Association between the Gensini Score and Carotid Artery Stenosis

Anil Avci,Serdar Fidan,Mehmet Mustafa Tabakçı,Cuneyt Toprak,Elnur Alizade,Emrah Acar,Emrah Bayam,Muhammet Tellice,Abdurrahman Naser,Ramazan Kargın 대한심장학회 2016 Korean Circulation Journal Vol.46 No.5

Background and Objectives: The aim of this study was to evaluate the association between the extent of coronary artery disease assessed by the Gensini score and/or the SYNTAX score and the significant carotid stenosis in patients undergoing coronary artery bypass grafting (CABG). Subjects and Methods: A total of 225 patients who had carotid doppler ultrasonography prior to CABG were included retrospectively. Significant coronary artery disease was assumed as a lumen diameter stenosis of ≥50% in any of the major epicardial coronary arteries. The severity of carotid stenosis was determined by B-mode and duplex ultrasonography. Clinically significant carotid stenosis was defined as peak systolic velocity greater than 125 cm/s. Results: The mean value of SYNTAX score and Gensini score was highest in patients allocated to significant carotid stenosis (22.98±7.32, p<0.001 and 77.40±32.35, p<0.001, respectively). The other risk factors for significant carotid stenosis were found to be male gender (p=0.029), carotid bruit (p<0.001), diabetes (p=0.021), left main disease (p=0.002), 3-vessel disease (p=0.008), chronic total coronary occlusion (p=0.001), and coronary artery calcification (p=0.001) in univariate analysis. However, only the Gensini score (odds ratio[OR]=1.030, p=0.004), carotid bruit (OR=0.068, p<0.001), and male gender (OR=0.190, p=0.003) were the independent predictors. The Gensini score cut off value predicting significant carotid stenosis was 50.5 with 77% sensitivity (p<0.001). Conclusion: The Gensini score may be used to identify patients at high risk for significant carotid stenosis prior to CABG.

Clinical Features and Etiology of Adult Patients with Fever and Rash

( Fehmi Tabak ),( Aysan Murtezaoglu ),( Omur Tabak ),( Resat Ozaras ),( Bilgul Mete ),( Zekayi Kutlubay ),( Ali Mert ),( Recep Ozturk ) 대한피부과학회 2012 Annals of Dermatology Vol.24 No.4

Background: Patients with fever and rash often pose an urgent diagnostic and therapeutic dilemma for the clinician. The nonspecificity of many fever and rash syndromes mandates a systemic approach to diagnosis. Objective: We aimed to determine the etiology of fever and rash in 100 adult patients followed-up as in- or outpatients prospectively. Methods: All the patients, who presented with rash and fever, were followed-up prospectively and their clinical and laboratory studies were evaluated. Results: The median age was 35 years (14∼79 years); 45 were female and 55 were male. Patients were divided into 3 groups according to the etiology: infectious (50%), noninfectious (40%) and undiagnosed (10%). The most common type of rash was maculopapular, and the most common 5 causes were measles, cutaneous drug reactions, varicella, adult-onset Still`s disease (ASD) and rickettsial disease. Viral diseases among infectious causes and cutaneous drug reactions, among the noninfectious causes, were determined as the main diseases. The mortality rate was 5% and the reasons of mortality were as follows: toxic epidermal necrolysis (2 patients), ASD (1), staphylococcal toxic shock syndrome (1) and graft-versus-host disease (1). Conclusion: Adult patients with fever and rash had a wide differential diagnosis. The most common type of rash was determined as maculopapular, and the most frequent five diseases were measles, drug reactions, chickenpox, ASD and rickettsial infection. Viral diseases among infectious causes and drug reactions among noninfectious causes were determined as the leading etiologies. (Ann Dermatol 24(4) 420∼425, 2012)

Fragmented local normative orders, unresolved localizations, and the contesting of gender equality norms in Turkey

Hüsrev Tabak,Seven Erdoğan,Muharrem Doğan 이화여자대학교 한국여성연구원 2022 Asian Journal of Women's Studies(AJWS) Vol.28 No.2

This paper examines the localization process of the global gender equality norm in Turkey and argues that the normative contestations on this concern, among rival political blocs and activist groups, have not allowed any resolution. Accordingly, the global gender equality norm has undergone state-led secular localization as of the 1990s. In the post-2010 context under AKP rule, however, this process was disrupted by the proponents of the alternative conservative local norm of gender justice, who sought to replace the already localized norm of gender equality. Our study examines the contestations and rivalries regarding gender equality in the country with an emphasis on normative strategies utilised by the secular and conservative political blocs. Based on face-to-face interviews conducted with representatives of the main trade unions in the country, we also did a minor case study of the ongoing contestations regarding the adoption of gender equality norms, as manifested in trade union activism.

An International Comparison of Banking Sectors: A DEA Approach

( Cesar V. Oliveira ),( Benjamin M. Tabak ) 연세대학교 동서문제연구원 2005 Global economic review Vol.34 No.3

Formulating Reduced-fat Sausages with Quinoa or Teff Flours: Effects on Emulsion Characteristics and Product Quality

Burcu Ö,ztü,rk-Kerimoğ,lu,Hü,lya Serpil Kavuş,an,Damla Tabak,Meltem Serdaroğ,lu 한국축산식품학회 2020 한국축산식품학회지 Vol.40 No.5

This study dealt with the use of quinoa flour (QF) or teff flour (TF) as partial beef fat replacers in the formulation of emulsion-type sausages. A control (C) group was manufactured with 20% beef fat, while the other three groups were formulated with 10% beef fat plus 5% QF (Q), 5% TF (T), and 2.5% QF+2.5% TF (QT). Water-holding capacity of the emulsions was higher in Q (81.81%), T (82.20%), and QT (84.10%) samples than in C (64.83%) samples. Total expressible fluid and expressible fat were the lowest in Q and T samples, indicating the highest emulsion stability of those groups. Incorporation of QF and TF into formulations increased moisture and carbohydrate contents while decreased fat and energy values. Besides, the use of QF was effective to increase protein and dietary fiber contents. T sausages had lower luminosity (L*) and higher yellowness (b*) than C sausages, whilst Q sausages did not result in significant color changes. Higher cook yield values were recorded in Q (97.96%), T (98.21%), and QT (98.15%) samples compared with C (96.44%) samples. Inclusion of QF and TF to formulation led to lower hardness and gumminess, while utilization of TF was also effective to decrease chewiness. Consequently, healthier emulsified sausages were obtained by the inclusion of QF or TF that could decrease the fat content more than 50% without sacrificing overall quality, bringing advantages by quinoa over teff for increasing nutritional value and leading minimal modifications on color and texture.

A Case of Intracranial Hypotension after Horse Riding

Sibel Karsidag,Nilgun Cinar,Sevki Sahin,Miruna Florentina Ates,Necati Alp Tabak 대한신경과학회 2019 Journal of Clinical Neurology Vol.15 No.1

Association of Secondary Amyloidosis with Common Variable Immune Deficiency and Tuberculosis

Aykut Ferhat Celik,Mehmet Riza Altiparmak,Gulsum Emel Pamuk,Omer Nuri Pamuk,Fehmi Tabak 연세대학교의과대학 2005 Yonsei medical journal Vol.46 No.6

This paper describes the first case of common variable immunodeficiency (CVID) and AA amyloidosis. A recently treated tuberculosis, and chronic inflammation induced by frequent respiratory tract infections, were thought to be responsible for the amyloidosis. No other reason for this condition could be detected. Although T cell dysfunction in some CVID patients has been reported, pulmonary tuberculosis is quite rare with this condition. Bacterial or viral agents or evidence in favour of intestinal tuberculosis, which would explain this patient's recurrent diarrhea, were not found. In this case, the response of the attacks of diarrhea to metranidazole and the histologic observation of extensive intestinal amyloid deposition, which is known to decrease intestinal motility, made us conclude that the diarrhea was associated with bacterial overgrowth. In this report, we discuss the association of CVID and tuberculosis to secondary amyloidosis and recurrent diarrhea.