Yazar "Canakci, Ebru" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim
    Öğe
    Diagnostic value of neutrophil to lymphocyte ratio, platelet to lymphocyte ratio and mean thrombocyte volume in irritable bowel syndrome-constipation according to Rome IV criteria
    (2019) Akalin, Cagri; Canakci, Ebru
    Aim: Structural and biochemical reagents that could help diagnose irritable bowel syndrome (IBS) are still lacking. Moreover, use of certain diagnosis criteria in the diagnosis of the disease decreases the need for making over-diagnostic tests in order to rule out other diseases. Rome IV criteria include new parameters for the diagnosis of IBS. Our objective in this study is to research the diagnostic value of neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR) and mean platelet volume (MPV) count in IBS-Constipation (IBS-C).Material and Methods: Data of the cases among patients who applied to general surgery polyclinics of Ordu University Medical Faculty who were diagnosed with IBS and have Rome IV IBS-C diagnosis criteria. Healthy volunteers were selected from adult healthy patients who applied to general surgery policlinics of our hospital for general health check purposes. The age, sex, WBC (white blood cell), NLR, PLR, MPV values of the cases were analyzed. Results:Average age of IBS-C group was 39.47±9.97 (min 19-max 57). Average age of the control group was 40.16±11.50 (min 18-max 59). Out of 78 IBS-C group patients, 48 (61.5%) were women and 30 (38.5%) were men. Of 82 patients 54 (65.9%) were women, 28 (%34.1) were men. Average age of the patients was 39.83±10.75 (min 18-max 59). A significant result was obtained for NLR when control group was compared with IBS-C group (p=0.01). No significant difference was determined between two groups for MPV, PLR (p>0.05). Cut-off value of NLR was calculated as 1.895, and the sensitivity in IBS diagnosis was calculated as 51.3%, and the specificity was calculated as 59.8%. Conclusion: We have determined significant results with NLR, which is an inflammatory reagent, in IBS-C according to Rome IV Criteria. However, NLR has low sensitivity and specificity for IBS-C diagnosis from the other causes of constipation. We are of the opinion that inflammatory reagents such as NLR, PLR, MPV are not useful in the diagnosis of this disease. We consider that our study will shed a light on future studies with larger research populations.
  • Küçük Resim
    Öğe
    Oxidant and antioxidant mechanisms in chronic kidney disease
    (2019) Karatas, Ahmet; Bayrak, Ahmet; Bayrak, Tulin; Canakci, Ebru
    Aim: The objective of this study was to evaluate the correlation of inflammation, oxidant and antioxidant biomarkers with the stages of CKD. It is well known that inflammation has an important role in CKD. While PON-1 and PAF-AH are biomarkers with antioxidant characteristics, MDA is an oxidant biomarker. Material and Methods: The participants were divided into 3 groups. Control (n=37) group, non-hemodialysis chronic kidney disease (non-HD CKD) group and hemodialysis group (n=40) . One hudred twenty-one participants were included in this cross-sectional and observational study. Serum PON-1, PAF-AH, MDA levels were measured. Results: There was a significant difference between the groups regarding the median MDRD values (p<0.001). The median MDRD value in the control, non-HD CKD and dialysis groups was 93. 36 and 7 respectively. There was also a significant difference between the groups regarding the median PON-1 value (p<0.001). The median PON-1 value in the control, predialysis and dialysis groups was 67, 63.1 and 62 respectively. There was also no significant difference between the groups regarding the median PAF-AH value (p=0.469). The median PAF-AH value in the control, predialysis and dialysis groups was 115.7, 116.95 and 117.4 respectively. There was also a significant difference between the groups regarding the median MDA value (p<0.001). Conclusion: We concluded that PON-1 and MDA might be considered as useful biomarkers in CKD patients. The correlation between PAF-AH and CKD, larger subject sizes are needed. We believe that our study will be a starting point for larger studies focused on CKD severity and antioxidant/oxidant biomarkers.
  • Küçük Resim
    Öğe
    Protective effect of ibuprofen against renal ischemia-reperfusion injury
    (2020) Karatas, Ahmet; Canakci, Ebru; Bayrak, Tulin; Benli, Erdal; Bayrak, Ahmet; Akcay Celik, Muruvvet
    Aim: Ibuprofen is an older agent, but its intravenous form is a very new drug. The aim of this study was to investigate whether intravenous form of ibuprofen has protective effect against renal ischemia reperfusion injury at two different doses such as 10-30 mg/kg.Material and Methods: Thirty-two Wistar Albino type female rats were divided into 4 groups as sham, control, IBU-10, IBU-30. In the control group, 60 minutes renal ischemia and 60 minutes reperfusion were performed. In the ibuprofen groups, at the 45th minute of ischemia, ibuprofen was administered in different doses at 10 mg/kg and 30 mg/kg through intraperitoneally. After 60 minutes of ischemia, the clamps were opened. Renal tissue and blood samples were collected from the rats at the end of the reperfusion period. Serum TAS, TOS and prolidase enzyme levels were analyzed in plasma samples. Both histopathological and biochemical evaluations were performed with kidney tissue. Results: In the groups given intravenous ibuprofen, less cellular damage was always detected. Cellular damage indicators were significantly lower in the treated rats than in the control group. Serum and tissue prolidase values were different between groups (p0.001, p0.001). Serum TAS and TOS levels were also different between groups (p=0.001, p=0.003). Serum OSI levels were also different between groups (p=0.017).Conclusion: The biochemical and pathological results obtained in our study suggest that intravenous ibuprofen, has a protective effect against kidney damage. We believe that our study will shed light on future clinical prospective studies.