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Öğe A Rare Vascular Complication After Treatment In A Covid-19 Patient: Renal Artery Thrombus(2022) Sağlık, Semih; Nas, Necip; Öztürk, MehmetAlthough respiratory symptoms are dominant in COVID-19 (coronavirus disease-2019) infection, extrapulmonary systemic findings may be seen in the extremely sick group. Studies are showing that patients have a high incidence of arterial and venous thrombotic complications in COVID-19. Acute renal artery thrombosis represents a rarer type of arterial thromboembolism, even among the thrombotic complications of COVID-19 disease. Such complications appear especially during the active phase of the infection. In this article, a rare case of renal artery thrombus in a discharged patient after treatment for COVID-19 pneumonia despite prophylactic antithrombotic treatment is offered.Öğe Evaluation of the Atherogenic Effect of Covid-19 Pneumonia on Coronary and Carotid Arteries in Patients who Recovered from the Disease(Bentham Science Publ Ltd, 2024) Saglik, Semih; Nas, NecipBackground Acute inflammation induced by COVID-19 may lead to atherosclerotic plaque development or complicate existing plaque. In this study, we aimed to determine the atherogenic effect of COVID-19 pneumonia, confirmed by thoracic computed tomography, on coronary and carotid arteries in patients who recovered from the disease. Methods Our study included patients who were diagnosed with COVID-19 in our hospital at least 1 year ago, recovered, and then underwent coronary CT angiography with suspected coronary artery disease. The aim was to evaluate the burden of atherosclerotic plaque in the coronary arteries of these patients who underwent coronary CT angiography. Results Patients were assigned to 3 groups according to the results of the CT scan. Group 1 included patients in the control group with no history of COVID-19 (n=36), group 2 included those with mild to moderate pneumonia symptoms (n=43), and group 3 included those with severe pneumonia symptoms (n=29). The calcium scores were 23.25 &+/- 36.8 in group 1, 27.65 +/- 33.4 in group 2, and 53.58 +/- 55.1 in group 3. The calcium score was found to be significantly higher in group 3 patients with severe pneumonia (group 1-2 p=0.885, group 1-3 p<0.05, group 2-3 p<0.05). Conclusion Although there is no conclusive evidence of a relationship between COVID-19 and atherosclerosis, our study suggests a possible relationship between them. Since this relationship was found especially in cases with severe disease in our study, we believe that the treatment should focus on preventing excessive inflammatory response, and such patients should be under control in terms of coronary artery disease.Öğe Is poor oral health a risk factor for idiopathic granulomatous mastitis?(Assoc Basic Medical Sci Federation Bosnia & Herzegovina Sarajevo, 2024) Saglik, Semih; Ay, Enver; Olgac, Silan Bilek; Nas, Necip; Altunisik, BilalIdiopathic granulomatous mastitis (IGM) is a rare inflammatory breast disease that can be clinically and radiologically mistaken for carcinoma. Although its etiology remains uncertain, potential associations with pregnancy, lactation, hormonal imbalances, autoimmunity, smoking, and various microorganisms have been suggested. This study aimed to evaluate the relationship between IGM and oral health. We included 42 female patients diagnosed with IGM based on histopathological evaluations conducted between September 2018 and October 2023. The reference group consisted of 47 female patients with clinically, radiologically, and laboratory-proven nonspecific mastitis and 36 healthy female individuals. The oral health of all participants was evaluated by an experienced dentist using the Decayed, Missing and Filled Teeth (DMFT) index and the Simplified Oral Hygiene Index (OHI-S). The ages of IGM patients included in this study ranged from 29 to 51 years, with a mean age of 34.88 +/- 4.87 years. The most common clinical findings were pain (n n = 38), palpable breast mass, erythema, induration, and dermal sinus. Comparison of the OHI-S and DMFT index values among participants revealed that those diagnosed with IGM had significantly higher values than those in the reference group (P P < 0.05). Our findings suggest a potential involvement of poor oral health in the etiology of IGM. Future studies should consider oral health as a factor in IGM etiology and explore the oral microbiota (OMB) in samples obtained from the affected tissue.Öğe The relationship between oral and dental health and appendicitis(2023) Sağlık, Semih; Ay, Enver; Bakır, Veysel; Nas, NecipAims: In this study, we aimed to evaluate the relationship between the scores of the “Simplified Oral Hygiene Index” (OHI-S) indicating poor oral hygiene and the “Decayed, Missing and Filled Teeth” (DMFT) index indicating oral health impairment, and acute appendicitis (AA). Methods: Eighty four patients who were operated on with the diagnosis of acute appendicitis between April 2022 and May 2023 were included. The control group included 32 individuals without a history of appendectomy. In our study, oral health was evaluated using the DMFT and OHI-S indices. The DMFT index is one of the indices quantifying dental health status based on the number of cavities. OHI-S is an index used to evaluate oral hygiene. Results: The OHI-S index scores of the patients with AA were significantly higher than those of the control group (3.53±1.43, 2.56±1.24, p<0.05, respectively). DMFT index scores of the patients with AA were significantly higher than the DMFT scores of the control group (12.09±5.51, 8.4±4.73, p<0.05, respectively). Among all individuals who participated in the study, OHI-S and DMFT index values of those who never or occasionally brushed their teeth were significantly higher than those who brushed their teeth at least once a day (p<0.05). Conclusion: In this study, the OHI-S index scores indicating poor oral hygiene, and the DMFT index scores indicating poor oral health status were found to be higher in patients operated for AA; It suggests that poor oral health may increase the risk of appendicitis.