13,738 results match your criteria: "Bakirkoey Education and Research Hospital[Affiliation]"

Objectives: Adolescence is defined as the transition period from childhood to adulthood. The present study aimed to examine the relationship between health promotion behavior and game addiction in a sample of Turkish adolescents.

Methods: The sample consisted of 340 adolescents aged 10-14 years (50.

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Aim: Pelvic binder application is one of the life-saving interventions used in pelvic trauma. The aim of this study was to evaluate the effect of a pelvic binder training program on the knowledge, skills, attitudes and competence levels of emergency department nurses.

Methods: The study was conducted with 35 emergency department nurses using a one-group pretest-posttest design.

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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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  • Vitamin D deficiency is linked to poor cardiovascular health and impaired diastolic function, especially in patients with acute coronary syndrome (ACS).
  • A study involving 117 ACS patients used echocardiography to measure diastolic function and found that lower vitamin D levels correlated with worse diastolic metrics.
  • Results indicated that low vitamin D was a significant predictor and independent risk factor for diastolic dysfunction in these patients, even with preserved left ventricular systolic function.
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  • COPD exacerbations can lead to increased morbidity and mortality, with prolonged hospital stays linked to various risk factors despite optimal care.
  • A study analyzed 434 COPD patients to identify factors influencing hospital length of stay (LOS), categorizing them into patient-related, disease-related, treatment-related, and hospital utility-related.
  • Key findings indicated that factors like biomass exposure, previous non-invasive mechanical ventilation, low bicarbonate levels, and increased oxygen needs were associated with difficult-to-manage exacerbations and longer hospitalizations.
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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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Nivolumab plus Ipilimumab in Microsatellite-Instability-High Metastatic Colorectal Cancer.

N Engl J Med

November 2024

From Sorbonne Université, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris, Unité Mixte de Recherche Scientifique 938, and SIRIC CURAMUS, Paris (T.A.), Hopital Foch, Suresnes (J.B.), and Institut Paoli-Calmettes (C.F.), and La Timone, Aix Marseille Université (L.D.), Marseille - all in France; Vall d'Hebron University Hospital and Institute of Oncology (VHIO), Universitat Autònoma de Barcelona, Barcelona (E.E.), Hospital Universitario Virgen del Rocío, Seville (M.L.L.), Institut Català d'Oncologia, Hospital Universitario Germans Trias i Pujol, Badalona (J.L.M.M.), and Hospital Universitario 12 de Octubre, Imas12, Medicine Department-UCM, Madrid (R.G.-C.) - all in Spain; University Hospitals Gasthuisberg and University of Leuven (KU Leuven), Leuven, Belgium (E.V.C.); the University Hospital of Southern Denmark, Vejle Hospital, Vejle (L.H.J.); Hospital Universitario Fundacion Favaloro, Buenos Aires (G.M.); Centrul de Oncologie Sf Nectarie, Craiova, Romania (M.S.); the National Cancer Center Hospital East, Chiba, Japan (T.Y.); Shanghai East Hospital, Shanghai, China (J.L.); the University of Southern California Norris Comprehensive Cancer Center, Los Angeles (H.-J.L.); Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome (G.T.), and Veneto Institute of Oncology IOV-IRCCS, Padua (S.L.) - both in Italy; the Netherlands Cancer Institute, Amsterdam (M.C.); Cancer Research SA, Adelaide, SA, Australia (R.J.); Hematology-Oncology Practice Eppendorf (HOPE) and University Cancer Center Hamburg (UCCH), Hamburg, Germany (E.G.); the Institute of Cancer of São Paulo, São Paulo (M.I.B.); Adana City Education and Research Hospital, Adana, Turkey (T. Cil); and Bristol Myers Squibb, Princeton, NJ (E.C., T. Chen, M.L., M.D., S.A.).

Background: Patients with microsatellite-instability-high (MSI-H) or mismatch-repair-deficient (dMMR) metastatic colorectal cancer have poor outcomes with standard chemotherapy with or without targeted therapies. Nivolumab plus ipilimumab has shown clinical benefit in nonrandomized studies of MSI-H or dMMR metastatic colorectal cancer.

Methods: In this phase 3 open-label trial, we randomly assigned patients with unresectable or metastatic colorectal cancer and MSI-H or dMMR status according to local testing to receive, in a 2:2:1 ratio, nivolumab plus ipilimumab, nivolumab alone, or chemotherapy with or without targeted therapies.

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Effects of White Noise and Therapeutic Touch on Pain and Comfort in Newborns during Heel Lance: A Randomized Controlled Study.

Adv Neonatal Care

December 2024

Department of Pediatric Nursing, İzmir Atatürk Education and Research Hospital, Neonatal Intensive Care Unit, and Dokuz Eylül University, Institute of Health Sciences, Izmir, Turkey (Ms Erol); and Pediatric Nursing Department, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey (Mrs Özalp Gerçeker).

Background: Nonpharmacological methods such as white noise and therapeutic touch can be used in pain management in neonates.

Purpose: This randomized controlled study evaluated the effects of white noise and therapeutic touch during heel lance procedures on pain, comfort levels, and physiological parameters in healthy neonates.

Methods: This parallel, randomized controlled study was conducted in the Obstetrics and Gynecology Service of a regional hospital.

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Background: There is debate as to the association between dehydration and malnutrition. Thus, this study aimed to investigate the correlation between dehydration and malnutrition and their impact on geriatric syndromes.

Methods: This cross-sectional study included older adults (≥60 years) who attended one outpatient geriatric clinic.

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This editorial article is intended to perform a discussion on the manuscript entitled "Simultaneous portal vein thrombosis and splenic vein thrombosis in a COVID-19 patient: A case report and review of literature" written by Abramowitz . The article focuses on the diagnostic processes in a 77-year-old-male patient with a simultaneous portal vein and splenic artery thrombosis accompanying coronavirus disease 2019 (COVID-19). The authors postulated that splanchnic thrombosis should be on the list of differential diagnoses in a patient presenting with abdominal pain in presence of a COVID-19 infection.

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Acute pancreatitis (AP) is a clinical condition that arises acutely in the pancreas through various inflammatory pathways due to multiple causes. Turkish Society of Gastroenterology Pancreas Working Group developed comprehensive guidance statements regarding the management of AP that include its epidemiology, etiology, clinical presentation, diagnostic criteria, disease severity, treatment, prognosis, local and systemic complications. The statements were developed through literature review, deliberation, and consensus opinion.

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: In this study, we evaluated the impact of seven immune indexes on treatment response and survival outcomes in advanced non-small-cell lung cancer (NSCLC) patients receiving second-line and subsequent nivolumab treatment under real-life conditions. : The pan-immune inflammation value (PIV), systemic immune inflammation value (SII), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), derived neutrophil-to-lymphocyte ratio (d-NLR), and prognostic nutritional index (PNI) were calculated. All immune indexes were classified as low and high based on cut-off values.

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Background And Objectives: Fournier's gangrene (FG) is a polymicrobial-induced necrotizing fasciitis that affects the deep and superficial tissues of the perineal, perianal, scrotal, and genital regions. This study aimed to investigate the role of C-reactive protein (CRP)/lymphocyte and neutrophil/lymphocyte ratios, which are objective markers of inflammatory response, in predicting mortality in patients with FG.

Patients And Methods: Seventy-one patients who underwent surgery for FG between 2019 and 2023 were evaluated retrospectively.

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Article Synopsis
  • * The study involved 38 TM patients and 25 healthy controls, revealing that SWE parameters were significantly higher in TM patients compared to healthy controls, indicating more advanced liver condition.
  • * Although no significant differences in SWE were found among TM patients with varying levels of iron overload, the study suggests that SWE could serve as a valuable tool for early liver damage detection, paving the way for further research.
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Clinical Relevance: Myopia control is a prominent area of global research, with multifocal contact lenses identified as an effective intervention for adolescents.

Background: This study aims to evaluate the visual performance and vision-related quality of life (QoL) of myopic adolescents when corrected with pupil-optimised multifocal soft contact lenses (MFSCLs) versus single-vision contact lenses (SVCLs), with each participant serving as their own control.

Methods: Thirty-five myopic adolescents, habitually wearing SVCLs and fitted with pupil-optimised MFSCL with mid-addition power, were recruited.

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The Correlation Between Electrodiagnostic Severity and Patient-Reported Disability Among Carpal Tunnel Syndrome Patients.

Ann Indian Acad Neurol

November 2024

Department of Anesthesiology and Reanimation, Division of Pain Medicine, Gazi University, Ankara, Turkey.

Background And Objectives: The use, easy applicability, and costs of accurate diagnostic tools and their utility for early diagnosis, efficient treatment, and follow-up are important. In this study, we aimed to evaluate how electrophysiologic data were reflected in the clinical data of the patients with carpal tunnel syndrome (CTS).

Methods: This study included 102 patients with definitive CTS based on electroneuromyography.

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Article Synopsis
  • Biotin is a water-soluble vitamin essential for carboxylation, and its deficiency (biotinidase deficiency, BD) can be classified as partial or profound depending on serum enzyme activity levels.
  • A study involving 302 patients in eastern Türkiye assessed various factors such as age, family history, and genetic mutations related to BD, with the majority diagnosed through neonatal screening.
  • The research identified 306 variants of the BTD gene, with the most common genetic mutations being c.410G>A (p.Arg137His) and c.1270G>C (p.Asp424His), and specific genotypes were linked to more severe deficiency symptoms.
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Objectives And Background: Our objective was to determine the diagnostic significance of a low T-wave amplitude (TWA) and T/R ratio, defined as the amplitude ratio between the T waves and the R waves, in patients with acute non-ST elevation myocardial infarction (ANSTEMI). Syntax score (SS) shows the extension of coronary artery disease. Previously, low TWA and T/R ratios were demonstrated to be inversely proportional to the risk of sudden cardiac arrest in different cardiac disease conditions.

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Resting state functional connectivity in adolescents with substance use disorder and their unaffected siblings.

Psychiatry Res Neuroimaging

December 2024

Department of Psychiatry, Ataturk Education and Research Hospital, Katip Celebi University, Izmir, Turkey. Electronic address:

Article Synopsis
  • The study investigates resting-state functional connectivity (rsFC) in adolescents with substance use disorder (SUD), their unaffected siblings, and typically-developing controls to find network organization changes linked to familial SUD risk.
  • Adolescents with SUD exhibited both weaker and stronger rsFC, specifically in the default-mode network (DMN) and its connections with other networks, compared to typically-developing controls.
  • Although unaffected siblings showed no overall differences from controls, they did present lower rsFC within the DMN and between the visual network and other networks, along with higher rsFC between the DMN and fronto-parietal network, indicating potential familial predispositions for SUD.
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Body composition assessment measured via bioelectrical impedance analysis in euthyroid children with newly diagnosed Hashimoto's thyroiditis.

J Pediatr Endocrinol Metab

January 2025

Department of Pediatrics, Division of Pediatric Endocrinology, Health Sciences University, Kayseri City Education and Research Hospital, Kayseri, Turkiye.

Objectives: The effects of thyroid hormones on body composition are well-known. We aimed to examine the body composition of children with and without Hashimoto's thyroiditis (HT) by bioelectrical impedance analysis (BIA) while they were still euthyroid.

Methods: Between the ages of 5 and 18, 53 girls and 12 boys in each group, 65 children with HT, and 65 healthy children were included in this study.

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Heterozygous BTNL8 variants in individuals with multisystem inflammatory syndrome in children (MIS-C).

J Exp Med

December 2024

Section of Paediatric Infectious Disease, Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, UK.

Multisystem inflammatory syndrome in children (MIS-C) is a rare condition following SARS-CoV-2 infection associated with intestinal manifestations. Genetic predisposition, including inborn errors of the OAS-RNAseL pathway, has been reported. We sequenced 154 MIS-C patients and utilized a novel statistical framework of gene burden analysis, "burdenMC," which identified an enrichment for rare predicted-deleterious variants in BTNL8 (OR = 4.

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Background: Intraventricular hemorrhages (IVH) are common pathologies in neurosurgery practice and are associated with the worst clinical outcome among all intracranial hemorrhages. Blood in the ventricles is thought to worsen the clinical condition by triggering inflammatory processes. In recent years, NLR value is a frequently used inflammatory parameter, and there are many publications reporting that a high NLR value is an important marker in predicting the severity of inflammation.

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This study aimed to assess the extent of cognitive impairment in children and adolescents with Juvenile Idiopathic Arthritis (JIA). While cognitive deficits are recognized in other systemic rheumatic diseases, exploration within the pediatric JIA population remains limited. The investigation utilized a comprehensive approach to examine neuropsychological test performance.

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A novel nonsense RPS26 mutation in a patient with Diamond-Blackfan anemia: a case report.

J Med Case Rep

November 2024

Department of Medical Genetics, Adana Faculty of Medicine, Adana City Education and Research Hospital, University of Health Sciences, Adana, Turkey.

Article Synopsis
  • Diamond-Blackfan anemia is a rare genetic disorder linked to mutations in ribosomal protein genes, and this report introduces a new variant in the RPS26 gene that hasn't been previously documented.
  • A 16-month-old Turkish girl was diagnosed with the condition, showing symptoms like pallor and macrocytosis, with genetic testing revealing the novel c.221G>T (p.C74F) mutation in the RPS26 gene.
  • This discovery highlights the complexity of Diamond-Blackfan anemia's genetic diversity and emphasizes the importance of genetic testing for accurate diagnosis and potential future treatments.
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  • The study aimed to assess diaphragm muscle mass, strength, and quality in pediatric patients with primary malnutrition using conventional ultrasound (US) and shear wave elastography (SWE).
  • Researchers compared diaphragm thickness and stiffness between 62 malnourished children and 53 healthy controls, finding significant reductions in the malnourished group.
  • The results suggest that US and SWE may be useful tools for diagnosing and monitoring sarcopenia, but further studies are needed to validate these findings.
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