Demir, Cemil
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Demir, C.
Demir Cemil
Demir Cemil
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Öğretim Görevlisi
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cemildemir@ymail.com
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Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri Bölümü
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Scholarly Output
23
Articles
21
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0
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0
23 results
Scholarly Output Search Results
Now showing 1 - 10 of 23
Article Citation - WoS: 41Citation - Scopus: 40Association with Leptin Gene c.-2548 G > A Polymorphism, Serum Leptin Levels, and Body Mass Index in Turkish Obese Patients(HUMANA PRESS INC, 2013) Demir, Cemil; Say Şahin, Deniz; Demir, Cemil; Çelik, M. Murat; Çelik, Mustafa; Uçar, Edip; Güneşaçar, Ramazan; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri BölümüLeptin is a protein hormone which plays a critical role in the regulation of both body-weight through reducing food intake and stimulating energy expenditure. Several polymorphisms in leptin gene (LEP), which encodes for leptin, have been described. However, its association with obesity is still controversial. Therefore, in the present study, we aimed to investigate whether LEP c.-2548 G > A polymorphism was associated with serum leptin levels, lipid parameters, and body mass index in Turkish obese patients. Forty-seven obese patients and 48 healthy individuals were included in the study. Blood samples were collected for DNA extraction. LEP c.-2548 G > A polymorphism were detected using polymerase chain reaction-restriction fragment length polymorphism technique. Serum leptin levels and lipid parameters were measured by ELISA and enzyme colorimetric assay techniques, respectively. GA or AA genotypes and A allele carrier frequencies of the c.-2548 G > A polymorphism in the LEP were higher in obese (38.3, 34.0 and 72.3 %) when compared with controls (14.6, 12.5, and 27.1 %; p = 0.011, 0.016, and 0.002, respectively). On the other hand, AA or AG genotypes were also related to increased serum leptin levels (p < 0.001) and body mass index (p < 0.0001). All these consequences showed that LEP -2548 AA or AG genotypes are important predictors for increased levels of leptin and BMI in Turkish obese patients and it may be a useful marker for obesity risk in our population.Article Citation - WoS: 1Citation - Scopus: 2distribution of Oxa-Type Carbapenemase Genes in Carbapenem-resistant Acinetobacter Baumannii strains: an Investigation by Real-Time Polymerase Chain Reaction Method(Doc design informatics Co Ltd, 2019) Demir, Cemil; Yigin, Akin; Demir, Cemil; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri BölümüObjective: Carbapenems are the most important broad spectrum antimicrobials used in the treatment of Acinetobacter baumannii infections, but resistance to carbapenems is increasing worldwide. In this study, we aimed to investigate the distribution of OXA-type carbapenemase genes observed in carbapenem-resistant A. baumannii strains by real-time polymerase chain reaction (PCR) method and to provide epidemiological data. Methods: Between January 2016 and January 2018, 20 carbapenem-resistant A. baumannii strains from clinical specimens were included in the study. DNA isolations were performed, and distribution of OXA-type carbapenemase genes were examined using primers and TaqMan probes specific to genes of OXA-23, OXA-24, OXA-51 and OXA-58 carbapenemases by real-time PCR method. Results: Tigecycline was the best choice for carbapenem-resistant A. baumannii strains, of which 16 (80%) were susceptible to this antimicrobial. bla(OXA-51) was detected in all strains, while bla(OXA-24) was detected in only 1 (5%) strain. Of 20 strains, 10 showed the presence of bla(OXA-23) and bla(OXA-51) simultaneously. Conclusions: Simultaneous occurence of bla(OXA-23) and bla(OXA-51 )is remarkable in terms of distribution of OXA-type carbapenemases in carbapenem-resistant A. baumannii strains. Valuable epidemiological data can be obtained by performing routine surveillance of such strains by means of techniques that can produce fast and reliable results such as real-time PCR.Article Evaluation of the Serological, Biochemical and Hemogram Parameters of Patients Prediagnosed with Hydatid Cyst(2021) Demir, Cemil; Çetik Yıldız, Songül; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri BölümüObjective: Hydatid cyst or echinococcosis is a zoonotic parasitic disease caused by the larval stages of Echinococcus granulosus, which is common in our country. It is necessary to use radiological and serological methods as diagnosing this disease based on clinical symptoms is very difficult. In this retrospective study, it was aimed to determine the condition in our region by retrospectively analyzing the hemogram, biochemistry, radiological and pathological findings and the epidemiological data of the patients prediagnosed with hydatid cyst. Materials and Methods: A total of 412 patients, 279 female and 133 male, who applied to various clinics of the Mardin State Hospital with hydatid cyst prediagnosis. 52 patients were diagnosed with hydatid cyst based on ultrasonography, computerized tomography and radiological findings, and liver involvement was detected in all 64 patients, 12 of which were pathologically verified. Results: 38 (59.3%) of 64 patients included in the study were female, 26 (40.6%) were male and their ages ranged from 0-77. The most common symptoms were severe abdominal pain, distention, chest pain, shortness of breath, 415 cough, fever, nausea and vomiting. 83.4% of the patients applied to the general surgery, 5.5% applied to the pediatric surgery and 10.1% applied to other clinics. Conclusion: The parameter with the highest increase was GGT, followed by ALT, AST and ALP. Elevated RDW (29%) was the most common finding in the hemogram parameters, followed by decreased MCV, hematocrit and hemoglobin.Article Citation - WoS: 1Citation - Scopus: 1Investigate Nasal Colonize Staphylococcus Species Biofilm Produced(Journal of Clinical and Analytical Medicine, 2015) Demir, Cemil; İnanç, B.B.; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri BölümüAim: 127 S.aureus and 65 CoNS strains were isolated from patients noses’. To produce a biofilm ability was investigated using three different methods. Slime-positive and negative staphylococcies’ resistance were evaluated against different antibiotics. Material and Method: Swap samples puted 7% blood agar. Staphylococcus aureus and coagulase-negative staphylococci (CoNS) isolates biofilm produced ability were investigated using Congo Red Agar (CRA), microplates (MP) and Standard Tube (ST) methods. In addition to that, presence of antibiotic resistance of the staphylococcal isolates are determined agar disc diffusion method. Results: The rate of biofilm produc-ing Staphylococcus spp strains was found to be 72.4%, 67.7%, and 62.9%, respectively with CRA, MP, and ST tests. There was no significant relationship among the tests (p>0.05). In addition, antibiotic resistance of Staphylococcus spp. against various antibiotics was also determined by the agar disk dif-fusion method. Resistance rates of biofilm positive (BP) Staphylococcus spp for penicilin G, ampicilin, amocycilin/clavulanic acid, tetracyclin, eritromycin, gentamycin, and enrofloxacin 71.7%, 69.7%, 6.2%, 20.7%, 21.4%, 1.4%, and 0.7%, respectively. Resistance rates of biofilm negative (BN) spp for 42.6%, 23.4%, 4.3%, 14.9%, 19.1%, 0.0%, 0.0% respectively. All Staphylococcus isolates were found to be susceptible to vancomycin and teicaplonin. Although BP strains antibiotic resistance rates were observed higher than BN strains. But resistance rates were not found statistically significant (p>0.05). Discus-sion: CRA is the reliablity and specifity method to determine Staphylococcus spp. biofilm produce ability. © 2015, Journal of Clinical and Analytical Medicine. All rights reserved.Article Citation - WoS: 3Citation - Scopus: 1Examination of the effects of kefir on healing factors in a mice burn model infected with E.coli, S.aureus and P.aeruginosa using qRT-PCR(Elsevier, 2023) Çetik Yıldız, Songül; Demir, Cemil; Ayhancı, Adnan; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri BölümüBurn areas are susceptible to bacterial growth and infections, particularly in cases with lengthy periods of hospital stay. Burn wound healing, which involves various molecular and cellular mechanisms, continues to be a significant problem. Growth factors and cytokines play an active and vital role in wound healing. In the present study, the effects of kefir on wound healing in a 2nd-degree mouse burn model infected with e.coli, s.aureus and p.aeruginosa were investigated in vitro. In order to clarify the effects of kefir in the wound healing process, the macroscopic changes in kefir-applied scar tissue as well as wound depth and width were examined and IL-1α, IL-1β, IL-6, IL-8, IL-10 and TNF-α, VEGF, TGF-β protein levels were determined using the qRT-PCR method. The findings of the present study show that kefir has a positive impact on the factors playing a role in wound healing and accelerates the healing process.Article Citation - WoS: 3Citation - Scopus: 3Detection of Trichomonas Vaginalis in Vaginal Speciemens From Women by Wet Mount, Culture and Pcr(derman Medical Publ, 2015) Demir, Cemil; Gungoren, Arif; Demir, Cemil; Hakverdi, Ali Ulvi; Duran, Nizami; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri BölümüAim: Trichomoniasis, a sexually transmitted infection (STI) caused by Trichomonas vaginalis, affects 180 million people worldwide and causes significant morbidity. Infection with T. vaginalis has been associated with vaginitis, exocervicitis, and urethritis in women. Material and Method: In this study, we aim to investigate the presence of T. vaginalis by using three different methods for comparing the results. Two hundred T. vaginalis isolates taken from swap samples were collected in Medical Faculty, Department of Gynecology, Mustafa Kemal University Polyclinic, and examined genotypically and phenotypically to identify T. vaginalis in Parasitology Department. This research is unique in terms of its contribution to patient treatment, being the first molecular study in Turkey/Hatay to determine Trichomonas (TV) genes stemming from Trichomonas vaginalis strains.R esult: 56 out of 200 patients examined were identified as positive and 24 (42.8%) of these were identified through microscopy, 18 (32,1%) with culture and 24 (42,8%) with PCR. The number of those identified through all these methods is 14 (25%). In this study, difference was calculated using three methods (p=0.022) with Cochran's Q test. When compared with McNemar two by two, no superiority in T. vaginalis diagnosis was found between microscopy and culture (p=0.5), microscopy and PCR (p=0.063), or culture and PCR (p=0.25) methods. Discussion: Culture method is not used in routine laboratory procedures and has contamination risk. PCR method shows directly the parasite of DNAs, and so it is thought to be more reliable compared to the other two methods.Article Giardia intestinalis Genotiplerinin, Real-Time PCR Yöntemi ile Dışkı Örneklerinden Belirlenmesi(Türk Mikrobiyoloji Cemiyeti Dergisi, 2018) Demir, Cemil; Yiğin, Akın; Demir, Cemil; Acel, Düriye Pelin; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri BölümüAmaç: Giardia intestinalis flagellalı, Giardiyaz’a neden olan bir protozoondur ve dünya çapında önemli bir sorundur. Moleküler yöntemlerle sekiz farklı genotipi saptanan G. intestinalis’de, A ve B genotipinin, insan ve memelilerde hastalıklarla ilişkili olduğu ve farklı genotiplerin, farklı klinik tablolar meydana getirebildiği bildirilmektedir. Biz de bu bilgiler ışığında, giardiyaz tanısı almış ve G. intestinalis pozitif saptanan dışkı örneklerinde bulunan G. intestinalis genotiplerinin dağılımını real-time PCR yöntemi ile belirlemeyi ve moleküler epidemiyolojik bir veri sunmayı amaçladık. Gereç ve Yöntem: Ocak 2016-Ocak 2018 tarihleri arasında, hem nativ hem de lugol ile mikroskobik olarak incelenen dışkı örnekleri içinde G. intestinalis kist ve/veya trofozoit’i pozitif bulunan 50 G. intestinalis pozitif hastanın dışkı numuneleri çalışmaya dâhil edildi. Dışkı örneklerinden DNA izolasyonu gerçekleştirildikten sonra genotip A ve genotip B için spesifik primerler kullanılarak real-time PCR ile analiz edildi. Bulgular: Çalışmamıza dâhil edilen 50 giardiyaz tanılı hastanın dışkı örneklerinde, 28’inde (%56) A genotipi saptanırken, 17’sinde (%34) B genotipi, 5’inde (%10) ise hem A, hem de B genotipi bulundu. Cinsiyete göre saptanan genotipler incelendiğinde, erkeklerde ve kadınlarda sırasıyla 25 (%50) ve 25 (%50) olarak bulundu. Sonuç: Sonuç olarak, çalışmamız ile ülkemizde giardiyaza neden olan ama ayrımı yalnızca moleküler yöntemlerle ortaya konabilen G. intestinalis genotipleri incelenerek, G. intestinalis’in A genotipinin, B genotipine oranla biraz daha fazla olduğu belirlendi. Ülkemizde G. intestinalis’in moleküler epidemiyolojisine yönelik veriler sınırlıdır. Bu çalışmanın buna katkı sağlayacağı düşüncesindeyiz.Article Citation - WoS: 3Citation - Scopus: 4In Vitro Antitumor and Antioxidant Capacity as Well as Ameliorative Effects of Fermented Kefir on Cyclophosphamide-Induced Toxicity on Cardiac and Hepatic Tissues in Rats(Mdpi, 2024) Demir, Cemil; Irmak, Halit; Cengiz, Mustafa; Irmak, Halit; Cengiz, Betul Peker; Ayhanci, Adnan; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri Bölümü; Department of Computer Engineering / Bilgisayar Mühendisliği BölümüFermented prebiotic and probiotic products with kefir are very important to slow down and prevent the growth of tumors and to treat cancer by stimulating the immune response against tumor cells. Cyclophosphamide (CPx) is widely preferred in cancer treatment but its effectiveness in high doses is restricted because of its side effects. The aim of this study was to investigate the protective effects of kefir against CPx-induced heart and liver toxicity. In an experiment, 42 Wistar albino rats were divided into six treatment groups: the control (Group 1), the group receiving 150 mg/kg CPx (Group 2), the groups receiving 5 and 10 mg/kg kefir (Groups 3 and 4) and the groups receiving 5 and 10 mg/kg kefir + CPx (Group 5 and 6). Fermented kefirs obtained on different days by traditional methods were mixed and given by gavage for 12 days, while a single dose of CPx was administered intraperitoneally (i.p.) on the 12th day of the experiment. It was observed that alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), lactate dehydrogenase (LDH), creatinine kinase-MB (CK-MB), ischemia modified albumin (IMA) and Troponin I values, which indicate oxidative stress, increased in the CPx-administered group, and this level approached that of the control in the CPx + kefir groups. Likewise, as a result of the kefir, the rats' CPx-induced histopathological symptoms were reduced, and their heart and liver tissue were significantly improved. In conclusion, it was observed that kefir had a cytoprotective effect against CPx-induced oxidative stress, hepatotoxicity and cardiotoxicity, bringing their biochemical parameters closer to those of the control by suppressing oxidative stress and reducing tissue damage.Article Mardin İl Merkezinde 1-6 Yaş Grubu Çocuğu Olan Annelerin Yanıklarda İlk Uygulamalarının İncelenmesi(2013) Demir, Cemil; Battaloğlu İnanç, Betül; Say Şahin, Deniz; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri Bölümü; Department of Nursing / Hemşirelik BölümüAmaç: Bu çalışmada, annelerin yanık ve ilk yardım hakkındaki bilgi düzeylerinin belirlenmesi, yanıkla karşılaştıklarında ne yapacakları, acil uygulamaların tespit edilmesi ve araştırma sonunda annelere doğru bilgi verilerek, bu konudaki bilgi eksikliklerinin giderilmesi amaçlandı. Gereç ve Yöntem: Araştırmaya katılacak olan anneler, 1-6 yaş grubu çocuğu olan, 25-49 yaş grubundaki anneler arasından, randomize olarak seçilen, araştırma hakkında bilgilendirildikten sonra, katılmak isteyen 1000 gönüllü anneye, anket yoluyla uygulandı. Bulgular: Çocukların, % 21.6’sında yanık meydana geldiği, yanıkların % 81.4’ünün ev içinde, %18.6’sının ev dışında oluştuğu, yanık vakalarına, 2-4 yaş grubunda karşılaşıldığı, annelerin yanık konusunda bilgi eksikliklerinin olduğu ve yanığa ilk müdahale konusunda, araştırmaya katılan tüm annelerin % 89.6’sının bilgilerini yeterli bulmadıkları saptandı. Sonuç: Çalışmamız sonucunda, annelerin yanıkta ilk yardım konusunda, bilgi eksikliklerinin var olduğu saptandı. Bu konuda, annelerin bilgi eksikliklerinin uygulanacak eğitim faaliyetleri ile giderilmesi, annelerin doğru uygulamalar konusunda bilgilendirilmesi gerekliliği görülmüştür.Article Investigation of nasal Staphylococcus aureus carriage by real-time PCR in patients receiving hemodialysis treatment(2023) Demir, Cemil; Çetik Yıldız, Songül; Department of Medical Services and Techniques / Tıbbi Hizmetler ve Teknikleri BölümüABSTRACT Objectives: Staphylococcus aureus, coagulase-negative staphylococci (CoNS), and methicillin-resistant S. aureus (MRSA), which are significant nosocomial pathogens, have become a growing global problem because their carriage and diseases have become resistant to many antibiotics. This study aimed to investigate and determine the rate of MRSA carriage among patients receiving hemodialysis treatment using molecular methods. Methods: In the 254 hemodialysis patients, the nasal carriage rates, susceptibility and resistance to S. aureus, CoNS and MRSA were examined using culture and real-time PCR methods. Nasal samples from hemodialysis patients were examined using real-time PCR. Microscopic examination was performed using the Gram staining method, and S. aureus was identified using catalase and coagulase. The strains were then tested for antibiotic susceptibility. Staphylococci was isolated from 231 of the 254 patients. Results: S. aureus carriage was detected in 50 patients, MRSA in 16, methicillin-susceptible S. aureus (MSSA) in 33, CoNS in 66, methicillin-resistant CoNS (MR-CoNS) in 38, and methicillin-susceptible CoNS (MSCoNS) in 28. S. aureus and MRSA strains exhibited 100% susceptibility to nitrofurantoin, and vancomycin. MSSA strains showed the highest susceptibility to chloramphenicol, clindamycin (84.8%), and co-trimoxazole (36.4%). CoNS showed 100% susceptibility to vancomycin, and 16.7% susceptibility to ampicillin. Vancomycin was found to be the most effective antibiotic against S. aureus, CoNS, and MRSA pathogens identified in patients undergoing hemodialysis, whereas penicillin resistance was found. Conclusions: It can be concluded that one of the most effective ways to prevent the formation of antibiotic resistant strains is the hygiene of the hospital and hospital staff. Real-time PCR is very important for analyzing with high sensitivity.
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