Publications by authors named "Sahin Temel"

Article Synopsis
  • Acute ischemic stroke (AIS) is a serious complication in COVID-19 patients, with a study showing it occurred in 2.31% of hospitalized patients, primarily affecting older individuals with existing health issues.
  • The study analyzed 693 COVID-19 patients from April 2020 to February 2021, revealing that many AIS cases arose within the first 24 hours, led by total anterior circulation infarction and cardioembolic causes.
  • Patients with AIS had a higher prevalence of hypertension and heart disease, with a significant mortality rate, highlighting the need for awareness and monitoring for stroke risks in COVID-19 cases, particularly in older adults.
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Objective:  Coronavirus disease 2019 (COVID-19) caused morbidity and mortality worldwide. Besides the acute effects, subacute and long-term effects are defined as long-COVID causing morbidity. The intensive care unit (ICU) data of long-COVID-19 cases were evaluated with the participation of 11 centers.

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Article Synopsis
  • 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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Background: With the ageing of the global population, it is predicted that the population of older adult patients in hospitals and intensive care units (ICUs) will increase. Because of health conditions, care practices and ageing-related skin changes, older adult ICU patients are prone to skin integrity problems, including skin tears (STs).

Aim: To determine the prevalence of STs and associated factors in older patients hospitalized in ICUs.

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Background And Aim: Thiamine (Vitamin B1) is an essential micronutrient and a co-factor for metabolic functions related to energy metabolism. We determined the association between whole blood thiamine pyrophosphate (TPP) concentrations and plasma metabolites using high resolution metabolomics in critically ill patients.

Methods: Cross-sectional study performed in Erciyes University Hospital, Kayseri, Turkey and Emory University, Atlanta, GA, USA.

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Purpose: In an effort to better manage critically ill patients hospitalised in the intensive care unit (ICU) after experiencing multiple traumas, the present study aimed to assess whether plasma levels of intestinal epithelial cell barrier proteins, including occludin, claudin-1, junctional adhesion molecule (JAM-1), tricellulin and zonulin, could be used as novel biomarkers. Additional potential markers such as intestinal fatty acid-binding protein (I-FABP), D-lactate, lipopolysaccharide (LPS) and citrulline were also evaluated. We also aimed to determine the possible relationships between the clinical, laboratory, and nutritional status of patients and the measured marker levels.

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Background/objectives: Thiamine plays a pivotal role in energy metabolism. The aim of the study was to determine serial whole blood TPP concentrations in critically ill patients receiving chronic diuretic treatment before ICU admission and to correlate TPP levels with clinically determined serum phosphorus concentrations.

Subjects/methods: This observational study was performed in 15 medical ICUs.

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Background: Gastrointestinal (GI) dysfunction is common in the intensive care unit (ICU), although there is no consensus on biomarkers of GI dysfunction. We aimed to evaluate ultrasound-based gastric antrum measurements and serum intestinal fatty acid-binding protein (IFABP) and citrulline levels in relation to GI dysfunction in critically ill patients.

Methods: Adult critically ill patients receiving enteral nutrition and stayed for in the ICU for ≥48 h was included.

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Article Synopsis
  • This study examines the interruptions in enteral nutrition (EN) for critically ill patients in the ICU, focusing on their frequency, reasons, and duration during the first week of care.
  • A total of 122 ICU patients were monitored, revealing an average of 2.74 interruptions per patient, with the main cause being radiological procedures and the longest interruptions due to tube malfunctions.
  • The findings linked three or more EN interruptions to higher mortality rates, suggesting that effective management of EN is crucial for improving patient outcomes in the ICU.
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Background: Acute kidney injury (AKI) treated with continuous renal replacement therapy (CRRT) may deplete micronutrient levels. Patients are also at risk for micronutrient depletion due to underlying illness(s), poor nutrient intake prior to intensive care unit (ICU) admission and/or increased requirements. We determined vitamin and trace element status before, during and after CRRT in critically ill patients.

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Background: There are limited data on the long-term outcomes of COVID-19 from different parts of the world.

Aims: To determine risk factors of 90-day mortality in critically ill patients in Turkish intensive care units (ICUs), with respiratory failure.

Study Design: Retrospective, observational cohort.

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Background & Aims: Trace elements act as co-factors and/or in co-enzymes in many metabolic pathways and its deficiency contributes to metabolic and infectious complications. The aim of this study was to determine serum zinc, selenium, cobalt, chromium, copper and ceruloplasmin levels for identify the need for post intensive care unit (ICU) nutritional follow-up.

Methods: This study was prospectively conducted in medical ICU.

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Background: Ghrelin is a hormone that regulates appetite and energy metabolism. The change of serial serum total and acylated ghrelin levels during hospital stays of critical patients are unknown. In addition, the relationship of this change with the clinical results of patients in the intensive care unit (ICU) is also unknown.

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Background/aim: High flow nasal cannula (HFNC) was mostly used in intensive care units (ICUs) with few studies in other departments. We hypothesized that HFNC applied at wards is beneficial for acute respiratory failure in hematological malignancy patients.

Materials And Methods: The study is a single center, randomized controlled study.

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Crimean-Congo hemorrhagic fever (CCHF) is a worldwide tick-borne viral infection in humans. The aim of the study is to report a case of a female patient with severe CCHF with the bacteremia of Clostridium perfringens. An 18-year-old woman admitted to the emergency department with sudden onset of fever, nausea and vomiting, myalgia, headache, generalized abdominal pain.

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Background/aim: Critically ill patients are at risk of developing gastrointestinal (GI) bleeding due to stress causing mucosal damage. Aim of the study was to determine the effect of oral/enteral nutrition with or without concomitant pantoprazole on upper GI bleeding in low risk critically ill patients.

Materials And Methods: This was a prospective, randomized, open-label, multicenter study conducted with intensive care unit (ICU) patients receiving oral/enteral nutritional support.

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Background: The aim of the study was to determine serum thiamin concentrations in critically ill medical patients who required chronic diuretic drug treatment before admission to a medical intensive care unit (ICU).

Methods: This prospective study was performed in a medical ICU. Subjects who received diuretic drug therapy for at least 6 months prior to ICU admission constituted the diuretic group.

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Candida bloodstream infections are associated with high mortality among critically ill patients in intensive care units (ICUs). Studies that explore the risk factors for candidemia may support better patient care in intensive care units. We conducted a retrospective, multicenter case-control study to investigate the risk factors for noncatheter-related Candida bloodstream infections (CBSI) in adult ICUs.

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Article Synopsis
  • - The study aimed to gather data on the characteristics of intensive care units (ICUs) in Turkey through a nationwide point prevalence survey conducted by the Turkish Thoracic Society.
  • - Data from 67 ICUs revealed that 76.1% operated under a closed system, with 35.8% classified as Level of Care (LOC) 2 and 64.2% as LOC 3, indicating a range of critical care capacity.
  • - The findings highlighted a significant need for more specialized physicians and nurses in ICUs, particularly during nighttime, although the percentage of certified ICU nurses was seen as relatively adequate, with aspirations for full certification.
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We assessed whether single nucleotide polymorphisms (SNPs) in MDR1 gene C3435T predicted the outcome of platinum-based chemotherapies and survival in our non small cell lung cancer (NSCLC) patients. A total of 79 non-small cell lung cancer patients were enrolled to study. We determined the MDR1 C3435T single nucleotide gene polymorphisms.

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Synopsis of recent research by authors named "Sahin Temel"

  • - Sahin Temel's recent research primarily focuses on the complications and long-term effects of COVID-19 in critically ill patients, evaluating aspects such as acute ischemic strokes, long-COVID cases leading to respiratory failure, and nutritional deficiencies in intensive care settings.
  • - His studies utilize various methodologies, including multicenter cohort studies and high-resolution metabolomics, to explore biomarkers related to thiamine status, gastrointestinal dysfunction, skin integrity, and nutrient levels in critically ill patients.
  • - The findings indicate significant associations between thiamine levels and overall metabolic health, and highlight the prevalence of skin tears in older ICU patients, alongside a need to address interruptions in enteral nutrition during critical care to improve patient outcomes.