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Öğe Association of Urinary Tract Infection and Ultrasonographic Finding of Bladder Debris in Pediatric Patient(Aves Yayincilik, Ibrahim Kara, 2019) Ulubaba, Hilal Er; Dogan, Gulec Mert; Saglik, SemihObjective: Early diagnosis and treatment of urinary tract infections (UTI) in children has clinical importance since the signs and symptoms can be nonspecific. The aim of this study was to investigate the association between bladder debris which is commonly seen at the process of ultrasonography (USG) and positive urine culture in pediatric patients that will alert the clinicians in the diagnosis of UTI when the signs and symptoms are nonspecific. Material and Methods: A retrospective analysis of pediatric patients who underwent USG examination between February 2017 and February 2018 was conducted. USG reports were analyzed from the aspects of layering and floating debris. Patients who were formerly diagnosed and treated for urinary tract infection (UTI) and patients who had genitourinary system abnormalities (Hydronephrosis, Vesicoureteral Reflux, neurogenic bladder etc.) was excluded from the study. In the 0-11 age group, we detected 93 patients suffering from debris, who also had urine culture. These patients were compared with 50 patients in the control group in the same age group, who had normal USG and urine culture. Results: Ninety-three patients with bladder debris were classified under two groups as layering and floating debris. In Group 1, there were 21 patients with layering debris and there were 72 patients with floating debris in Group 2. Control patients group consisting of 50 patients was referred to as Group 3. According to multiple logistic regression analysis, a statistically significant increase was detected at the rate of positive urine culture in patients with layering debris (Group 1) and patients with floating debris (Group 2) compared to control patients (Group 3). However, increase at the rate of positive urine culture (UC) was higher in patients with layering debris. Conclusion: Statistically significant increase at the rate of positive urine culture (UC) was seen in the pediatric patients who had bladder debris at ultrasonography. The increase in patients with layering debris is higher. In the pediatric patients group, bladder debris should be an alerting finding for the diagnosis of urinary tract infection (UTI).Öğe Comprehensive Analysis of Long-term Splenic Volume Changes in Pediatric Liver Transplant Patients: Does It Correlate With Adverse Graft Outcomes?(Elsevier Science Inc, 2021) Dogan, Gulec Mert; Dogan, Sait Murat; Okut, Gokalp; Karakas, Serdar; Kutluturk, Koray; Ulubaba, Hilal Er; Sahin, Tevfik TolgaObjectives. Splenomegaly and hypersplenism caused by liver failure increase the mortality and morbidity of patients even after liver transplantation if they do not regress. We evaluated the relation of splenic volume change and transplanted liver function. Material and Methods. A total of 59 of 207 pediatric patients who had liver transplantation between 2013 and 2018 in our institute were evaluated. The relation of spleen volume changes (splenic volume to standard splenic volume ratio [SV/SSV]) were measured at 0, 1, 6, 12, 24, and 36 months of follow-up by constructing electronic three-dimensional structure of the spleen at dynamic computed tomography (CT), and the course of liver functions were evaluated. Results. The SV/SSV ratio decreases in the first postoperative 6 months. After 6 months, SV increases and SV/SSV increases gradually. In a normal functioning graft, SV/SSV significantly decreased in all time points (P < .001). In patients with adverse events, SV/SSV started to increase after 6 months. In patients with fulminant hepatic failure, SV/SSV started to increase after postoperative 6 months. Adverse events in patients with fulminant hepatic failure were more than the patients with chronic liver disease (58% vs 28%). There was an inverse correlation between SV/SSV and thrombocyte levels (P < .001). Conclusions. SV/SSV seems to be correlated to the adverse events (ie, rejection). Together with thrombocyte levels, it can be used as a noninvasive test for follow-up of transplant patients in terms of adverse events in graft function.Öğe The Effect of Tracheal Diverticulum and Chronic Ostructive Lung Disease on Chest Anthropometry(2022) Denız, Mine Argalı; Ulubaba, Hilal Er; Arpacı, Muhammed Furkan; Çavuş, Fatih; Demirtaş, Gökhan; Karataş, Turgay; Özbağ, DavutAim: In this study, we aimed to evaluate the effect of tracheal diverticula (TD) on chest anthropometry and its relationship with chronic obstructive pulmonary disease (COPD). Material and Method: Between January 2019 and March 2020, 995 patients who underwent chest CT were retrospectively analyzed and TD was detected in 62 cases. Group 1 is only TD, Group 2 is TD + COPD, Group 3 is only COPD, Group 4 is defined as control group. We measured the localization, size, the distance to carina and vocal cord of TDs. In all groups chest diameters at T4 and T9 levels were measured as transverse and vertical plans. Results: TDs detected mostly at the T2 and T3 levels. In Group 1 and Group 2, there was a statistically significant difference the distance to TD of vocal chords. A statistically significant difference was found between Group 1 and Group 3 only in the anteroposterior diameter at the T4 and T9 levels.Conclusion: The fact that TDs, which we do not know clearly whether they are acquired or congenital, have different TD levels in COPD patients made us think that TDs may be acquired. We also observed that COPD affects TD localization and TD has the opposite effect in increasing anteroposterior chest parameters in COPD. Precence of TD is essential on COPD patients about thorax anthropometry.Öğe Evaluation of Willis Polygon Morphometry with Cranial Tomographic Angiography(Turkish Neurosurgical Soc, 2023) Ciftci, Rukiye; Cetin, Aymelek; Ulubaba, Hilal Er; Senol, Deniz; Cinarli, Fahri Safa; Ozbag, DavutAIM: To examine the morphometric properties of the vessels forming the Willis polygon (WP) in patients with type 2 diabetes mellitus (T2DM) and hypertension (HT) and compare them with healthy individuals.MATERIAL and METHODS: Cranial Tomography Angiography (CTA) of 168 individuals were analyzed retrospectively. The individuals included in the study were divided into four groups according to the diagnosis. Group 1 included 40 individuals who were diagnosed with HT, Group 2 included 43 individuals who were diagnosed with DM, Group 3 included 42 individuals who were diagnosed with DM and HT, and Group 4 was the control group and included 43 individuals. The diameter and length measurements of the vesselsRESULTS: According to the results of the Kruskal Wallis H test, in female patients statistically significant differences were detected in the diameter measurements of the right and left A1 segment of the ACA, the diameter measurement of the left A2 segment, the diameter measurements of the right and left P1 and P2 segments of the ACP, the diameter measurements of the right and left AComP. (p<0.05), in male patients statistically significant differences were found in the diameter of the right A1 segment of the ACA, the diameter and segment length measurements of the right and left P1 segments of the ACP, of the right and left P2 diameter measurements, and segment length measurements of the left AComP (p<0.05).CONCLUSION: We also found that the vessel diameters were similar in the HT, DM and HT+DM groups, and smaller than the control group. In addition, we think that knowing WP morphometric measurements will both guide the radio-anatomical evaluations to be made and increase the level of microanatomical knowledge in surgical treatment.Öğe Investigation of Kidney Morphology and Somatotype Components in Early-Stage Kidney Patients(Kare Publ, 2023) Ulubaba, Hilal Er; Cinarli, Fahri Safa; Ciftci, Rukiye; Ulutas, OzkanObjectives: The aim of this study is to examine the kidney morphology and somatotype components of adult patients with early-stage chronic kidney disease (CKD). Methods: The sample consisted of 46 individuals with early-stage CKD (26 men and 20 women, mean age=45.92 +/- 16.53 years). The pathological subjects were compared with a control group consisting of 46 healthy subjects (28 men and 18 women, mean age=41.96 +/- 11.48 years). The Heath-Carter method was used to determine somatotype components. Abdominal computed tomography (CT) of patients with Stage 2 CKD and healthy volunteers taken within the past 3 months was scanned to determine kidney morphology. Kidney measurements were performed on CTs (length, width, depth, and volume of kidney). Results: Kidney patients (mean somatotype: 6.33-5.37-0.6) were less ectomorphic and more endomorphic than the controls (mean somatotype: 4.35-4.40-3.02). Moderate effect size (ES) was found in endomorphy (ES=0.87; p=0.035) and ectomorphy (ES=1.08; p=0.012) between groups. No significant difference was observed in the kidney morphology (ES=0.04-0.19; p>0.05). Conclusion: In the early-stage CKD, kidney morphology may not be the distinguishing factor. On the other hand, patients differed significantly in terms of endomorph components. Being overweight can also be one of the negative findings for kidney disease. Somatotype classification could be a suitable tool for monitoring kidney disease.Öğe Morphometric Examinations of Internal Carotid Arteries of Patients with Hypertension and Patients with Type 2 Diabetes Mellitus: A Radio Anatomic Study Based on Computed Tomography Angiography Findings(Turkish Neurosurgical Soc, 2022) Ciftci, Rukiye; Ulubaba, Hilal Er; Senol, Deniz; Toy, Seyma; Yildirim, Ismail OkanAIM: To examine the relationship between the morphologic features of the internal carotid artery (ICA) and symptoms affecting cerebral blood circulation including type 2 diabetes mellitus (T2DM) and hypertension (HT).MATERIAL and METHODS: In this study, retrospective morphometric analysis of ICA measurements from 100 patients (aged 45-60 years) was performed using computed tomographic angiography (CTA) images. The images were divided into four groups: patients with HT (group 1), patients with T2DM (group 2), patients with HT and T2DM (group 3), and a healthy control group (group 4). Length and diameter measurements of the cervical, petrous, cavernous, and terminal segments of the ICA were made using 3D CTA images and recorded. The measurements of the male and female patients were compared using the Mann-Whitney U test and the groups were compared using the Kruskal-Wallis H test.RESULTS: It was found that there were statistically significant differences between male and female patients in terms of the right and left petrous, cavernous, and terminal segments of the ICA in group 1, right and left cervical left cavernous in group 3, left cervical, right and left petrous, cavernous, and right cavernous in group 4 (p<0.05). According to the Kruskal-Wallis H test analysis results, it was determined that there were no statistically significant differences between the patients in the four groups for all segment measurements (p>0.05).CONCLUSION: It was determined that ICA was more affected by HT than diabetes. In addition, we think that being knowledgeable of morphometric measurements of ICA will guide radio-anatomic evaluations and increase the level of microanatomic knowledge in surgical treatment.Öğe Morphometry of the Middle Cerebral Arteries: A Radio-Anatomical Study Based on Computed Tomography Angiography Findings(Soc Chilena Anatomia, 2023) Ciftci, Rukiye; Toy, Seyma; Ulubaba, Hilal Er; Senol, Deniz; Cinarli, FS.; Sigirci, AhmetMiddle cerebral artery (MCA), which has the largest irrigation area of the arteries that feed the brain, is an important artery whose microanatomy should be well known because of its vascular variation. In pathologies which are known to affect the cerebrovascular system such as type 2 diabetes mellitus (T2DM) and hypertension, morphometric characteristics of MCA gain importance. The aim of this study is to compare the morphometric characteristics of M1 segment of MCA in T2DM and hypertensive patients with those of healthy control group by using computed tomographic angiography (CTA). The study was carried out with retrospective morphometric analysis of CTA images of 200 individuals between 40 and 65 years of age. The individuals were grouped in four as hypertensive patients (group 1), patients with T2DM (group 2), patients with hypertension and T2DM (group 3) and healthy control group (group 4). Length and diameter measurements of M1 segment were performed and recorded by using 3D CTA images. While statistically significant difference was found between bilateral M1 segment diameters of both women and men (p<0.05), no statistically significant difference was found between segment lengths (p>0.05). As a result of the post hoc analysis performed, it was concluded that right and left M1 segment diameter of group 1, group 2 and group 3 was found to be different from group 4 in both sexes (p<0.05). We believe that this study will both be a guide in radio-anatomic assessments to be performed and also increase microanatomic level of information in the surgical treatment of the artery by showing the morphometric changes that occur in M1 segment of MCA in T2DM diseases.Öğe Relationship between quadriceps muscle architecture and lower limb strength and physical function in older adults community-dwelling individuals: a cross-sectional study(Frontiers Media Sa, 2024) Cinarli, Fahri Safa; Ulubaba, Hilal Er; Ucar, Ozan; Kilinc, Deniz Can; Ciftci, Rukiye; Karayigit, Raci; Aldhahi, Monira, IBackground and objective: Factors related to muscle architecture may lead to functional limitations in activities of daily living in the older adults. This study aimed to investigate the relationship between quadriceps femoris (QF) architecture and physical function in older adults community-dwelling people. Methods: The study included 25 community-dwelling older adults participants aged over 60 years (14 women and 11 men) who were not engaged in regular physical activity. The rectus femoris (RF) and vastus intermedius (VI) muscle thicknesses as well as the RF cross-sectional area (CSA) were assessed using 2D ultrasonography. The 30 Seconds Chair Stand test (30sCST) and Timed Up and Go Test (TUG) were used to assess lower body muscle power and functional mobility, respectively. Results: The QF muscle architecture showed moderate and large correlations with the 30sCST (r range = 0.45-0.67, p < 0.05) and TUG (r range = 0.480-0.60, p < 0.05). RF thickness was a significant (p < 0.01) independent predictor of 30sCST (R-2 = 0.45) and TUG (R-2 = 0.36). VI thickness was a significant (p < 0.05) independent predictor of 30sCST (R-2 = 0.20) and TUG (R-2 = 0.231). RF CSA was a significant independent predictor of the 30sCST (R-2 = 0.250, p < 0.05) and TUG (R-2 = 0.27, p < 0.01). Multiple linear regression models explained 38% of the 30sCST variance and 30% of the TUG variance in the older adults group. Conclusion: Quadriceps muscle group directly affects basic activities of daily living in the older adults. Ultrasound measurements, which are non-invasive tools, are extremely valuable for understanding the limitations of activities of daily living in the older adults.
