Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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2016 - 20172

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    Association between Hypoxia Parameters with White Matter Hyperintensity and Silent Cerebral Infarcts on Brain Magnetic Resonance Images in Patients with Obstructive Sleep Apnea
    (2016) Avci, Aynur Yilmaz; Avci, Suat; Lakadamyali, Huseyin; Lakadamyali, Hatice; Can, Ufuk; 0000-0003-2155-8014; 0000-0001-9004-9382; 0000-0001-8689-417X; O-3636-2018; F-6770-2019; AAJ-2999-2021
    Objective: This study evaluated the association between hypoxia parameters with white matter hyperintensity (WMH) and silent cerebral infarcts (SCI) on brain magnetic resonance (MR) images of patients with obstructive sleep apnea (OSA). Methods: In this retrospective study, the study group was composed of 453 patients who were evaluated by overnight polysomnography (PSG). Data on hypoxia parameters, such as total sleep duration with oxygen saturation < 90% (ST90), percentage of cumulative time with oxygen saturation < 90% (CT90), and the lowest oxygen saturation (min SaO(2)), were obtained from PSG. The presence of WMH and SCI was evaluated in all participants using brain MR images. Results: Hypoxia parameters, such as ST90, CT90, and min SaO(2), were significantly associated with WMH (P < 0.001). The multiple regression analysis showed that CT90 was independently associated with SCI (P = 0.038). In addition, when participants were divided into two groups according to CT90 < 10% and CT90 = 10%, age (P = 0.002), sex (P = 0.015), body mass index, Apnea-Hypopnea Index score, Epworth Sleepiness Scale score, and the presence of WMH, hypertension, and diabetes mellitus were significantly higher in the CT90 = 10% group compared with the CT90 < 10% group (P < 0.001 for all parameters). CT90 = 10% increased the risk of WMH 2.34-fold (95% confidence interval, 1.44-3.85; P = 0.006). Conclusion: The severity of nocturnal intermittent hypoxia may contribute to the pathogenesis of WMH and SCI in patients with OSA.
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    Does Ginkgo biloba Protect Developing Testes from Chronic Hypobaric Hypoxia?
    (2017) Gul, Elif Ensari; Kaplanoglu, Gulnur Take; Helvacioglu, Fatma; Kaplanoglu, Iskender; Seymen, Cemile Merve; 0000-0002-6026-0045; 0000-0002-8945-3801; AAH-8887-2021; AAS-5415-2021
    OBJECTIVE: To evaluate the potential protective effects of Ginkgo biloba on developing testes exposed to chronic hypobaric hypoxia during their prenatal life. STUDY DESIGN: Twelve pregnant Wistar albino rats on the fifth gestational day were placed in hypoxic chambers for the upcoming 15 days. Six pregnant female rats were kept under normal atmospheric conditions during the pregnancy as a control group. The study groups were as follows: Control, Hypoxia, and Hypoxia + Ginkgo biloba. Ginkgo biloba was administered for each designated postnatal sacrifice day. For the Hypoxia + Ginkgo biloba group, after birth, 100 mg/kg of Ginkgo biloba extract was administrated orally to the newborn male rats. Testes tissues were sampled on postnatal days 7, 14, and 21 from each group, and PCNA, TUNEL, and TEM examinations were performed. RESULTS: PCNA immunoreactivity was decreased and TUNEL positive cell number was increased in the hypoxic group. TEM examination revealed degenerative changes in hypoxic group testes tissue. Hypoxia changed the cell cycle in spermatogenic series by reducing proliferation and increasing apoptosis. Spermatogenic cell degeneration and high Leydig cell activity were determined in the hypoxia group by TEM examinations. CONCLUSION: We believe that Ginkgo biloba has protective effects on testes tissue, especially in long-term use.