sciences, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey, Department of Biochemistry Sciences, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey, Department of Internal Medical Sciences, Faculty of Medicine, Celal Bayar University, Manisa, Turkey, and Department of Endocrinology Sciences, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey
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Adult ,medicine.medical_specialty ,Lipid Peroxides ,Antioxidant ,Adolescent ,endocrine system diseases ,medicine.medical_treatment ,Oral glucose tolerance test ,Oxidative phosphorylation ,030204 cardiovascular system & hematology ,medicine.disease_cause ,Article ,Antioxidants ,Superoxide dismutase ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,medicine ,Outpatient clinic ,antioxidative parameters ,oxidative stress ,Humans ,oxidative parameters ,Prospective Studies ,Adverse effect ,Aged ,0303 health sciences ,biology ,030306 microbiology ,business.industry ,Superoxide Dismutase ,nutritional and metabolic diseases ,General Medicine ,Glucose Tolerance Test ,Middle Aged ,medicine.disease ,Oxidants ,Oral glucose tolerance test,oxidative parameters,antioxidative parameters,oxidative stress ,Gestational diabetes ,Endocrinology ,Cross-Sectional Studies ,Hyperglycemia ,biology.protein ,business ,Oxidative stress ,hormones, hormone substitutes, and hormone antagonists - Abstract
Background/aim: The possibility of adverse effects of the oral glucose tolerance test (OGTT) carried out for the screening of gestational diabetes among pregnant women and fetuses is a frequently discussed topic. The purpose of this study was to investigate the effects of the hyperglycemia peak during OGTT on the levels of oxidants and antioxidants in the body.Materials and methods: Eighty individuals who applied to the Outpatient Clinic with suspected diabetes and OGTT indication were included in the study. Glucose, total oxidant capacity status (TOS), total antioxidant capacity (TAS), superoxide dismutase (SOD), and lipid hydroperoxide (LOOH) levels were tested on blood samples collected from these individuals at 0, 60, and 120 min during the OGTT carried out with 75 g of glucose. Oxidative stress index (OSI) was calculated as the ratio of TOS to TAS.Results: While the oxidative parameters TOS and LOOH were significantly increased at 60. min of OGTT, only LOOH was significantly increased at 120. min of OGTT. Significant decreases in antioxidative parameters (TAS, SOD) were observed at 60. and 120. min of the OGTT and OSI was significantly increased at 60. and 120. min of the OGTT.Conclusion: Oxidative stress parameters were increased and antioxidative parameters were decreased during the OGTT. However, more extended studies are required to determine the effects of the increased oxidative stress on pregnant women and fetuses.
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