8,198 results match your criteria: "İstinye University Medical Faculty[Affiliation]"

Introduction: Individuals with inborn errors of immunity (IEI) are at increased risk of respiratory infection and frequently receive prolonged broad-spectrum antibiotics, leading to antibiotic resistance. The aim of this study was to identify respiratory pathogens and antibiotic resistance patterns in IEI patients.

Methods: We retrospectively studied 36 IEI patients with positive bacterial growth in sputum cultures between 2014 and 2023.

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Purpose: Reinke's edema is a benign lesion affecting the subepithelial layer of the vocal cords, often associated with moderate or heavy smoking. Smoking is the most significant risk factor for dysplastic laryngeal lesions, laryngeal carcinomas, and Reinke's edema. Thus, Reinke's edema could potentially be a predisposing factor for laryngeal malignancy in the long term.

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  • The study aimed to investigate the effects of Dropped Head Syndrome (DHS) on functional status and body image in Head and Neck Cancer (HNC) patients while also examining the link between head and neck lymphedema (HNL) and DHS, a first in existing literature.
  • A total of 47 HNC patients aged 18 to 75 were assessed, using specific staging and quality of life scales to evaluate the impact of DHS and lymphedema on body image and function.
  • Results indicated significant correlations between body image scores and various factors such as age, surgical history, and lymphedema stages, highlighting the need for early diagnosis and proactive management to enhance quality of life for affected
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  • Pregnancy in women with Eisenmenger syndrome (ES) has high risks for both mothers and babies, prompting a study on pregnancy outcomes in this population.
  • The study reviewed eight cases of pregnant women with ES, revealing two maternal deaths related to severe complications, while four others diagnosed postpartum had no fatalities.
  • Although advanced care exists, the findings indicate persistently high maternal mortality rates without clear predictors for those at risk.
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The relationship between early-onset preeclampsia and the prognostic nutritional index and inflammatory markers.

J Obstet Gynaecol

December 2024

Department of Internal Medicine, Cigdem Cindoglu Assoc/Prof, Harran University Medical Faculty, Sanliurfa, Turkey.

Background: Preeclampsia is still a disease whose cause and treatment have not been fully characterised. Early-onset preeclampsia occurs before the 34th week of pregnancy, and late-onset preeclampsia occurs at 34 weeks or older. In our study, we investigated whether the prognostic nutritional index (PNI) and pan immune inflammation value (PIV), which are used in the prognosis and prediction of diseases in new studies in the literature, are useful for predicting early-onset preeclampsia.

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Background: Sarcopenia is a progressive age-related skeletal muscle disease associated with adverse outcomes in those with cardiovascular disease. In this study, the prevalence of sarcopenia and its effect on clinical outcomes in heart failure with mildly reduced ejection fraction (HFmrEF) patients were examined.

Methods: A total of 722 patients from three centres who applied to the outpatient clinic with the diagnosis of HFmrEF between 01 January 2020 and 01 June 2021 were included in the study retrospectively.

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Akathisia is an underestimated but disturbing extrapyramidal side effect of antidepressants, which could reduce treatment compliance in mood disorders. This study aimed to investigate the frequency and risk factors in patients treated with selective serotonin reuptake inhibitors/serotonin and noradrenaline reuptake inhibitors (SSRI/SNRI). In addition, we assessed the impact of akathisia on the quality of life (QoL).

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  • The study aimed to assess the choroidal vascular parameters in keratoconus (KC) patients and their relationship to eye topography.
  • Researchers analyzed 90 KC patients grouped by severity and compared them to 29 patients without KC, focusing on choroidal microvascular density and vascularity indices.
  • Results indicated a decrease in specific retinal nerve fiber thickness and choroidal vascularity in advanced KC patients, along with a weak negative correlation between choroidal vascularity and keratometry measurements.
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It is the year 2050, and the world of medicine has undergone significant changes. With the advent of advanced technology and medical breakthroughs, medical schools have become even more competitive. Medical students are now required to have an exceptional academic record, outstanding research experience, and a perfect social media presence.

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Background: To examine the prognostic relevance of pan-immune-inflammation value (PIV) in locally advanced nasopharyngeal carcinomas (LA-NPC) patients treated with concurrent chemoradiotherapy (CCRT) definitively.

Methods: We used receiver operating characteristic (ROC) curve analysis to determine an optimal PIV cutoff that could effectively divide the patient cohort into two distinct groups based on distant metastasis-free (DMFS) and overall survival (OS) results. For this purpose, receiver operating characteristic (ROC) curve analysis was employed.

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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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  • - Perioperative complications after classic Whipple surgery occur at a rate of about 40%, with delayed gastric emptying and pancreatic fistula being common, while gastrojejunostomy (GJ) leakage is rare.
  • - A case report focused on a 71-year-old male who developed a GJ leak post-surgery, highlighting the use of vacuum therapy and endoscopic intervention to manage the leak, resulting in successful closure with titanium clips.
  • - The literature indicates GJ leakage occurs in 0.54% of Whipple surgeries, with an average duration of symptoms from 4 to 34 days; this case marks the first documentation of endoscopic treatment for such leaks.
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Background: Biliary atresia (BA) is a rare condition of unknown origin in newborns with jaundice. In BA bile ducts are non-functional, causing neonatal cholestasis and following liver fibrosis and failure.

Methods: This retrospective study included liver biopsies of 14 infants with BA aged [mean ± SD] 63 ± 23 days.

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  • Hereditary Hemorrhagic Telangiectasia (HHT) is a genetic disorder that causes frequent bleeding in various organs, and diagnosing it can be challenging; researchers investigated exosomes (tiny vesicles) as potential biomarkers for HHT.
  • The study involved analyzing exosomes isolated from the blood of 20 HHT patients and 17 healthy donors, focusing on their protein composition and functional effects on human cells; specific proteins like Thrombospondin-1 were found to be significantly higher in HHT patients' exosomes.
  • Findings suggest that exosomal proteins, particularly Thrombospondin-1 and soluble Endoglin (sENG), could serve as biomarkers for HHT, offering a promising new
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  • The study investigates how adenoidectomy, a common procedure to treat sleep-disordered breathing in children, might affect scoliosis progression by examining the relationship between hypoxia (lack of oxygen), spinal curvature, and surgery.
  • Researchers analyzed data from 218 children who had adenoidectomy, focusing on those with scoliosis, and measured spinal curvature using the Cobb angle before and after the procedure.
  • The findings suggest that many patients experienced a reduction in Cobb angles post-surgery, particularly those with initially higher angles, indicating a possible link between improving airway function through surgery and regression of scoliosis, which could inform future treatment strategies.
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Sacubitril/Valsartan in Pediatric Heart Failure (PANORAMA-HF): A Randomized, Multicenter, Double-Blind Trial.

Circulation

November 2024

M3C-Necker, Congenital and Paediatric Cardiology Department, Hospital Necker-Enfants Malades, University of Paris Cité, France (D.B.).

Background: Sacubitril/valsartan, an angiotensin receptor-neprilysin inhibitor (ARNI), is an established treatment for heart failure (HF) with reduced left ventricular ejection fraction. It has not been rigorously compared with angiotensin-converting enzyme inhibitors in children. PANORAMA-HF (Prospective Trial to Assess the Angiotensin Receptor Blocker Neprilysin Inhibitor LCZ696 Versus Angiotensin-Converting Enzyme Inhibitor for the Medical Treatment of Pediatric HF) is a randomized, double-blind trial that evaluated the pharmacokinetics and pharmacodynamics (PK/PD), safety, and efficacy of sacubitril/valsartan versus enalapril in children 1 month to <18 years of age with HF attributable to systemic left ventricular systolic dysfunction (LVSD).

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Autosomal recessive coding variants are well-known causes of rare disorders. We quantified the contribution of these variants to developmental disorders in a large, ancestrally diverse cohort comprising 29,745 trios, of whom 20.4% had genetically inferred non-European ancestries.

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Background: Systemic inflammation can significantly impact gliomas' onset, progression, and prognosis. Glioblastoma multiforme (GBM) represents the glioma subtype characterized by the most profound inflammatory and immunosuppressive states. Consequently, various blood-borne biomarkers have been scrutinized concerning their prognostic value in GBM patients.

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Background: Hydatid disease is a parasitic infection seen in endemic areas. Musculoskeletal hydatid disease is rarely reported.

Purpose: To describe the magnetic resonance imaging (MRI) features of musculoskeletal hydatid disease and to highlight the specific findings in the diagnosis of hydatid cysts.

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Background: Oral isotretinoin is the most effective systemic treatment for acne patients who fail to respond to other forms of therapies. However, hesitations and concerns regarding its side effect profile may detain the patients from treatment. This study aimed to develop and validate the Isotretinoin Hesitancy Scale (IHS) among acne patients.

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