Publications by authors named "Sahin G"

Background/objectives: In the REGOMA trial, regorafenib demonstrated an overall survival advantage over lomustine, and it has become a recommended treatment for recurrent glioblastoma in guidelines. This study aimed to evaluate the effectiveness and safety of regorafenib as a third-line treatment for patients with recurrent glioblastoma who progressed while taking bevacizumab-based therapy.

Methods: This retrospective, multicenter study in Turkey included 65 patients treated between 2021 and 2023 across 19 oncology centers.

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Immune checkpoint inhibitors (ICIs) have significantly improved the five-year survival rate for advanced melanoma. However, many patients exhibit resistance to ICI therapy. This study evaluated the efficacy and prognostic factors of anti-PD-1 (Group A) and nivolumab-ipilimumab (Group B) therapy in patients with advanced melanoma who were resistant to prior ICI therapy.

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In the industry sector, it is very common to have different types of dissimilar materials on the same construction rather than products made from a single type of material. Traditional methods (welding, mechanical fastening, and adhesive bonding) and hybrid techniques (friction stir welding, weld bonding, and laser welding) are used in the assembly or joining of these materials. However, while joining similar types of materials is relatively easy, the process becomes more challenging when joining dissimilar materials due to the structure and properties of the materials involved.

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Introduction: Although amiodarone is traditionally used in the treatment of postoperative junctional ectopic tachycardia (JET), the search for new treatments is ongoing. We present our experience with ivabradine at two medical centers.

Materials And Methods: Between January 2022 and January 2023, patients who developed JET after pediatric cardiac surgery were prospectively followed up and documented.

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Esophageal lesions are common findings in disorders of the digestive tract in patients living with HIV, the most typical symptoms being odynophagia and/or dysphagia. This article provides a narrative review of the spectrum of esophagitis in patients living with HIV, focusing on fungal, viral, bacterial and non-infectious etiologies, as well as co-infections with viral hepatitis viruses. The article provides a comprehensive approach to the strategy of diagnosis and the role of upper digestive endoscopy and histopathological examination in the evaluation of esophageal pathology in patients living with HIV.

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Hyperprogressive disease (HPD) is described as the unexpected rapid growth of a tumour accompanied by a decline in performance status. While immune checkpoint inhibitors (ICIs) have improved outcomes in advanced melanoma, HPD remains a significant challenge in a subset of patients. Although HPD has been extensively studied in various solid tumours, research specifically focusing on advanced melanoma remains limited.

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  • Boric acid (BA) is crucial for the metabolic function in plants, animals, and humans but has mixed effects on biological systems.
  • The study examined how different concentrations of BA in culture media affected mouse embryo quality and development, using superovulated C57Bl6/6j female mice.
  • Results showed that low doses of BA significantly improved blastocyst development rates and enhanced embryo cell numbers and biochemical parameters, indicating its positive role in embryo development.
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  • * About 9.8% of the patients died during hospitalization, with older individuals and those with preexisting kidney issues showing higher mortality rates due to severe injuries and complications.
  • * Key factors influencing mortality included age, injury severity, shock, and certain elevated lab values, highlighting the need for better disaster preparedness and health care improvements for future events.
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  • The study investigates the prognostic factors for C3 glomerulopathy (C3G), focusing on the total chronicity score (TCS) derived from a new histological index (C3G-HI).
  • 74 patients from 20 medical centers were analyzed to determine factors affecting kidney health outcomes, with a particular emphasis on hemoglobin levels and their correlation with patient survival and kidney function.
  • Results indicated that low hemoglobin levels were linked to worse outcomes in C3G patients, and a TCS of 4 or higher correlated with significantly lower kidney survival rates over three years.
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Background: The most common indication for cholecystectomy in children is cholelithiasis, and routine histopathological examination is performed on all gallbladder specimens. Currently, selective histopathological examination is suggested instead of routine examination due to the low frequency of gallbladder cancer in adults. The purpose of this study was to evaluate the indications, clinical, laboratory and histopathological findings of the cholecystectomy in children.

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Background: We evaluated the efficacy of different immunosuppressive regimens in patients with primary membranous nephropathy in a large national cohort.

Methods: In this registry study, 558 patients from 47 centers who were treated with at least one immunosuppressive agent and had adequate follow-up data were included. Primary outcome was defined as complete (CR) or partial remission (PR).

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Objective: Ischemia-reperfusion (IR) of the aorta is a significant contributor to the development of postoperative acute lung damage after abdominal aortic surgery. The aim of the present study was to examine the effect of alpha B-crystallin, a small heat shock protein (known as HspB5), on lung injury induced by abdominal aortic IR in rats.

Methods: Male Sprague-Dawley rats were divided into three groups: control, ischemia-reperfusion (IR, 90 min ischemia and 180 min reperfusion), and alpha B-crystallin +IR.

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  • Millions are affected by natural disasters annually, leading to serious medical issues like crush syndrome, which often results in acute kidney injury tied to high mortality rates.
  • This study analyzed data from 1024 patients with crush syndrome after the February 2023 earthquakes in Kahramanmaras, focusing on their treatment and outcomes in Turkish hospitals.
  • The findings revealed high rates of acute kidney injury and hemodialysis treatment, with a 9.8% in-hospital mortality rate, highlighting the urgent need for improved emergency response training and protocols for managing kidney health in disaster scenarios.
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Alzheimer's disease (AD) is increasingly recognized as a metabolic disorder, often referred to as type 3 diabetes, due to its strong association with insulin resistance. Chronic exposure to aluminum, a known neurotoxin, has been identified as a significant risk factor in the development and progression of AD. This study explores the potential of metformin, a common anti-diabetic drug, to mitigate aluminum-induced neurotoxicity in an in vitro model of AD.

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  • Thiamine (Vitamin B1) plays a crucial role in energy metabolism, but its impact on overall metabolism during critical illness remains unexplored.
  • The study analyzed the connection between whole blood thiamine pyrophosphate (TPP) levels and various plasma metabolites in critically ill patients, using advanced metabolomics techniques.
  • Findings indicated that thiamine status is linked to multiple key metabolic pathways related to energy, carbohydrates, amino acids, and lipids in critically ill adults.
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  • Cardiac rhabdomyoma is the most common benign heart tumor in children, often linked to tuberous sclerosis, and this study analyzed cases diagnosed in newborns at a single center.
  • Over 12 years, 12 newborns were evaluated, revealing that half had tuberous sclerosis and highlighting the average age for diagnosis and treatment experiences with everolimus.
  • The findings indicate that many cardiac rhabdomyomas shrink on their own, but proper monitoring is essential, especially for those with severe cases that could lead to life-threatening issues.
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The determination of the areas where the solar power plant will be installed is of great importance for the performance of the solar power plant. Solar and hydroelectric energy are the most widely used renewable energy sources in Kars province. Site selection for these power plants is an important factor in terms of reducing the installation cost of the solar power plant and achieving maximum efficiency during operation.

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Background: Skin appendage tumors (SATs) are benign and malignant neoplasms. Although there are many studies on their clinical features and epidemiology in the literature, most of these studies have a small number of patients and are not classified according to the WHO 2018 classification.

Objectives: This study aimed to reveal the clinical and histopathological features of the SATs and compare the pre-diagnosis.

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Pembrolizumab is an immune checkpoint inhibitor that acts PD-1 blockade. Recent studies have shown its effectiveness in treating various solid organ tumours. However, unlike cytotoxic chemotherapeutic agents, pembrolizumab may cause immune-related adverse effects.

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Objective: Despite the multiple available treatment modalities, cervical cancer is one of the leading causes of mortality and morbidity among female gynecological cancers. Endoplasmic Reticulum (ER) is an effective organelle in ensuring cell homeostasis and is closely related to the development of cancer. Esculetin is a coumarin derivative that has anticancer, anti-inflammatory, antioxidant, and neuroprotective effects.

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In the event of disease or injury, restoration of the native organization of cells and extracellular matrix is crucial for regaining tissue functionality. In the cornea, a highly organized collagenous tissue, keratocytes can align along the anisotropy of the physical microenvironment, providing a blueprint for guiding the organization of the collagenous matrix. Inspired by this physiological process, anisotropic contact guidance cues have been employed to steer the alignment of keratocytes as a first step to engineer in vitro cornea-like tissues.

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Background: Immunoglobulin A (IgA) nephropathy (IgAN) treatment consists of maximal supportive care and, for high-risk individuals, immunosuppressive treatment (IST). There are conflicting results regarding IST. Therefore, we aimed to investigate IST results among IgAN patients in Turkiye.

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  • The study looks at primary FSGS (pFSGS) in Turkey and compares it to trends in other countries, noting that pFSGS cases are rising in the USA but not in Europe or Asia.
  • Researchers used data from Turkish patients with confirmed pFSGS, finding that many are men around 40 years old, with most experiencing nephrotic syndrome as the main symptom.
  • Key findings show that many patients have specific kidney issues, with differences between males and females in blood pressure and kidney function, while overall cases of pFSGS remain stable in Turkey.
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