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Öğe The diagnostic value of proteoglycan 4 in the differentiation of stable and exacerbation periods in chronic obstructive pulmonary disease: A preliminary study(Scientific Publishers of India, 2018) Eroglu O.; Badem N.D.; Baccioglu A.Background and aim: Chronic Obstructive Pulmonary Disease (COPD) is characterized by exacerbation and stable periods. Early diagnosis in the exacerbation period of COPD can reduce morbidity and mortality rates. The aim of this study is to investigate the relationship between Proteoglycan 4 (PRG4) and other parameters, including Procalcitonin (PCT) and C-reactive protein (CRP) levels and White Blood Cell (WBC) count, in the exacerbation period. Materials and methods: This preliminary study was conducted on patients admitted to the Emergency Department and Chest Diseases Department in University Medical Faculty Hospital. Patient demographics, spirometric measurements, clinical scoring used for COPD classification and laboratory test results were recorded for each patient. The final diagnosis of COPD was made by pulmonary physicians. Results: A total of 78 patients (38 in exacerbation and 40 in stable period) with COPD were included in the study. PRG4 levels of patients in the exacerbation period (183.7 ± 9.4 ng/ml) were significantly higher than those of patients in the stable period (177.1 ± 15.9 ng/ml; p=0.034). The sensitivity of PRG4 (88.9%) was equal to that of PCT (88.9%) and higher than that of CRP (86.1%) and WBC (80.6%); the specificity of PRG4 (50%) was higher than that of the other parameters (33.3%, 43.0%, and 40.0%, respectively). Conclusion: PRG4 can be used for discriminating between the exacerbation and stable periods of COPD and is superior in diagnosing the exacerbation period compared with other laboratory parameters. © 2018, Scientific Publishers of India. All rights reserved.Öğe Efficacy and safety of H1-antihistamines: An update(2012) Kalpaklioglu F.; Baccioglu A.H1-antihistamines are inverse agonists that combine with and stabilize inactive conformation of H1-receptors. Thus they interfere with actions of histamine at H1-receptors. They are widely used for treatment of allergic rhinitis, allergic conjunctivitis, urticaria, coughs, colds and insomnia. H1-antihistamines are classified as older 'first generation' and newer 'second generation'. First generation H1-antihistamines have poor receptor H1-receptor selectivity, and cross blood-brain-barrier. They have a lot of adverse events such as anti-muscarinic, anti-?-adrenergic, anti-serotonin, and sedative effects. In contrast, second generation H1-antihistamines were highly selective for the histamine H1-receptor, do not cross the blood brain barrier, and have minimal adverse events. The risks of first-generation H1-antihistamines have been clearly underestimated, particularly when purchased as nonprescribed over the counter medications by public. This review summarizes curent literature to evaluate antihistamines including their mechanism, indications and side-effects. © 2012 Bentham Science Publishers.