Mesut Akyol | Ankara Yildirim Beyazit University (original) (raw)

Papers by Mesut Akyol

Journal of Maternal-fetal & Neonatal Medicine, 2010

The aim of the present study was to evaluate the effects of phosphodiesterase type 5 (PDE5) inhib... more The aim of the present study was to evaluate the effects of phosphodiesterase type 5 (PDE5) inhibitory drugs, sildenafil and tadalafil, in ischemia/reperfusion (I/R)-induced oxidative injury in fetal rat brain. Timed pregnant adult Wistar rats were randomly assigned to the following groups (n = 6 for each group): saline + none I/R (1), saline + I/R (2), sildenafil + none I/R (3); sildenafil + I/R (4), tadalafil + none I/R (5) and tadalafil + I/R (6). Fetal ischemia was induced by clamping the utero-ovarian artery bilaterally. Fetuses were delivered and 268 fetal rats were decapitated. Malondialdehyde (MDA) levels and, superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) activities were assessed in fetal brain tissue homogenates by spectrophotometric methods. In saline + I/R group, MDA levels were increased and, SOD and GSH-Px activities were decreased significantly comparing with saline + none I/R group. Both tadalafil and sildenafil treatment decreased the MDA levels significantly in ischemia/reperfusion groups, whereas this effect was significantly more potent with tadalafil. SOD levels were significantly decreased in all groups after I/R. Tadalafil seems to be more effective than sildenafil by means of increasing GSH-Px activity significantly after I/R. Our results indicate some beneficial effects of PDE5 inhibitory drugs, especially tadalafil, on oxidative I/R injury in fetal rat brains.

Medicina clinica, Jan 2, 2015

This trial was designed to investigate the effects of the interleukin (IL)-1β, IL-1Ra, IL-2, IL-6... more This trial was designed to investigate the effects of the interleukin (IL)-1β, IL-1Ra, IL-2, IL-6, IL-10 gene polymorphisms on Behcet's disease (BD) occurrence and the association between the polymorphisms and the phenotype. The study population consisted of 71 patients and 70 age and gender-matched healthy subjects. Each of the participants had 2cc of blood withdrawn, which was placed into a whole blood tube, and the DNA was obtained using the NucleoSpin(®) Blood DNA Isolation kit. To display the band lengths, the products were amplified using the primary pairs of the interleukins investigated and developed in a 2% agarose gel. There were no significant differences between the groups with respect to the IL-1Ra, IL-1β, IL-2, IL-6 and the IL-10 gene polymorphism distributions. In the patient group the IL-1RN2 gene polymorphism was detected to be statistically correlated with the presence of articular involvement (p=0.0283) and the IL-1β gene polymorphism was statistically correla...

Internal Medicine, 2013

The aim of the present study was to evaluate the plasma vitamin D (vit D) levels and their associ... more The aim of the present study was to evaluate the plasma vitamin D (vit D) levels and their association with the disease activity in patients with ankylosing spondylitis (AS) and undifferentiated spondyloarthritis (uSpA) compared with healthy populations. This study included 161 spondyloarthritis patients (113 uSpA patients and 48 AS patients) attending our rheumatology out-patient clinic, along with 92 controls. The plasma vit D levels were 18 μg/L (8-38) in the AS group, 20 μg/L (4-92.3) in the uSpA group and 24.3 μg/L (7.2-76.8) in the control group. The plasma vit D levels of the AS patients were significantly lower than those of the patients in the control group (p=0.004). The men in the AS group had significanly lower vit D levels than those in the control group (p=0.005). On the other hand, the women in the uSpA group had significanly lower vit D levels than those in the control group (p=0.011). The vit D levels were inversely related to both erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) in the AS patients (p=0.002, R=-0.428; p&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001, R=-0.592, respectively). This correlation was not demonstrated in the uSpA patients. The vit D levels were not found to correlate with the Bath ankylosing spondylitis disease activity index (BASDAI) levels in either the AS or uSpA patients. 25-hydroxy-vit D deficiency is frequently observed in patients with SpAs. In this study, vit D deficiency was much more prominent in the male AS patients. On the other hand, among women, the uSpA patients exhibited much more prominent vit D deficiency than the control group subjects. The acute phase response may inversely affect the vit D levels in AS patients.

Stem Cell Reviews and Reports, 2015

Mesenchymal stem cells (MSCs), which may be obtained from the bone marrow, have been studied for ... more Mesenchymal stem cells (MSCs), which may be obtained from the bone marrow, have been studied for more than a decade in the setting of coronary artery disease (CAD). Adipose tissue-derived MSCs have recently come into focus and are being tested in a series of clinical trials. MSC-like cells have also been derived from a variety of sources, including umbilical cord stroma, or HUC-MSCs. The HUC-HEART trail (ClinicalTrials.gov Identifier: NCT02323477) is a phase 1/2, controlled, multicenter, randomized clinical study of the intramyocardial delivery of allogeneic HUC-MSCs in patients with chronic ischemic cardiomyopathy. A total of 79 patients (ages 30-80) with left ventricle ejection fractions ranging between 25 and 45 % will be randomized in a 2:1:1 pattern in order to receive an intramyocardial injection of either HUC-MSCs or autologous bone marrow-derived mononuclear cells (BM-MNCs) in combination with coronary arterial bypass grafting (CABG) surgery. The control group of patients will receive no cells and undergo CABG alone. Human HUC-MSCs will be isolated, propagated and banked in accordance with a cGMP protocol, whereas the autologous BM-MNCs will be isolated via aspiration from the iliac crest and subsequently process in a closed-circuit cell purification system shortly before cell transplantation. The cell injections will be implemented in 10 peri-infarct areas. Baseline and post-transplantation outcome measures will be primarily utilized to test both the safety and the efficacy of the administered cells for up to 12 months.

Int J Cardiol, 2010

similar with the literature. Frequency of IM artery was higher in our study population especially... more similar with the literature. Frequency of IM artery was higher in our study population especially the in men in compared to the literature. The incidence of coronary anomalies were higher than other studies in literature. As a result of increased number of coronary angiography, incidence of coronary anomalities is increased. Determination of coronary anomalies is also important due to coronary anomalies could lead to sudden death. Further prospective studies are required to evaluate the prognosis of coronary anomalites.

Trak Univ Tip Fak Derg, 2009

Abstract: Objective: In this study, our purpose was to assess the relationship between handedness... more Abstract: Objective: In this study, our purpose was to assess the relationship between handedness, footedness and the morphological differences of certain intracranial structures on MR images. Material and Methods: 63 healthy male and 52 healthy female individuals ...

Surgical laparoscopy, endoscopy & percutaneous techniques

This prospective randomized study compared single-incision laparoscopic cholecystectomy (SILC) an... more This prospective randomized study compared single-incision laparoscopic cholecystectomy (SILC) and laparoscopic cholecystectomy (LC) with respect to estimated blood loss, operative time, postoperative pain levels, and complications. Thirty-four study patients were divided into 2 groups: 17 patients underwent SILC and 17 underwent LC. Operative time was longer for SILC than for LC, and the difference was statistically significant (P<0.001). There was no statistically significant difference in the relationship of body mass index with operative time between SILC and LC (P=0.613, P=0.983, respectively). The 2 groups had no statistically significant differences with respect to visual analog scale scores, estimated blood loss, shoulder pain, or complications (P>0.05). SILC can be the treatment of choice for gallbladder disease. Although the surgeon's first several attempts at SILC require a longer operative time compared with LC, there are no differences in hospital length of st...

Acta chirurgica Belgica

Many factors have been described influencing survival of patients with colorectal cancer. The mos... more Many factors have been described influencing survival of patients with colorectal cancer. The most important prognostic factor is lymph node involvement. The National Comprehensive Cancer Network indicates that at least 12 lymph nodes (LN12) must be retrieved for proper staging and treatment planning. The surgeon and the pathologist influence the number of retrieved lymph nodes. We retrospectively reviewed all patients with diagnosis and subsequent surgery for colorectal cancer from January 2004 to January 2010 at Gulhane Military Medical Academy in Ankara, Turkey. We investigated the relationship between LN 12 and the independent variables of tumour size, lymph node involvement, metastasis, age, gender, surgeon, pathologist, surgical specimen length, tumour stage, and localization. Statistical analysis utilized the Shapiro-Wilk test, interquartile range, Mann-Whitney test, chi-square and chi-square likelihood ratio tests, and Kruskal-Wallis nonparametric variance analysis. In order...

Journal of B.U.ON. : official journal of the Balkan Union of Oncology

to determine the quality of sleep, to locate the reasons for sleep disturbances and to define str... more to determine the quality of sleep, to locate the reasons for sleep disturbances and to define strategies overcoming sleep disturbances of cancer patients. 175 cancer patients were included in this study. Data were collected using the Pittsburgh Sleep Quality Index (PSQI); a demographic data form and two open-ended questions on the reasons and coping strategies for sleep disturbances were filled in. the mean sleep quality score was 9.46 ± 4.669. The reasons given by patients for sleep disturbances were mostly cancer diagnosis (61.71%), adverse effects of therapy (58.85%), and financial problems (36.00%). Most patients (83.82%) used no pharmacologic strategies like lifestyle practices (64.25%), behavioral practices (21.25%), and biologic treatments (4.34%). Total PSQI scores of female patients were significantly higher compared to male patients, indicating poor sleep quality (Z=3.189; p=0.001). There was no statistically significant difference between age, education, illness duration,...

Folia morphologica, 2009

The styloid process is a bony projection, located just anterior to the stylomastoid foramen, the ... more The styloid process is a bony projection, located just anterior to the stylomastoid foramen, the normal length of which is approximately 20-25 mm. Elongation of the process may cause various clinical symptoms such as neck and cervicofacial pain, described as Eagle's syndrome. The present study aimed to determine the mean length of the styloid process on cadavers, panoramic radiographs, and dry skulls, and to investigate the incidence of the elongated styloid process, while assessing the elongation in relation to Eagle's syndrome. When the measurements from the panoramic radiographs were assessed, the mean length of the styloid processes in males and females on the right and left sides were found to be the following: 25.78 + or - 5.68 mm; 22.69 + or - 3.68 mm, 25.80 + or - 5.75 mm; and 22.75 + or - 3.65 mm, respectively. The males had greater styloid process lengths than the females, and the differences in length on both the right and left sides were statistically significant...

Asian Pacific journal of allergy and immunology / launched by the Allergy and Immunology Society of Thailand

Certain occupational groups are known to be at particularly high risk of developing allergic dise... more Certain occupational groups are known to be at particularly high risk of developing allergic diseases. The objective of the present study was to evaluate the prevalence of allergic diseases among working adolescents. The International Study of Asthma and Allergies in Childhood questionnaire was used. Four hundred and thirty six adolescents working in motor, lathe-finish, coiffure and textile and 366 high school students as control group were enrolled to the study. Mean age was 16.8 +/- 1.2 years and 82.9% of them were male. There was no significant difference among groups for ever and current wheezing while doctor diagnosed asthma was higher in lathe- finish group (p = 0.036). Family history of allergy, history of allergic rhinitis, and active smoking were found to be risk factors for asthma and related symptoms. Working in coiffure (p = 0.054), and textile (p = 0.003) were significant risk factors for ever allergic rhinitis. Working in lathe finish (p = 0.023), coiffure (p = .002),...

Urologic oncology

In this study, we aimed to investigate which basal cell marker should be used with α-methylacyl c... more In this study, we aimed to investigate which basal cell marker should be used with α-methylacyl coenzyme A racemase (AMACR) to increase diagnostic accuracy in the diagnosis of prostate carcinoma. A total of 98 cases of prostate biopsy, comprising 65 cases with prostate adenocarcinoma and 33 cases without adenocarcinoma, were included in this study. Prostate-specific antigen (PSA) serum levels before biopsies were obtained. The number of cores with malignant glands and Gleason scores for each case were determined. Paraffin sections were stained immunohistochemically with 34βE12, keratin 5/6, p63, bcl-2, and AMACR. According to staining pattern, extensiveness, and intensity of basal cell markers in benign glands, 34βE12 gave the best results. As negative markers for prostate adenocarcinoma, the best markers were p63 and 34βE12. According to the AUC values in ROC curves for both extensiveness and intensity, the arrangement from the best to the worst was 34βE12, p63, bcl-2, and keratin ...

ABSTRACT Objectives: To evaluate the push-out bond strengths of carbon and glass fiber posts adhe... more ABSTRACT Objectives: To evaluate the push-out bond strengths of carbon and glass fiber posts adhesively luted with Panavia F 2.0 and RelyX Unicem luting cements, as well as a modified application procedure using RelyX Unicem cement in combination with a single-bottle total-etch adhesive in three segments of teeth. Methods: Sixty singlerooted human maxillary central incisor and canine teeth were sectioned below the cementoenamel junction, and the roots were endodontically treated. Following standardized post space preparations, the roots were divided into 2 fiber-post groups (RelyX Fiber Post and Carbopost), and further divided into 3 subgroups of 10 specimens each for the adhesive strategies; self-etching luting cement (Panavia F 2.0; [PAN]) and self-adhesive luting cement (RelyX Unicem; [RU]). For self-adhesive luting cement, modified application procedure in combination with a single-bottle total-etch adhesive (Adper Single Bond 2; [SB]) was also tested. Bonded specimens were cut (1-mm-thick sections) and push-out tests were performed (crosshead-speed, 0.5 mm/min). The data were analyzed with multi-variate ANOVA (=0.05). Fracture modes were evaluated using a stereomicroscope at original magnification X40. The morphology of interface between different adhesive strategies from the cervical sections were analyzed with SEM. Results: In all root sections, the push-out strength values of glass fiber posts were significantly higher than that of carbon fiber posts (p<0.05). The highest bond strength values were found in the cervical third and the lowest in the apical third. Moreover, the bond strength values were higher for PAN and RU luting cements, and lower for the modified application procedure (SB+RU) in all root sections. Adhesive failure between dentin and cement were the most frequent type of failure. Conclusions: In all root segments, the glass fiber-reinforced posts provided significantly increased post retention than the carbon fiber-reinforced posts, regardless of the luting strategy used.