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    The effect of low dose ionizing radiation exposure on dynamic thiol-disulfide homeostasis and ischemia modified albumin levels: an observational study
    (Elsevier Science Inc, 2020) Arican, Sule; Dertli, Ramazan; Baktik, Suleyman; Hacibeyoglu, Gulcin; Erol, Atilla; Ulukaya, Sinan Oguzhan; Goger, Esra
    Background: The primary objective of this study was to investigate the effect of low dose ionizing radiation exposure on thiol/disulfide homeostasis and ischemia modified albumin levels. The secondary objective is to compare thiol/disulfide homeostasis and ischemia modified albumin levels among the personnel exposed to low dose ionizing radiation in anesthesia application areas, in and out of the Operation room. Methods: The study included a total of 90 volunteers aged between 18 and 65 years old, with 45 personnel working in a setting with potential for radiation exposure (Exposed Group) and 45 personnel in a setting without radiation exposure (Control Group). Their native thiol, total thiol, disulphide, albumine and IMA levels were measured. Exposed group included personnel who were exposed to radiation outside the operating room - Operation room (-) Group and inside the Operating room - Operation room (+) Group. Results: Albumin, native and total thiol levels were significantly lower in the participants exposed to radiation in the anesthesia application area, no statistically significant difference was found in terms of disulfide and ischemia modified albumin levels. In the Operation room (-) group exposed to radiation, native thiol and total thiol values were significantly lower compared to the Operation room (+) groups. Conclusion: Awareness of being in danger of oxidative stress should be established in personnel exposed to radiation in the anesthesia application area following low dose ionizing radiation exposure, and the necessary measures should be taken. (C) 2020 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.
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    A Rare Cause of Hyperkalemia: Adrenal Insufficiency Due to Bilateral Adrenal Lymphoma
    (Turk Nefroloji Diyaliz Transplantasyon Dergisi, 2019) Baloglu, Ismail; Tonbul, Halil Zeki; Turkmen, Kultigin; Selcuk, Nedim Yilmaz; Baktik, Suleyman; Oltulu, Pembe
    A 64-year-old female presented to the emergency department with complaints of fatigue, diarrhea, dizziness, and fever. Initial evaluation revealed hyperkalemia and primary adrenal insufficiency. Computed tomography of the abdomen revealed a bilateral adrenal mass. Ultrasonography-guided biopsy of the mass showed bilateral primary adrenal lymphoma, which is a rare condition, and its clinical findings differ from those other lymphomas, thereby resulting in a delay in the diagnosis and leading to adverse prognosis for the patient. Here we present a typical case of bilateral primary adrenal lymphoma presenting with hyperkalemia due to adrenal insufficiency.