Thyroid Functions and Autoantibodies in Vitiligo Patients in Istanbul Medeniyet University Göztepe Education and Research Hospital

Amaç Vitiligo melanositlerin yıkımı ile seyreden depigmentasyon ile karakterize yaygın bir deri hastalığıdır. Etyopatogenezi tam olarak bilinmemekle beraber otoimmün hipotez üzerinde durulmaktadır. Vitiligo olgularında, kontrol grubuna göre otoimmün tiroid hastalıkları ve tiroid otoantikorlarının prevalansının yüksek olduğu bilinmektedir. Çalışmamızda, İstanbul Medeniyet Üniversitesi (İMÜ) Göztepe Eğitim ve Araştırma Hastanesine başvuran vitiligo hastaları ve sağlıklı bireylerde otoimmün tiroid hastalıklarının prevalansı ile tiroid fonksiyon testleri, anti-tiroid peroksidaz (anti-TPO), anti-tiroglobulin (anti-TG) ve vitamin B12 düzeylerinin karşılaştırılması amaçlanmıştır. Materyal ve Metot Çalışmamıza İMÜ Göztepe Eğitim ve Araştırma Hastanesi dermatoloji polikliniğine 2013 Ocak-2014 Ocak tarihleri arasında başvuran 298 (170 kadın ve 128 erkek) vitiligolu hasta ve kontrol grubu olarak 40 (24 kadın ve 16 erkek) sağlıklı kişi dahil edildi. Serum serbest T3 (sT3), serbest T4 (sT4), tiroid stimülan hormon (TSH), anti-TPO, anti-TG ve vitamin B12 düzeyleri otoanalizör kullanılarak ölçüldü. Bulgular Çalışmamızda hasta grubunun %13’ünde ve kontrol grubunun %5.1’inde tiroid fonksiyon testlerinde bozukluk ve/veya çeşitli tiroid patolojileri tespit edildi. Kontrol grubu ile karşılaştırıldığında vitiligolu hastalarda ortalama plazma antiTG ve anti-TPO düzeyleri anlamlı yüksek bulundu (sırasıyla p<0,001, p<0,001), anti-TG ve anti-TPO pozitifliği yüzdesi açısından istatistiksel olarak anlamlı farklılık (sırasıyla p<0,01, p<0,001) saptandı. Anti-TPO, hastaların %23,7’sinde, anti-TG hastaların %15,1’inde yüksek bulundu. Vitiligo hastaları kontrol grubuyla kıyaslandığında serum vitamin B12 düzeylerinin düşük olduğu (p<0,01) saptandı. Sonuç Çalışmamıza göre, otoimmün tiroid hastalıklarının kısmi olarak duyarlı ve özgün belirteci olan anti-TPO ve anti-TG düzeylerinin vitiligolu hastalarda anlamlı olarak arttığı ve vitamin B12 düzeyinin düştüğü gözlendi. Vitiligo hastalarının tiroid bezi hastalıkları ve vitamin B12 eksikliği yönünden periyodik olarak takip edilmesi yararlı olacaktır.Aim Vitiligo is an acquired depigmentation disorder occurs with destruction of melanocytes, a common skin disease. Although many theories have been suggested for its pathogenesis, the role of autoimmunity is the most popular one. Our objective was to compare the prevalance of thyroid disorder, thyroid function tests and anti-thyroid peroxidase (anti-TPO), anti-thyroglobulin (antiTG), vitamin B12 levels in vitiligo patients with healty subjects in Istanbul Medeniyet Uniersity (IMU) Göztepe Education And Research Hospital. Material and Methods A retrospective review of vitiligo patients admitted to the IMU Göztepe Education And Research Hospital dermatology outpatient clinic was conducted from january 1, 2013 to january 1, 2014. 298 cases of vitiligo (170 female and 128 male) and 40 control subjects (24 female and 16 male) were enrolled in this study. FT3, fT4, TSH, anti-TG and anti-TPO levels were measured by hormone analyzer. Results We detected various thyroid pathology and /or abnormal throid fuction tests 13% in patients group and 5.1% control group. Plasma level of anti-TG, antiTPO( p<0,001, p<0,001 respectively) and Percent pozitivity of anti-TG and anti-TPO (p<0,01, p<0,001 respectively) were significantly higher in patients with vitiligo compared with healthy control. Anti-TPO was increased 23.7% anti-TG was increased 15,1% in patients group. Plasma level of vitamin B12 (p<0.01) were significantly lower in patients with vitiligo compared with healthy control. Conclusion According to our study, anti-TPO and anti-TG levels were shown to be significantly increased in vitiligo patients and vitamin B12 levels were shown to be decreased. We recommend periodical follow-up of vitiligo patients in terms of thyroid gland diseases

Thyroid Functions and Autoantibodies in Vitiligo Patients in Istanbul Medeniyet University Göztepe Education and Research Hospital

AimVitiligo is an acquired depigmentation disorder occurs with destruction of melanocytes, a common skin disease. Although many theories have been suggested for its pathogenesis, the role of autoimmunity is the most popular one. Our objective was to compare the prevalance of thyroid disorder, thyroid function tests and anti-thyroid peroxidase (anti-TPO), anti-thyroglobulin (anti-TG), vitamin B12 levels in vitiligo patients with healty subjects in Istanbul Medeniyet Uniersity (IMU) Göztepe Education And Research Hospital.Material and MethodsA retrospective review of vitiligo patients admitted to the IMU Göztepe Education And Research Hospital dermatology outpatient clinic was conducted from january 1, 2013 to january 1, 2014. 298 cases of vitiligo (170 female and 128 male) and 40 control subjects (24 female and 16 male) were enrolled in this study. FT3, fT4, TSH, anti-TG and anti-TPO levels were measured by hormone analyzer.ResultsWe detected various thyroid pathology and /or abnormal throid fuction tests 13% in patients group and 5.1% control group. Plasma level of anti-TG, anti-TPO( p<0,001, p<0,001 respectively) and Percent pozitivity of anti-TG and anti-TPO (p<0,01, p<0,001 respectively) were significantly higher in patients with vitiligo compared with healthy control. Anti-TPO was increased 23.7% anti-TG was increased 15,1% in patients group. Plasma level of vitamin B12 (p<0.01) were significantly lower in patients with vitiligo compared with healthy control.ConclusionAccording to our study, anti-TPO and anti-TG levels were shown to be significantly increased in vitiligo patients and vitamin B12 levels were shown to be decreased. We recommend periodical follow-up of vitiligo patients in terms of thyroid gland diseases

Impact of varicocele repair on semen parameters in infertile men: A systematic review and meta-analysis

Purpose: Despite the significant role of varicocele in the pathogenesis of male infertility, the impact of varicocele repair (VR) on conventional semen parameters remains controversial. Only a few systematic reviews and meta-analyses (SRMAs) have evaluated the impact of VR on sperm concentration, total motility, and progressive motility, mostly using a before-after analytic approach. No SRMA to date has evaluated the change in conventional semen parameters after VR compared to untreated controls. This study aimed to evaluate the effect of VR on conventional semen parameters in infertile patients with clinical varicocele compared to untreated controls. Materials and Methods: A literature search was performed using Scopus, PubMed, Embase, and Cochrane databases following the Population Intervention Comparison Outcome (PICOS) model (Population: infertile patients with clinical varicocele; Intervention: VR [any technique]; Comparison: infertile patients with clinical varicocele that were untreated; Outcome: sperm concentration, sperm total count, progressive sperm motility, total sperm motility, sperm morphology, and semen volume; Study type: randomized controlled trials and observational studies). Results: A total of 1,632 abstracts were initially assessed for eligibility. Sixteen studies were finally included with a total of 2,420 infertile men with clinical varicocele (1,424 patients treated with VR vs. 996 untreated controls). The analysis showed significantly improved post-operative semen parameters in patients compared to controls with regards to sperm concentration (standardized mean difference [SMD] 1.739; 95% CI 1.129 to 2.349; p<0.001; I2=97.6%), total sperm count (SMD 1.894; 95% CI 0.566 to 3.222; p<0.05; I2=97.8%), progressive sperm motility (SMD 3.301; 95% CI 2.164 to 4.437; p<0.01; I2=98.5%), total sperm motility (SMD 0.887; 95% CI 0.036 to 1.738; p=0.04; I2=97.3%) and normal sperm morphology (SMD 1.673; 95% CI 0.876 to 2.470; p<0.05; I2=98.5%). All the outcomes showed a high inter-study heterogeneity, but the sensitivity analysis showed that no study was sensitive enough to change these results. Publication bias was present only in the analysis of the sperm concentration and progressive motility. No significant difference was found for the semen volume (SMD 0.313; 95% CI -0.242 to 0.868; I2=89.7%). Conclusions: This study provides a high level of evidence in favor of a positive effect of VR to improve conventional semen parameters in infertile men with clinical varicocele. To the best of our knowledge, this is the first SRMA to compare changes in conventional semen parameters after VR with changes in parameters of a control group over the same period. This is in contrast to other SRMAs which have compared semen parameters before and after VR, without reference to a control group. Our findings strengthen the available evidence and have a potential to upgrade professional societies’ practice recommendations favoring VR to improve conventional semen parameters in infertile men

Impact of varicocele repair on semen parameters in infertile men: a systematic review and meta-analysis

Purpose: Despite the significant role of varicocele in the pathogenesis of male infertility, the impact of varicocele repair (VR) on conventional semen parameters remains controversial. Only a few systematic reviews and meta-analyses (SRMAs) have evaluated the impact of VR on sperm concentration, total motility, and progressive motility, mostly using a before-after analytic approach. No SRMA to date has evaluated the change in conventional semen parameters after VR compared to untreated controls. This study aimed to evaluate the effect of VR on conventional semen parameters in infertile patients with clinical varicocele compared to untreated controls. Materials and Methods: A literature search was performed using Scopus, PubMed, Embase, and Cochrane databases following the Population Intervention Comparison Outcome (PICOS) model (Population: infertile patients with clinical varicocele; Intervention: VR [any technique]; Comparison: infertile patients with clinical varicocele that were untreated; Outcome: sperm concentration, sperm total count, progressive sperm motility, total sperm motility, sperm morphology, and semen volume; Study type: randomized controlled trials and observational studies). Results: A total of 1,632 abstracts were initially assessed for eligibility. Sixteen studies were finally included with a total of 2,420 infertile men with clinical varicocele (1,424 patients treated with VR vs. 996 untreated controls). The analysis showed significantly improved post-operative semen parameters in patients compared to controls with regards to sperm concentration (standardized mean difference [SMD] 1.739; 95% CI 1.129 to 2.349; p<0.001; I2 =97.6%), total sperm count (SMD 1.894; 95% CI 0.566 to 3.222; p<0.05; I2 =97.8%), progressive sperm motility (SMD 3.301; 95% CI 2.164 to 4.437; p<0.01; I 2 =98.5%), total sperm motility (SMD 0.887; 95% CI 0.036 to 1.738; p=0.04; I2 =97.3%) and normal sperm morphology (SMD 1.673; 95% CI 0.876 to 2.470; p<0.05; I2 =98.5%). All the outcomes showed a high inter-study heterogeneity, but the sensitivity analysis showed that no study was sensitive enough to change these results. Publication bias was present only in the analysis of the sperm concentration and progressive motility. No significant difference was found for the semen volume (SMD 0.313; 95% CI -0.242 to 0.868; I2 =89.7%). Conclusions: This study provides a high level of evidence in favor of a positive effect of VR to improve conventional semen parameters in infertile men with clinical varicocele. To the best of our knowledge, this is the first SRMA to compare changes in conventional semen parameters after VR with changes in parameters of a control group over the same period. This is in contrast to other SRMAs which have compared semen parameters before and after VR, without reference to a control group. Our findings strengthen the available evidence and have a potential to upgrade professional societies’ practice recommendations favoring VR to improve conventional semen parameters in infertile men

Impact of Varicocele Repair on Semen Parameters in Infertile Men: A Systematic Review and Meta-Analysis

Purpose:Despite the significant role of varicocele in the pathogenesis of male infertility, the impact of varicocele repair (VR) on conventional semen parameters remains controversial. Only a few systematic reviews and meta-analyses (SRMAs) have evaluated the impact of VR on sperm concentration, total motility, and progressive motility, mostly using a before-after analytic approach. No SRMA to date has evaluated the change in conventional semen parameters after VR compared to untreated controls. This study aimed to evaluate the effect of VR on conventional semen parameters in infertile patients with clinical varicocele compared to untreated controls.Materials and Methods:A literature search was performed using Scopus, PubMed, Embase, and Cochrane databases following the Population Intervention Comparison Outcome (PICOS) model (Population: infertile patients with clinical varicocele; Intervention: VR [any technique]; Comparison: infertile patients with clinical varicocele that were untreated; Outcome: sperm concentration, sperm total count, progressive sperm motility, total sperm motility, sperm morphology, and semen volume; Study type: randomized controlled trials and observational studies).Results:A total of 1,632 abstracts were initially assessed for eligibility. Sixteen studies were finally included with a total of 2,420 infertile men with clinical varicocele (1,424 patients treated with VR vs. 996 untreated controls). The analysis showed significantly improved post-operative semen parameters in patients compared to controls with regards to sperm concentration (standardized mean difference [SMD] 1.739; 95% CI 1.129 to 2.349; pConclusions:This study provides a high level of evidence in favor of a positive effect of VR to improve conventional semen parameters in infertile men with clinical varicocele. To the best of our knowledge, this is the first SRMA to compare changes in conventional semen parameters after VR with changes in parameters of a control group over the same period. This is in contrast to other SRMAs which have compared semen parameters before and after VR, without reference to a control group. Our findings strengthen the available evidence and have a potential to upgrade professional societies' practice recommendations favoring VR to improve conventional semen parameters in infertile men.</p

Narendra Modi Dönemi Hindistan Dış Politikasının Dönüşümü

This study focuses on the aims of the Baharatiya Janata Party (BJP) government, which came to power under the leadership of Narendra Modi in 2014, regarding India's foreign policy, its policies that are different from the previous governments, and the results of these policies. The administration led by Narendra Modi aims to ensure that India is recognized as an important power in the region through breakthroughs such as the Move East, Neighborhood First policy; In order to realize the multipolar world order, it has determined as India's foreign policy priority to maintain win-win relations with the states that are forceful in the protection of India's international and regional interests within the framework of the concept of strategic autonomy and to emphasize soft power elements. In this study, the impact of the discourse and policies in which diplomacy is used as an effective tool, unlike previous governments, on India's close circle and the international system is evaluated.Bu çalışma, 2014 yılında Narendra Modi liderliğinde iktidara gelen Baharatiya Janata Parti (BJP) hükümetinin Hindistan'ın dış politikasına ilişkin amaçları, önceki hükümetlerden farklı olan politikaları ve bu politikaların sonuçlarına odaklanmaktadır. Narendra Modi liderliğindeki yönetim, Doğu’ya Hareket Et, Önce Komşuluk politikası gibi atılımlarla Hindistan’ın bölgede önemli bir güç olarak tanınmasını sağlamayı; çok kutuplu dünya düzenini gerçekleştirmek amacıyla stratejik özerklik kavramı çerçevesinde Hindistan’ın uluslararası ve bölgesel çıkarlarının korunmasında güçlü devletlerle karşılıklı iş birliğine dayalı ilişkiler sürdürmeyi ve yumuşak güç unsurlarına vurgu yapmayı Hindistan’ın dış politika önceliği olarak belirlemiştir. Çalışmada diplomasinin etkin bir araç olarak kullanıldığı söylem ve politikaların önceki hükümetlerden farklı olarak Hindistan yakın çevresine ve uluslararası sisteme etkisi değerlendirilmektedir

EFFECTS OF GENOTYPIC VARIATION AND SOME NEW PROTOCOLS ON GYNOGENESIS EFFICIENCY OF CUCUMBER

In this study, gynogenesis capacity of different Cucumber germplasm, including some commercial varieties, was evaluated and optimized. Unfertilized female flowers of 23 hybrid cucumber genotypes were used as explant source after the two or three weeks of emergence. For each genotype, 30 Petri dishes were prepared with five explants per dish. The study was planned in three stages. In the first stage, the ovarian culture efficiency was tried to be determined by using three ovarian culture protocols which were used in previous studies and obtained successful results. The highest result of embryo unit for per Petri and callus unit for per Petri were obtained from protocol-1 (MS + 1 mg L-1 TDZ + 1 mg L-1 IBA) according to the average of all genotypes at this stage (1.57 units / Petri). In the second stage of the study, the best protocol selected from the first stage, and two new protocols (P-4 and P-5) created with modifications were tested. At the end of this stage, the best protocol selected from the first stage (P-1) and the P-4 (MS + NAA 1.5 mg L-1 + BAP 1.8 mg L-1 + 2,4D 0.7 mg L-1 + Kinetin 1.0 mg L-1) yielded the highest embryo results. In the last stage of the study, two new protocols were tried, but none of them were as good as the previously tried protocols. The results showed that the interaction between genotype x media components was found to be statistically significant at all stages

Comperative outcomes of the patients undergoing percutaneous and open trigger finger release

The aim of this study was to compare patients who underwent open or percutaneous trigger finger release in terms of clinical outcomes, time to return to activities, and recurrence. The records of patients who underwent percutaneous and open trigger finger release between 2012 and 2018 at two different hospitals in the same city were retrospectively reviewed. The patients were divided into two groups: 33 patients who underwent percutaneous trigger finger release (Group PR) and 48 patients who underwent open release of A1 pulley (Group OR). The clinical classification of cases was done according to the Quinnell classification. The functional outcomes of the patients were evaluated according to the Quick DASH scale. The mean age of the patients was 55.95 ± 11.73 (2782) years; 71.6% (n = 58) were female. The left side was involved in 56.8% (n = 46) patients, and 81 patients underwent percutaneous or open trigger finger release with a mean follow-up duration of 37.40 ± 16.22 (1272) months. The time to start daily activities was shorter in Group PR than in Group OR, and the difference was statistically significant (p &lt; 0.001). A comparison of the upper extremity functional scores between the two groups revealed no statistically significant difference (PR; 15.21 ± 6.17, PO; 12.99 ± 6.89, p = 0.142). Although the rate of complications was higher in Group OR, there was no statistically significant difference between the two groups (PR; 12.12%, PO: 20.83%, p = 0.217). Percutaneous trigger finger release can be preferred in adult trigger finger surgery due to increased risks regarding wound healing and infections associated with advanced age, presence of diabetes and inflammatory arthritis, and the expectation of rapid return to daily activities. [Med-Science 2020; 9(4.000): 950-3