1,924 results match your criteria: "Antalya bTuerkiye Yueksek İhtisas Training and Research Hospital[Affiliation]"

Placenta Accreta Spectrum (PAS) is a serious placental abnormality assosiated with significant maternal death during pregnancy. Due to its invasive characteristics resembling tumor growth, PAS is often associated with tumor-related proteins. While DNA methylation is known to regulate genes involved in development, its potential role in the development of PAS remains unclear.

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Background: This study aims to identify factors predicting recurrence and unfavorable prognosis in cN+ patients who have undergone sentinel lymph node biopsy (SLNB) following neoadjuvant chemotherapy (NAC).

Methods: The retrospective multi-centre "MF18-02" and the prospective multi-centre cohort registry trial "MF18-03" (NCT04250129) included patients with cT1-4N1-3M0 with SLNB+/- axillary lymph node dissection (ALND) post-NAC.

Results: A total of 2407 cN+ patients, who later achieved cN0 status after NAC and subsequently underwent SLNB, were studied.

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Background: Adhesive capsulitis (AC) is a common cause of shoulder disability. Interventional procedures are used along with many other treatment methods. There are insufficient studies directly comparing the superiority of suprascapular nerve block (SSNB) and intra-articular shoulder injection (IAI) techniques, which are frequently used interventional methods in treatment.

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Objective: We aimed to assess the real-world label adherence of non-vitamin K antagonist oral anticoagulant (NOAC) dosing patterns, including apixaban, edoxaban, and rivaroxaban, in Turkish patients with atrial fibrillation.

Methods: This was an observational, prospective, cross-sectional, multicenter study. Patients with atrial fibrillation (AF) who were prescribed NOACs within the last 4 months were recruited from 34 cardiology clinics in Türkiye.

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Current guidelines recommend adding long-acting muscarinic antagonists (LAMAs) in patients with uncontrolled asthma, despite the use of moderate to high doses of inhaled steroid-long-acting beta agonists (ICS/LABA). This study aims to analyze the factors related to the prescription of add-on LAMA in clinical practice for asthma patients, shedding light on physicians' preferences. This study included adult asthma patients on add-on LAMA and ICS/LABA monitored for at least one year in a national registry comprising 2053 asthmatics.

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  • Chronic obstructive pulmonary disease (COPD) often leads to hospital readmissions, with a study involving 415 patients in Turkey revealing significant readmission rates of 42.4% within 30 days and 46% within 90 days after severe exacerbations.
  • Key risk factors for 30-day readmissions include high anxiety and depression scores, a history of severe exacerbations, hospital-acquired pneumonia, and frequent antibiotic use.
  • For 90-day readmissions, factors such as severe heart regurgitation, multiple moderate exacerbations, immunosuppression, and being hospitalized via the emergency department were significant contributors.
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  • The study investigates different strategies for venoarterial extracorporeal membrane oxygenation (V-A ECMO) in patients, examining the effectiveness of various cannulation sites and the use of intra-aortic balloon pump (IABP).
  • Researchers categorized patients into two main groups: those receiving isolated V-A ECMO and those receiving V-A ECMO with IABP, and further divided them based on cannulation sites (e.g., central, axillo-femoral).
  • Results showed no significant differences in organ perfusion across the different cannulation sites or with IABP support, suggesting that the choice of cannulation site should be tailored to individual patient needs rather than based on a one-size-fits-all approach
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  • Dual antiplatelet therapy (DAPT) is essential for managing acute and chronic coronary syndromes, helping to lower mortality rates and prevent further complications.
  • A study followed 1500 patients on a specific fixed-dose DAPT (ASA + clopidogrel) to evaluate its effectiveness and safety, primarily focusing on hospitalization and bleeding risks.
  • Results indicated that the fixed-dose combination therapy was effective, with low rates of hospitalization for cardiovascular issues and minimal bleeding complications in appropriately selected patients.
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  • Chronic obstructive pulmonary disease (COPD) is a major global health issue, and factors like biomass exposure, patient demographics, and other health conditions play a significant role in worsening patient outcomes during episodes of exacerbation.
  • A study analyzed medical records of 334 COPD patients from January 2021 to December 2023, focusing on how biomass exposure influences hospital outcomes like ICU admissions, length of stay, and in-hospital mortality, rather than looking at its direct effects.
  • Results showed that patients with biomass exposure were more likely to be female, had lower smoking rates, and experienced higher ICU admissions and mortality; older patients also faced greater health challenges during their hospital stays, although specific characteristics didn't significantly correlate with outcomes.
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  • Direct oral anticoagulants (DOACs) are crucial for preventing strokes in patients with atrial fibrillation (AF), but their impact on blood parameters, especially in stable patients, has not been extensively studied.
  • In a retrospective study of 742 AF patients, researchers focused on changes in hemoglobin (Hb) levels after one year on DOACs, ultimately analyzing 530 patients based on whether their Hb change was less than or greater than 2 g/dL.
  • The findings revealed that patients with a greater than or equal to 2 g/dL decrease in Hb had higher baseline Hb levels and highlighted the need for careful monitoring of anemia in AF patients receiving DOACs, even if they seem clinically stable.
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  • Neoadjuvant chemotherapy (NAC) enhances survival rates in breast cancer patients by improving the rate of pathologic complete response (pCR), but research on blood-based indexes to predict pCR has produced mixed results.
  • A study of 304 patients used various blood indexes, including neutrophil-to-lymphocyte ratios (NLR), pan-immune inflammation values (PIV), and lactate dehydrogenase-albumin ratios (LAR), to assess their relationship with pCR and overall survival.
  • Results showed that PIV was the most significant predictor of pCR, while a high LAR was associated with increased recurrence risk and poor disease-free survival, revealing crucial insights for breast cancer treatment strategies.
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Background And Aims: During liver transplantation, hepatocellular carcinoma (HCC) recurrence remains a critical challenge for patient survival. Targeted therapies, such as sorafenib and regorafenib, have been utilized to manage relapsed HCC in this unique setting. This study aimed to assess the efficacy of Sorafenib and Regorafenib in patients with HCC who experienced recurrence after liver transplantation.

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  • * Out of 210 participants, 21.9% of RRMS patients had RLS compared to 12.4% of healthy individuals, with RRMS patients showing higher levels of anxiety, depression, fatigue, and poorer sleep quality.
  • * The findings suggest that RLS is more prevalent in RRMS patients than in healthy people and recognizing it can help improve treatment and the overall quality of life for those patients.
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Background: Laparoscopic cholecystectomy (LC) is widely performed with generally favorable outcomes, but postoperative pain remains a significant issue, influenced by various factors including the specimen extraction site and gallstone size.

Methods: A prospective randomized controlled study was conducted on 100 patients undergoing LC. Participants were randomized to have the specimen removed through either the epigastric or umbilical trocar.

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BACKGROUND Sarcopenia, characterized by loss of skeletal muscle mass and function, is linked to poor outcomes in cancer patients. In breast cancer, sarcopenia has been associated with reduced treatment tolerance and survival. However, its impact on patients with locally advanced breast cancer receiving neoadjuvant chemotherapy is understudied.

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Retrospective analysis of hemophilia B in Turkey: identifying main characteristics and treatment options.

Res Pract Thromb Haemost

October 2024

Department of Internal Medicine, Division of Hematology, Istanbul University - Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.

Background: Hemophilia B (HB), an X-linked recessive inherited bleeding disorder, exhibits a high prevalence among males.

Objectives: To present the first national cohort of persons with HB to define the demographics, clinical characteristics, and treatment patterns in Turkey.

Methods: This multicenter, retrospective study included 433 alive persons with HB registered in 35 centers between 1961 and 2018.

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Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening disease, with a high mortality if left untreated. In addition, the disease has unique diagnostic challenges. Therefore, despite the existing guidelines on management, current clinical practice data is informative on the course and outcome.

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  • - The study focuses on validating and testing the reliability of the Turkish version of the Lumbar Stiffness Disability Index (Tr-LSDI) for patients post-lumbar fusion surgery, as the original version has not been confirmed in Türkiye.
  • - A total of 66 patients participated, with various analyses confirming that the Tr-LSDI has high content validity, good internal consistency (Cronbach's alpha of 0.934), and excellent test-retest reliability (ICC of 0.980).
  • - Results showed a strong correlation between Tr-LSDI scores and both the number of fusion levels and the Oswestry Disability Index, affirming its effectiveness as a tool for assessing lumbar stiffness in clinical settings. *
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Widefield fundus photography is critical for the detection, documentation, and management of pediatric eye diseases. Existing clinical pediatric fundus cameras offer a limited field of view (FOV) and suboptimal image contrast, hindering comprehensive peripheral retina examination. Additionally, the high cost and lack of portability of commercial devices restrict their use in resource-limited settings.

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Lung cancer is the leading cause of cancer-related death globally and is often diagnosed at an advanced stage. Nivolumab represents a significant advancement for treating advanced non-small cell lung cancer (NSCLC). However, the absence of reliable biomarkers predicting treatment response hinders personalized therapy.

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Healthcare-associated infections (HAIs) remain a critical public health issue, as they contribute to prolonged treatment duration, increased healthcare costs, and heightened risks of morbidity and mortality. In head and neck cancer patients undergoing radiotherapy, thermoplastic masks (TMs), which come into direct contact with the skin, represent a potential vector for infection. Additionally, the storage racks where these masks are kept may also facilitate microorganism transmission.

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BCR::ABL1-negative myeloproliferative neoplasms (MPNs) pose a substantial risk of thrombosis, leading to significant morbidity and mortality. Anticoagulant therapy, historically based on vitamin K antagonists (VKAs), has limitations in preventing recurrent thrombotic events and managing bleeding complications. Direct oral anticoagulants (DOACs) offer a potential alternative with improved pharmacokinetics and compliance.

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  • The study investigates the effectiveness of bougie-guided cricothyrotomy versus traditional surgical cricothyrotomy in emergency airway management for obese patients using a 3D-printed manikin.
  • It involved 24 emergency residents who practiced both techniques, recording success rates, procedure times, and difficulty scores.
  • Results indicated that bougie-guided cricothyrotomy had a higher first-attempt success rate and was considered easier, especially for less experienced residents, though overall success rates and procedure times were similar for both methods.
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