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Öğe EVALUATION OF LONG TERM THIRST DUE TO RAMADAN FASTING IN TERMS OF ACUTE KIDNEY INJURY(Oxford Univ Press, 2017) Pektas, Fatih; Tonbul, H. Zeki; Baloglu, Ismail; Turkmen, Kultigin; Selcuk, N. Yilmaz; Erdur, F. Mehmet[Abstract Not Availabe]Öğe Evaluation of Long-Term Thirst due to Ramadan Fasting in Terms of Acute Kidney Injury(Aves, 2020) Baloglu, Ismail; Pektas, Fatih; Tonbul, Halil Zeki; Selcuk, Nedim Yilmaz; Turkmen, KultiginObjective: Acute kidney injury (AKI) is characterized by a rapid decline (i.e., within hours and days) of renal function. Longterm thirst due to fasting may cause a decrease in both the intravascular volume and kidney perfusion. The aim of this study was to investigate the relationship between long-term thirst due to fasting and AKI. Materials and Methods: Forty-five individuals (24 females, 21 males; mean age, 75 +/- 12 years) whose kidney function was normal and who were fasting during the month of Ramadan in 2014 participated in the study. The participants were divided into three groups: the first group was aged >60 years and using angiotensin-converting enzyme inhibitors for hypertension, the second group was aged >60 years and did not use drugs, and the third group was aged <40 years. The thirst period was 18 hours. The Acute Kidney Injury Network (AKIN) criteria were used for AKI diagnosis. Results: When all groups were evaluated according to the AKIN-urinary output criteria, the first 6-hour period was the AKI stage1, and the final 12-hour period was the AKI stage 2. There was a small (0.06 mg/dL) but significant increase in the mean serum creatinine level in all groups (p=0.001). Cases could not be evaluated in terms of the AKIN creatinine criteria because the thirst period was not 48 hours long and the increase in creatinine levels was not >0.3 mg/dL. Conclusion: The thirst due to fasting did not increase the risk of AKI in the population with a normal kidney function, and the AKIN-urinary output criteria alone were not adequate to evaluate AKI in patients who were fasting during the month of Ramadan.Öğe IMPACT OF ON-PUMP CIRCULATION ON HEMOTOLOGIC PARAMETERS OF PATIENTS WITH ACUTE KIDNEY INJURY AFTER OPEN HEART SURGERY(Oxford Univ Press, 2015) Gaipov, Abduzhappar; Solak, Yalcin; Kilicaslan, Alper; Pektas, Fatih; Ucar, Ramazan; Dossov, Mukhit; Kayrak, Mehmet[Abstract Not Availabe]Öğe IRRITABLE BOWEL SYNDROME PREVALENCE IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER(Carbone Editore, 2015) Kucuk, Adem; Biyik, Murat; Solak, Yalcin; Ucar, Ramazan; Polat, Ilker; Pektas, Fatih; Gungor, GokhanIntroduction: Patients with Familial Mediterranean Fever (FMF) and Irritable bowel syndrome (IBS) share some clinical features including abdominal pain, constipation and diarrhea. Furthermore, some patients with FMF do not have typical abdominal pain and fever attacks rather they have nonspecific symptoms. This makes the diagnosis of FMF harder and lead to a delay in starting the colchicine treatment. Both diseases lack specific diagnostic tests. We aimed to determine the prevalence of IBS in patients with established diagnosis of FMF. Materials and methods: FMF patients who had been diagnosed according to Tel-Hashomer criteria in Rheumatology clinic of a university hospital were included in the study between January 2011 and December 2011. 10 point IBS questionnaire according to Rome III criteria was used to determine the presence of IBS. Patients with recent FMF attack and abdominal pain from other reasons were excluded. Results: One-hundred and thirteen patients (67 females and 46 males) with an established diagnosis of FMF were included in the study. The mean duration of FMF was 6.4 +/- 6.7 years. IBS prevalence based on Roma III criteria was 40.7% (n=46). IBS prevalence was 30.4% (n=14) in male patients and 47.8 % (n=32) in female patients (p=0.06). In female patients IBS subtypes were as follows; IBS mixed type (IBS-M) 37% (n=12), IBS diarrhea predominant (IBS-D) 22% (n=7), IBS unsubtyped (MS-U) 22% (n=7), and IBS constipation predominant (IBS-C) 19% (n=6), whereas in male patients, IBS-M 57% (n=8), IBS-C 29% (n=4), IBS-D 7% (n=1) and IBS-U 7% (n=1). The most common subtype of IBS was IBS-M in both sexes. Conclusion: IBS is frequent in FMF patients when Rome HI criteria are used for diagnosis. The question to be answered is whether increased frequency or merely the failure of Rome III criteria to differentiate IBS in such patient groups with abdominal discomfort.
