City of Kahramanmaras has witnessed a rapid growth in the last five decades due to its agricultural and industrial potential. Urbanization has brought great challenges to the sustainable development of cities, especially in developing countries. A modeling system that could provide regional assessments of future development and explore the potential impacts of different regional management scenarios would be useful for the future health of the cities. The main goal of this study was to create a modeling system capable of depicting, quantitatively and graphically, the growth impacts of two land use policies and trends in the city of Kahramanmaras. Given its success with regional scale simulation, its ability to incorporate different levels of land protection through an "excluded" layer, and the relative ease of implementation and computation, the model developed by Keith Clarke from University of California at Santa Barbara, known as SLEUTH, was adopted for this study. SLEUTH is a pixel-based cellular automaton (CA) model and has been applied to several cities worldwide successfully. The model was calibrated using historic time series of developed areas derived from Landsat Thematic Mapper (TM) imagery between 1984 and 2009, and future growth was projected out to 2040. Two alternative growth scenarios were modeled: (1) current trends, and (2) managed growth: regions with high landscape potential were protected from urbanization. This application of the SLEUTH model demonstrates an ability to address a range of regional planning issues and provides useful information for the cities' future planning and development.
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JAMA Netw Open
January 2025
Department of Pediatric Intensive Care Medicine, Life Support Center, Hacettepe University, Ankara, Turkey.
Importance: This study addresses the characteristics, kidney replacement therapy (KRT) modalities, and outcomes in children diagnosed with crush syndrome following an earthquake in Turkey.
Objective: To analyze the associations of different KRT modalities with long-term dialysis dependency and length of stay (LOS) in the pediatric intensive care unit (PICU).
Design, Setting, And Participants: This multicenter, prospective, and retrospective cohort study was conducted across 20 PICUs in Turkey.
Sci Rep
January 2025
Division of Medical Oncology, Marmara University School of Medicine, Istanbul, Turkey.
Management of melanoma has changed significantly with the discovery of targeted therapies and immune checkpoint inhibitors (ICI). Our aim in the study is to determine which treatment alternatives, specifically dabrafenib plus trametinib and ICIs, are effective in adjuvant therapy and which treatment is effective as first-line metastatic therapy. This retrospective, multicenter study included 120 patients diagnosed with stage IIIB-IIID melanoma receiving both adjuvant and first-line metastatic treatment between 2007 and 2023.
View Article and Find Full Text PDFJ Orthop Surg Res
January 2025
Department of Orthopaedics and Traumatology, Selçuk University Faculty of Medicine, Konya, 42130, Türkiye.
Background And Objectives: Bennett fractures are intra-articular fractures of the first metacarpal, typically resulting from axial loading. The optimal surgical method for fixation remains a topic of ongoing debate. This study aims to evaluate and compare the biomechanical properties of different fixation techniques.
View Article and Find Full Text PDFBMC Emerg Med
January 2025
Ankara Etlik City Hospital, Emergency Medicine, Ankara, Turkey.
Objectives: Dysnatremia is a critical electrolyte disturbance that can significantly impact the prognosis of trauma patients by influencing fluid balance, neurological function, and hemodynamics. Although sodium disorder is common in hospitalized patients, few studies have specifically examined the incidence of dysnatremia in patients presenting to the emergency department for post-earthquake trauma. The aim of this study is to evaluate the incidence of dysnatremia and the prognosis of patients with dysnatremia in trauma patients admitted to our center after the Kahramanmaraş earthquake.
View Article and Find Full Text PDFJ Infect Dev Ctries
December 2024
Ankara Etlik City Hospital, Department of Medical Microbiology, Ankara, Turkey.
Introduction: Antimicrobial resistance remains a global threat with increasing morbidity and mortality rates. The aim of this study was to identify the antimicrobial resistance trends among ESKAPE pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter spp.) isolated from clinical samples at a Health Practice and Research Hospital over five years.
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