52 results match your criteria: "Aksaray Training and Research Hospital[Affiliation]"

This study primarily aimed to examine the significance of the C-reactive protein to lymphocyte ratio (CLR), a key marker of inflammation, in relation to the disease progression and management of COVID-19 patients admitted to the intensive care unit (ICU). A total of 464 patients aged 18 years or older, diagnosed with COVID-19 and admitted to the ICU between April 1, 2021, and February 1, 2022, were included in the study. Sociodemographic, laboratory, radiological, and clinical data were collected for each patient.

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ChatGPT and pediatric advanced life support: A performance evaluation.

Resuscitation

December 2024

Department of Emergency Medicine, Aksaray Training and Research Hospital, Aksaray, Turkey; Department of Emergency Medicine, Aksaray University School of Medicine, Aksaray, Turkey.

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Background: Biomaterials used in fracture healing hold a significant place in orthopedics. This study aimed to develop biomaterials coated with hydroxyapatite (HA), boric acid (BA), and magnesium (Mg) and investigate their effects on fracture healing.

Methods: Sixty female Wistar Albino rats were included in the study.

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Artificial intelligence application for identifying toxic plant species: A case of poisoning with Datura stramonium.

Toxicon

November 2024

Department of Emergency Medicine, Aksaray Training and Research Hospital, Aksaray, Turkey; Department of Emergency Medicine, Aksaray University School of Medicine, Aksaray, Turkey.

Article Synopsis
  • Managing plant poisonings in the emergency department is complicated, mainly due to the difficulty in identifying the specific toxic plant species involved, which is critical for determining the appropriate treatment.
  • A case of a 23-year-old male who experienced severe symptoms after consuming herbal tea led to the identification of Datura stramonium (jimson weed) using AI software, as timely access to botanical expertise was unavailable.
  • The case suggests that AI tools with visual recognition can aid healthcare providers in accurately identifying toxic plants, enhancing patient safety and treatment effectiveness.
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Article Synopsis
  • - This study explores using serum kallistatin as a potential biomarker for diagnosing tubo-ovarian abscess (TOA), suggesting that the commonly used C-reactive protein (CRP) lacks specificity.
  • - The research involved 60 patients (30 controls undergoing elective surgery and 30 hospitalized with TOA) at Antalya Training and Research Hospital in Türkiye, with various health parameters analyzed through blood samples.
  • - Significant differences in multiple blood markers, including serum kallistatin levels, were found between the TOA group and controls, indicating that kallistatin could effectively aid in TOA diagnosis, although larger studies are needed for validation.
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Article Synopsis
  • This study investigates out-of-hospital cardiac arrest (OHCA) data in Türkiye, focusing on prognostic outcomes and influencing factors for patients aged 18 and older who were treated at 28 medical centers.
  • It found a survival rate upon hospital discharge of only 4.4%, with a significant majority of patients not receiving bystander CPR, which was only performed in 2.9% of cases.
  • Key predictors for better outcomes included male gender, initial shockable heart rhythms, shorter prehospital CPR duration, and no need for CPR in the emergency department, highlighting the importance of timely and effective CPR in emergencies.
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Background: Familial Mediterranean fever (FMF) is a chronic disease characterized by recurrent episodes of fever and polyserositis. This study aimed to assess children's quality of life (QoL), as reported by children and their parents, and to compare the results according to clinical variables.

Material And Methods: The study examined 107 children with FMF, evaluating their demographic and genetic data, utilizing the Pediatric Quality of Life Inventory (PedsQL) to assess QoL, and comparing scores based on disease severity.

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The feeling of emotional tension, restlessness, pressure, and inability to relax is referred to as psychological stress. Although it is unclear how psychological stress affects neurobiological processes, several factors are thought to be involved, including central and peripheral neuroinflammation, structural degeneration in the prefrontal cortex and hippocampus, alterations in fear neurocircuitry, and neuroplasticity. Aside from data relating cognitive impairment to chronic low-grade inflammatory stress, there is growing evidence linking mental stress, oxidative stress, and systemic inflammation to the development of psychological disorders.

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In our study, we aimed to evaluate the effect of high-dose intravenous anakinra treatment on the development of thrombotic events in severe and critical COVID-19 patients. This retrospective observational study was conducted at a tertiary referral center in Aksaray, Turkey. The study population consisted of two groups as follows; the patients receiving high-dose intravenous anakinra (anakinra group) added to background therapy and the patients treated with standard of care (SoC) as a historical control group.

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Objectives: This study aimed to demonstrate how the prognostic nutritional index (PNI) and systemic immune-inflammatory index (SII) help predict the severity and prognosis of patients with type 2 diabetes (T2DM) and coronavirus disease (COVID-19).

Methods: This retrospective cohort study included 501 T2DM patients (male, 42.1%; female, 57.

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Does Eta Protein Differentiate Rheumatoid Arthritis from Psoriatic Arthritis?

Curr Med Chem

October 2024

Department of Physical Medicine and Rehabilitation Division of Rheumatology and Immunology, Faculty of Medicine, Sakarya University, Sakarya, Turkey.

Aim: The clinical symptoms and laboratory markers of Rheumatoid Arthritis (RA) and Psoriatic Arthritis (PsA) can be very similar, so making a differential diagnosis between these two diseases is often difficult. Serological parameters to be used in differential diagnosis can guide the clinician. This study aimed to investigate the usability of 14-3-3η (eta) protein as a biomarker in the differential diagnosis of PsA and RA, and the relationships between eta protein and disease activity scores and joint erosions in PsA and RA.

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Objective: Patients with COVID-19 accompanying cancer have been reported to have higher morbidity and mortality. In this study, we aimed to evaluate the high-dose high intravenous anakinra treatment response and outcome in patients with COVID-19-associated cytokine storm accompanying cancer.

Materials And Methods: This retrospective observational study was carried out at a tertiary referral center between September 01, 2021, and February 01, 2022, in Turkey.

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Background: Pancreatic, periampullary/ampullary, and choledochal adenocarcinomas are aggressive malignancies with a poor prognosis. Immune checkpoint blockade is a promising treatment option for several tumor types. H long terminal repeat-associating 2 (HHLA2), which is analogous to programmed death-ligand 1 (PD-L1), is a recently discovered member of the B7/cluster of differentiation 28 family and is expressed in many malignancies.

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Carbon monoxide poisoning from Charcoal-Heated Hookah vs Electrically Heated Hookah.

Am J Emerg Med

May 2024

Department of Emergency Medicine, Aksaray Training and Research Hospital, Aksaray, Turkey; Department of Emergency Medicine, Aksaray University School of Medicine, Aksaray, Turkey.

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Background And Objectives: Several studies are currently exploring the anatomical origins of superior longitudinal fascicule (SLF) 2 and SLF-3, which are components of the frontoparietal network. This study aimed to achieve optimum visualization of the anatomical corridors of these fibers using Photoshop filters.

Methods: Four postmortem brain hemispheres were dissected in accordance with the method proposed by Klingler and Ludwig.

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Pediatric kidney care experience after the 2023 Türkiye earthquake.

Nephrol Dial Transplant

August 2024

İstanbul University - Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Pediatric Nephrology, İstanbul, Türkiye.

Article Synopsis
  • Two devastating earthquakes in Türkiye on February 6, 2023, resulted in significant injuries to 903 children, with a focus on crush syndrome-related acute kidney injury (Crush-AKI) and mortality.
  • The study tracked various factors, including the time under rubble, treatment protocols, and patient outcomes, revealing that Crush-AKI developed in 36% of the patients, and over half required dialysis.
  • Key findings included that serum levels of creatine phosphokinase above 20,950 U/L and inadequate initial intravenous fluid volume were linked to Crush-AKI, and most deaths occurred among those with Crush-AKI within the first four days of admission.
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Introduction: In this study, we aimed to evaluate the safety and efficacy of combination treatment of high-dose intravenous anakinra and baricitinib in patients with critically ill COVID-19.

Material And Methods: This retrospective observational study was conducted in a tertiary center with diagnosis of COVID-19 patients.Study population consisted of patients with positive polymerase chain reaction and computer tomography findings compatible with COVID-19 as well as critical illness.

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Article Synopsis
  • Myelomeningocele (MMC) is a condition that affects many kids in developing countries like Turkey, and it can lead to kidney problems known as chronic kidney disease (CKD).
  • A study in Turkey looked at children with MMC to find out how many had different stages of CKD and what factors made their kidney health worse.
  • The results showed that 5.3% of the kids had CKD stage 5, and certain medical conditions were linked to an increased risk of serious kidney problems. To help these kids, doctors suggest taking early action in managing their bladder issues to prevent kidney failure.
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Lateral epicondylitis is one of the most common elbow joint injuries and elbow anatomy is a risk factor. Our study aims to evaluate whether the elbow carrying angle affects the development of lateral epicondylitis by considering sex differences. Elbow radiographs of 211 people (aged 18-65 years) diagnosed with lateral epicondylitis and having anteroposterior radiographs of the elbow taken in the appropriate position in the imaging archive of our hospital between January 1, 2021 and January 1, 2022 were retrospectively analyzed.

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It was aimed to investigate whether the Helicobacter pylori infection is related to the frequency, localization, size and number of colorectal polyps. The data of 4561 patients who underwent esophagogastroduodenoscopy and colonoscopy were analyzed retrospectively. Patients with and without polyps at colonoscopy were grouped and the frequency of H pylori infection was compared in these patients.

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Objectives: The primary aim of this study was to determine the average cricothyroid membrane (CTM) height in healthy volunteers, and the secondary aim was to determine the hypothetical success rate for emergency cricothyrotomy with a tracheal tube with an 8.0 mm outer diameter.

Methods: This study included healthy volunteers aged 18 years and older.

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The accurate identification of the percutaneous tracheostomy insertion site using digital palpation in children.

Ulus Travma Acil Cerrahi Derg

October 2023

Department of Anaesthesiology and Reanimation, Aksaray University, Faculty of Medicine, Aksaray-Türkiye.

Background: Percutaneous tracheostomy (PT) may be required frequently in long-term ventilated intensive care patients. Although the overall risks are low, serious complications may occur, especially in children. Hence, this study aimed to assess physician accuracy in identifying PT insertion sites by digital palpation in children aged between 5 and 13 years.

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Background: Behçet disease (BD) is a chronic inflammatory systemic disease that affects skin mucosa, joints, eyes, and blood vessels. Behçet disease shows some clinical differences in terms of disease manifestations and prognosis among the Silk Road countries, as well as various ethnicities even in the same country. In this study, we aimed to evaluate the clinical features and disease course of BD using cluster analysis in Van province, Eastern Turkey.

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Background: The objective of this study is to measure the levels of sestrin-2 (SESN2) and hypoxia-inducible factor-1 alpha (HIF-1α), which can be determinants in the relevant physiopathology and etiology, assessment of the clinical severity, and identification of new treatment targets in major depressive disorder (MDD) and its subtypes.

Methods: A total of 230 volunteers, including 153 patients diagnosed with MDD according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and 77 healthy controls, were included in the study. Of the MDD patients included in the study, 40 had melancholic features, 40 had anxious distress features, 38 had atypical features, and the remaining 35 had psychotic features.

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Diabetes mellitus is a chronic disease often associated with nonalcoholic steatohepatitis (NASH) and obesity. Both obesity and NASH are closely related to inflammation. In this study, we examined how exenatide, a glucagon-like peptide 1 analog, affects inflammatory and NASH-related markers in patients with diabetes.

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