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  1. Article ; Online: The effects of allium sativum on immunity within the scope of COVID-19 infection.

    Donma, Mustafa Metin / Donma, Orkide

    Medical hypotheses

    2020  Volume 144, Page(s) 109934

    Abstract: The severity of coronavirus disease 2019 (COVID-19) infection is quite variable and the manifestations varies from asymptomatic disease to severe acute respiratory infection. Fever, dry cough, dyspnea, myalgia, fatigue, loss of appetite, olfactory and ... ...

    Abstract The severity of coronavirus disease 2019 (COVID-19) infection is quite variable and the manifestations varies from asymptomatic disease to severe acute respiratory infection. Fever, dry cough, dyspnea, myalgia, fatigue, loss of appetite, olfactory and gustatory dysfunctions are the most prevalent general symptoms. Decreased immune system cells such as suppressed regulatory T cells, cytotoxic and helper T cells, natural killer cells, monocytes/macrophages and increased proinflammatory cytokines are the characteristic features. Compounds derived from Allium sativum (garlic) have the potential to decrease the expression of proinflammatory cytokines and to reverse the immunological abnormalities to more acceptable levels. Allium sativum is suggested as a beneficial preventive measure before being infected with SARS-CoV-2 virus. Allium sativum is a functional food well-known for its immunomodulatory, antimicrobial, antiinflammatory, antimutagenic, antitumor properties. Its antiviral efficiency was also demonstrated. Some constituents of this plant were found to be active against protozoan parasites. Within this context, it appears to reverse most immune system dysfunctions observed in patients with COVID-19 infection. The relations among immune system parameters, leptin, leptin receptor, adenosin mono phosphate-activated protein kinase, peroxisome proliferator activated receptor-gamma have also been interpreted. Leptin's role in boosting proinflammatory cytokines and in appetite decreasing suggest the possible beneficial effect of decreasing the concentration of this proinflammatory adipose tissue hormone in relieving some symptoms detected during COVID-19 infection. In conclusion, Allium sativum may be an acceptable preventive measure against COVID-19 infection to boost immune system cells and to repress the production and secretion of proinflammatory cytokines as well as an adipose tissue derived hormone leptin having the proinflammatory nature.
    MeSH term(s) COVID-19/diet therapy ; COVID-19/immunology ; COVID-19/virology ; Functional Food ; Garlic ; Host Microbial Interactions/immunology ; Humans ; Leptin/immunology ; Models, Immunological ; SARS-CoV-2/immunology ; T-Lymphocytes/immunology
    Chemical Substances LEP protein, human ; Leptin
    Keywords covid19
    Language English
    Publishing date 2020-06-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 193145-3
    ISSN 1532-2777 ; 0306-9877
    ISSN (online) 1532-2777
    ISSN 0306-9877
    DOI 10.1016/j.mehy.2020.109934
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Enhancement of Immune System in Addition to Medical Therapy For Counteracting COVID-19

    Mustafa Metin DONMA / Orkide DONMA

    Namık Kemal Tıp Dergisi, Vol 8, Iss 3, Pp 541-

    The Importance of Micronutrients

    2020  Volume 550

    Abstract: Immune responses in patients with Coronavirus Disease 2019 infection have been dysregulated. Decreased T cells, natural killer cells, monocytes/macrophages and increased proinflammatory cytokines are observed. Immunological status of the body is greatly ... ...

    Abstract Immune responses in patients with Coronavirus Disease 2019 infection have been dysregulated. Decreased T cells, natural killer cells, monocytes/macrophages and increased proinflammatory cytokines are observed. Immunological status of the body is greatly affected by the nutrition. Micronutrients are required for the optimum performance of macronutrients. Vitamin and trace element deficiencies are generally associated with altered immune responses, which lead to increased susceptibility to infections. Supplementation with micronutrients generally reverses many impaired immune responses. In this study, close associations between the regulation of immune processes and some vitamins, trace elements as well as phytochemicals have been pointed out. In addition to a proper diet as well as a medical therapy, supplementation of vitamins A, B6, B9, B12, C, D, E and zinc, copper, selenium may be beneficial for both prevention and treatment of viral infections including this new extraordinary coronavirus disease. The investigations on phytochemicals are also underway. In individuals with a powerful immune system, the recovery from this disease is either without symptoms or with a mild clinical picture. Therefore, it is plausible to apply natural integrative approaches comprising some vitamins, minerals and phytochemicals as preventive measures or as supplements in addition to the present medical treatment. This approach will favor the enhancement of the immune system. Such an integrative treatment reduces morbidity and mortality rates in patients, who have been contaminated with this virus. Micronutrients, within the scope of immune system, may be conceivable as the expedient to find some solutions for the prevention and/or treatment of this disease.
    Keywords covid-19 ; immune system ; micronutrients ; trace elements ; vitamins ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher Galenos Yayincilik
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: The effects of allium sativum on immunity within the scope of COVID-19 infection

    Donma, Mustafa Metin / Donma, Orkide

    Medical Hypotheses

    2020  Volume 144, Page(s) 109934

    Keywords General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 193145-3
    ISSN 1532-2777 ; 0306-9877
    ISSN (online) 1532-2777
    ISSN 0306-9877
    DOI 10.1016/j.mehy.2020.109934
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Evaluation of Obesity Degree From The Points of View of Chronological as Well as Metabolic Ages

    Mustafa Metin DONMA / Orkide DONMA

    Namık Kemal Tıp Dergisi, Vol 7, Iss 1, Pp 8-

    2019  Volume 12

    Abstract: Aim:Obesity degree is the ratio of current weight to standart weight of the individual. Metabolic age (MA) compares the individual’s basal metabolic rate to an average for the individual’s age group. In this study, considering the close association of ... ...

    Abstract Aim:Obesity degree is the ratio of current weight to standart weight of the individual. Metabolic age (MA) compares the individual’s basal metabolic rate to an average for the individual’s age group. In this study, considering the close association of obesity with chronic diseases, the aim is to evaluate the association between obesity degree and chronological age (CA) as well as MA and to derive a more descriptive index related to age.Materials and Methods:In this study, 287 adults between 18 and 79 years of age [10 underweight, 86 individuals with normal body mass index (BMI), 90 overweight, 81 obese ve 20 morbid obese] were evaluated. Anthropometric measurements were performed. The values for BMI were calculated. Obesity degree, MA, visceral adiposity values were recorded using TANITA body composition monitor. Differences between CA and MA were calculated. Statistical analyses were performed.Results:The mean±SD values for CA and MA for the study population were calculated as 43.2±16.0 and 46.3±16.3 years, respectively. This value for visceral adiposity was 8.2±4.8. A weak correlation was observed between obesity degree and CA. No correlation was observed between obesity degree and MA. However, a strong negative correlation was found between CA-MA and obesity degree. There was also a strong correlation between this index and visceral adiposity.Conclusions:It is concluded that during the evaluation of obesity degree, this new index, considering the difference between CA and MA, would give much more useful information rather than CA or MA.
    Keywords chronological age ; metabolic age ; obesity degree ; visceral adiposity ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2019-04-01T00:00:00Z
    Publisher Galenos Yayincilik
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Asprosin: Possible target in connection with ghrelin and cytokine network expression in the post-burn treatment.

    Donma, Mustafa Metin / Donma, Orkide

    Medical hypotheses

    2018  Volume 118, Page(s) 163–168

    Abstract: Burn injury is a severe form of trauma associated with pain, metabolic abnormalities, susceptibility to infections, muscle loss, mental and emotional distress. Conventional therapies as well as some recent approaches for the treatment of burned patients ... ...

    Abstract Burn injury is a severe form of trauma associated with pain, metabolic abnormalities, susceptibility to infections, muscle loss, mental and emotional distress. Conventional therapies as well as some recent approaches for the treatment of burned patients are currently in use. Nutritional therapy is also suggested as a supplementary option in major burns. Within this context, hormones involved in the regulation of appetite will have a paramount importance. The aim is to evaluate the interactions among ghrelin, some inflammatory parameters and the burn injury. Asprosin is also involved into this discussion due to its ghrelin-like actions. Aside from the consideration of insulin as well as stress hormones (cortisol, epinephrine, norepinephrine), an orexigenic, anti-inflammatory hormone, ghrelin affecting both metabolic and inflammatory systems is also involved in the protocols designed for burn treatment. Ghrelin's actions exerted by way of growth-hormone secretagogue receptor, neuropeptide Y, agouti-related protein, proopiomelanocortin and gamma amino butyric acid are being investigated. Asprosin, one of the remarkably few hormones identified as appetite stimulator, acts as another orexigenic hormone by using almost the same signalling pathways as those of ghrelin. Interleukin-6 should also be evaluated both as a reliable biomarker of inflammation and also with its inhibitory effects on TNF-α within the scope of burn injury. In conclusion, treatment protocols during burn injury may be designed to raise decreased concentrations of ghrelin and to repress increased levels of inflammatory agents such as TNF-α. IL-6 may be evaluated from an entirely different aspect. The potential therapeutic use of asprosin may be considered within an integrative approach with a focus on cachexia-anorexia developed in severe burn trauma.
    MeSH term(s) Animals ; Anorexia/complications ; Burns/complications ; Burns/therapy ; Cachexia/complications ; Cytokines/metabolism ; Epinephrine/metabolism ; Ghrelin/metabolism ; Hormones/metabolism ; Humans ; Inflammation ; Interleukin-10/metabolism ; Interleukin-6/metabolism ; Mice ; Microfilament Proteins/metabolism ; Models, Theoretical ; Neurons/metabolism ; Neuropeptide Y/metabolism ; Peptide Fragments/metabolism ; Peptide Hormones/metabolism ; Treatment Outcome ; Tumor Necrosis Factor-alpha/metabolism
    Chemical Substances Cytokines ; FBN1 protein, human ; Ghrelin ; Hormones ; Interleukin-6 ; Microfilament Proteins ; Neuropeptide Y ; Peptide Fragments ; Peptide Hormones ; Tumor Necrosis Factor-alpha ; Interleukin-10 (130068-27-8) ; Epinephrine (YKH834O4BH)
    Language English
    Publishing date 2018-07-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 193145-3
    ISSN 1532-2777 ; 0306-9877
    ISSN (online) 1532-2777
    ISSN 0306-9877
    DOI 10.1016/j.mehy.2018.07.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The effects of allium sativum on immunity within the scope of COVID-19 infection

    Donma, Mustafa Metin / Donma, Orkide

    Med Hypotheses

    Abstract: The severity of coronavirus disease 2019 (COVID-19) infection is quite variable and the manifestations varies from asymptomatic disease to severe acute respiratory infection. Fever, dry cough, dyspnea, myalgia, fatigue, loss of appetite, olfactory and ... ...

    Abstract The severity of coronavirus disease 2019 (COVID-19) infection is quite variable and the manifestations varies from asymptomatic disease to severe acute respiratory infection. Fever, dry cough, dyspnea, myalgia, fatigue, loss of appetite, olfactory and gustatory dysfunctions are the most prevalent general symptoms. Decreased immune system cells such as suppressed regulatory T cells, cytotoxic and helper T cells, natural killer cells, monocytes/macrophages and increased proinflammatory cytokines are the characteristic features. Compounds derived from Allium sativum (garlic) have the potential to decrease the expression of proinflammatory cytokines and to reverse the immunological abnormalities to more acceptable levels. Allium sativum is suggested as a beneficial preventive measure before being infected with SARS-CoV-2 virus. Allium sativum is a functional food well-known for its immunomodulatory, antimicrobial, antiinflammatory, antimutagenic, antitumor properties. Its antiviral efficiency was also demonstrated. Some constituents of this plant were found to be active against protozoan parasites. Within this context, it appears to reverse most immune system dysfunctions observed in patients with COVID-19 infection. The relations among immune system parameters, leptin, leptin receptor, adenosin mono phosphate-activated protein kinase, peroxisome proliferator activated receptor-gamma have also been interpreted. Leptin's role in boosting proinflammatory cytokines and in appetite decreasing suggest the possible beneficial effect of decreasing the concentration of this proinflammatory adipose tissue hormone in relieving some symptoms detected during COVID-19 infection. In conclusion, Allium sativum may be an acceptable preventive measure against COVID-19 infection to boost immune system cells and to repress the production and secretion of proinflammatory cytokines as well as an adipose tissue derived hormone leptin having the proinflammatory nature.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #459192
    Database COVID19

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  7. Article ; Online: Macrosomia, top of the iceberg: the charm of underlying factors.

    Donma, Mustafa Metin

    Pediatrics international : official journal of the Japan Pediatric Society

    2011  Volume 53, Issue 1, Page(s) 78–84

    Abstract: Background: Macrosomia is associated with childhood obesity. Gestational diabetes mellitus (GDM) is a risk factor for macrosomia. The aim of this large-scale investigation was to determine the incidence, risk factors, characteristic features, and ... ...

    Abstract Background: Macrosomia is associated with childhood obesity. Gestational diabetes mellitus (GDM) is a risk factor for macrosomia. The aim of this large-scale investigation was to determine the incidence, risk factors, characteristic features, and perinatal outcome of macrosomic infants.
    Methods: This prospective study was carried out on 6385 newborns. Demographic data included maternal age, paternal age, type of delivery, sex, parity and gestational age at delivery. Anthropometric measurements were recorded. ABO/Rh typing was performed and GDM was diagnosed.
    Results: Out of 6385 term deliveries, 477 infants (7.47%) were macrosomic. Incidence of GDM was 0.6% and 4.8% in the control group and in macrosomic births, respectively. Incidence of GDM(+) cases was 4% among macrosomic infants weighing 4000-4500 g. GDM(+) cases were densely populated (11%) in macrosomic infants weighing ≥ 4500 g (P ≤ 0.05). Male/female ratio was significantly higher in macrosomic infants weighing ≥ 4500 g than those weighing 4000-4500 g (P ≤ 0.05). High parental age was the risk factor for GDM. Blood group A was the most frequently observed type among mothers with macrosomic infants, however, blood group O was dominant in cases with GDM. In multivariate logistic regression analysis, the male infant was the most striking infant characteristic and GDM was the most striking maternal characteristic that were significantly associated with increased odds of macrosomic birth.
    Conclusions: This research reports the association between blood group system and macrosomia as well as parental age and GDM simultaneously. Our study reports a prevalence of GDM in both infants with normal birth weight and macrosomic newborns at the same time.
    MeSH term(s) ABO Blood-Group System ; Age Factors ; Birth Weight ; Diabetes, Gestational/blood ; Female ; Fetal Macrosomia/blood ; Fetal Macrosomia/epidemiology ; Fetal Macrosomia/etiology ; Humans ; Incidence ; Infant, Newborn ; Logistic Models ; Male ; Pregnancy ; Prevalence ; Prognosis ; Prospective Studies ; Risk Factors ; Sex Factors
    Chemical Substances ABO Blood-Group System
    Language English
    Publishing date 2011-02
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1470376-2
    ISSN 1442-200X ; 1328-8067
    ISSN (online) 1442-200X
    ISSN 1328-8067
    DOI 10.1111/j.1442-200X.2010.03198.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The Evaluation of New Generation Inflammatory Markers in Children With Morbid Obesity and Metabolic Syndrome

    Mustafa Metin DONMA / Sevgi Dilan ERSELCAN / Ahsen YILMAZ / Savaş GUZEL / Orkide DONMA

    Namık Kemal Tıp Dergisi, Vol 8, Iss 3, Pp 479-

    2020  Volume 488

    Abstract: Aim: Technological advancements, unbalanced nutrition, sedentary life style, are important factors in obesity. Obesity-inflammation relationis beingexamined. In this study, the relationships among new generation inflammatory markers in children with ... ...

    Abstract Aim: Technological advancements, unbalanced nutrition, sedentary life style, are important factors in obesity. Obesity-inflammation relationis beingexamined. In this study, the relationships among new generation inflammatory markers in children with normal body mass index (C) as well as obese (OB), morbid obese (MO) children and those with metabolic syndrome (MetS) were investigated.Materials and Methods: A total of 172 children participated in the study.Group 1 comprised children with normal body-mass index (control group) (C). Obese (OB) children were in Group 2, MO children constituted Group 3 and Group 4 included MO children with MetS. The number of cases were 37, 34, 51 and 50 in groups 1, 2, 3 and 4, respectively. Anthropometric measurements were recorded. Serum spexin, adropin, adipolipin, fibroblast growth factor-21 and fetuin-A levels were determined. Statistical analyses were performed.Result:Spexin and adipolin levels were significantly lower in obese groups than C group (p<0.05). Although adropin and FGF-21 levels did not differ significantly between groups, levels were lower in OB, MO, and MetS groups than C group.There were no significant differences among fetuin- A levels of the groups. Correlations between spexin and adipolin were the highest. These cytokines were negatively correlated with obesity parameters. The correlations between these cytokines were weakened from C group to MetS group.Conclusion: Decreasing spexin and adipolin levels in accordance with increasing obesity degrees and weakening of the correlation between these cytokines in MO group compared to C group may be helpful during the further investigation of obesity.
    Keywords adipolin ; children ; metabolic syndrome ; obesity ; spexin ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher Galenos Yayincilik
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Evaluation of Gender Difference in Pediatrıc Trauma Patients Admitted to The Emergency Department

    Mustafa Metin DONMA / İsmail TAYFUR / Mustafa Numan ERDEM / Muhammet DEMİRKOL / Birol TOPÇU / Orkide DONMA

    Namık Kemal Tıp Dergisi, Vol 5, Iss 1, Pp 16-

    2017  Volume 25

    Abstract: Aim:A significant proportion of pediatric trauma patients admitted to the emergency department are injured by preventable causes. Accidental injuries are the most common causes of deaths in childhood. The purpose of this study was to analyze the ... ...

    Abstract Aim:A significant proportion of pediatric trauma patients admitted to the emergency department are injured by preventable causes. Accidental injuries are the most common causes of deaths in childhood. The purpose of this study was to analyze the demographic features of the parents and the gender difference of the cases in pediatric patients with trauma admitted to the emergency department (ED).Materials and Methods:Over a 1-year period (April 2015 through May 2016), a total of 502 consecutive paediatric patients who presented to our tertiary-care university hospital ED with symptoms of trauma of various causes (falling from a height, injury, burni traffic accident and physical abuse assault) were enrolled in this prospective clinical study.Results:In this study, the boy to girl gender ratio was found to be 1.52 (p = 0.868). The mean ages were 7.74 ± 4.97 in boys and 7.67 ± 5.25 in girls. 17.2% of the boys and 21.1% of the girls were detected fracture on direct radiographs (p=0.306). Upper extremity fractures were encountered more frequently than other fractures. The frequency of falling from a height was the first among all cases of trauma with the rate of 69.3%, 42.4% of which occurred in boys and 26.9% in girls (p=0.559). The rates of upper extremity injuries were 19.9% for boys and 15.7% for girls (p=0.126). The rates of head injuries were 22.5% for boys and 12% for girls (p=0.177). When the type of injury was evaluated, the rate of contusion was 60%, 36.3% of which occurred in boys and 23.7% in girls (p=0.952). When the parents of the pediatric trauma patients were classified according to their educational status, the largest group consisted of primary school graduated parents with rates of 41.4% for mothers (p=0.080) and 37.3% for fathers (p=0.008). 46.0% of the pediatric trauma patients were the first children of their families, 27.3% of which were boys and 18.7% were girls (p=0.657).Conclusion:We emphasized the importance of raising awareness about the issue at the individual and community-based level and ...
    Keywords trauma ; pediatric patient ; gender difference ; emergency department ; Medicine ; R
    Subject code 150
    Language English
    Publishing date 2017-04-01T00:00:00Z
    Publisher Galenos Yayincilik
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Evaluation Of Skin Prick Test Results of Patients With Allergic Rhinitis Living in Tekirdağ

    Ayşin NALBANTOĞLU / Burçin NALBANTOĞLU / Mustafa Metin DONMA / Nedim SAMANCI

    Namık Kemal Tıp Dergisi, Vol 5, Iss 3, Pp 122-

    2017  Volume 126

    Abstract: Aim:Allergic rhinitis is the most prevalent chronic disease of childhood with an increasing prevalence. Allergen distribution changes with geographic region and starting age of the disease. In this study we aim to determine the allergen distribution in ... ...

    Abstract Aim:Allergic rhinitis is the most prevalent chronic disease of childhood with an increasing prevalence. Allergen distribution changes with geographic region and starting age of the disease. In this study we aim to determine the allergen distribution in patients with allergic rhinitis living in Tekirdağ.Material and Methods:We performed skin prick test to 78 (32 girls, 46 boys) patients with allergic rhinitis aged between 4-14 years old admitted to Namık Kemal University. Patients with asthma and atopic dermatitis were excluded.Results:We found sensitivity to at least one allergen in 31 (39,7%) patients. 16 (51,6%) patients had sensitivity to only one allergen. However, 15 (48,4%) patients had sensitivity to more than one allergen. The most sensitive group found was house dust mites with 18(58%) patients. 10 (32,25%) patients had sensitivity to weeds, 8 (25,8%) patients to tree pollens, 7 (22,5%) patients to molds, 2 (6,4%) patients to cats and 1 (3,2%) patient to foods.Conclusion:We found that the most sensitive allergens were house dust mites and tree pollens in our clinic. These findings were consistent with literature. Allergen sensitivity may change with geographic region and socio-economic status. To our knowledge this is the first study conducted in Tekirdağ, so our research may be used as a source in future studies.
    Keywords allergic rhinitis ; skin prick test ; house dust mite ; Medicine ; R
    Subject code 610 ; 616
    Language English
    Publishing date 2017-12-01T00:00:00Z
    Publisher Galenos Yayincilik
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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