9,019 results match your criteria: "Baskent University; İstanbul-Turkey. di_oguz@hotmail.com.[Affiliation]"

Background: Premenstrual syndrome (PMS) is characterized by physical, cognitive, emotional, and behavioral symptoms that appear during the luteal phase of the menstrual cycle, disappear after menstruation, and are recurrent in every cycle. PMS significantly affects the social and academic lives of adolescents, and historically, it has been neglected by healthcare professionals. We aimed to evaluate the current point prevalence of PMS in Turkish adolescents presented to a tertiary adolescent medicine clinic.

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Article Synopsis
  • Angioimmunoblastic T-cell lymphoma (AITL) is a tough-to-treat subtype of peripheral T-cell lymphomas that often leads to poor patient outcomes.
  • Treatment options range from traditional anthracycline-based therapies to newer drugs like romidepsin and belinostat, which have shown promise in improving survival rates.
  • The case report focuses on an elderly patient with a high IPI score who, despite multiple treatment attempts, achieved lasting positive results with belinostat.
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Objectives: Vestibular dysfunction occasionally accompanies sensorineural hearing loss (SNHL) due to anatomical proximity of cochlea and vestibule. The aim of the present study was to evaluate the vestibular system objectively and subjectively in 40-to 65-year-old individuals with and without SNHL.

Methods: This study included participants of both sexes, between the ages of 40 and 65 years old.

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PIK3/Akt/mTOR pathway alterations in metastatic castration-sensitive prostate cancer.

Prostate

October 2024

Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland, USA.

Background: Alterations in the PIK3/Akt/mTOR pathway are commonly seen in metastatic castration-sensitive prostate cancer (mCSPC), however their role in outcomes is unknown. We aim to evaluate the prognostic significance as well as the genetic landscape of PIK3/Akt/mTOR pathway alteration in mCSPC.

Methods: Fourhundred and seventy-two patients with mCSPC were included who underwent next generation sequencing.

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  • This study focuses on 17α Hydroxylase/17,20 Lyase Deficiency (17OHD), a rare form of adrenal hyperplasia, highlighting its clinical features such as delayed puberty and hypertension commonly diagnosed in late adolescence.
  • Researchers analyzed data from 97 cases across the country, revealing that hypertension was present in 65% and hypokalemia in 34% of patients, with a significant number requiring antihypertensive treatment.
  • The findings suggest that early diagnosis can be guided by hypertension and hypokalemia, while the final heights of patients generally fall within normal ranges, though the connection between genetic mutations and clinical outcomes remains unclear.
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Hydrogen sulfide (HS) is a gasotransmitter that has been studied for its potential therapeutic effects, including its role in the pathophysiology and treatment of stroke. This systematic review and meta-analysis aimed to determine the sufficiency of overall preclinical evidence to guide the initiation of clinical stroke trials with HS and provide tailored recommendations for their design. PubMed, Web of Science, Scopus, EMBASE, and MEDLINE were searched for studies evaluating the effect of any HS donor on in vivo animal models of regional ischemic stroke, and 34 publications were identified.

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Pestil, also known as fruit leather, has emerged as a promising non-dairy carrier for probiotics, utilizing apricots and incorporating probiotics into its formulation. This study aimed to develop a healthy snack bar by incorporating three distinct strains of probiotic bacteria, both in free and encapsulated forms, into the recipe of apricot leather. The physicochemical, bioactive, microbiological, and textural attributes of the resulting apricot pestils were evaluated over a 120-day storage period.

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Objectives: This study aimed to evaluate seizure semiology, electroencephalogram (EEG), magnetic resonance imaging (MRI), and genetic findings, as well as treatment choices in Rett syndrome (RTT).

Methods: A retrospective analysis was conducted on one hundred and twenty cases diagnosed with RTT with a genetic mutation. Data were obtained from nine participating centers.

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Rationale: Intramuscular injections are routine outpatient procedure performed at healthcare institutions worldwide. In the current literature, there have been very few reports of gluteal superior artery injuries due to incorrect injection techniques. However, no one has ever reported a healthy middle-aged man with systemic inflammatory response syndrome with possible injection-related bleeding from the gluteus superior artery, followed by a hematoma, and then a deep abscess after 3 weeks of not receiving treatment.

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Left ventricular assist devices (LVADs) are widely used as end-stage therapy in patients with advanced heart failure, whereas implantation increases the risks of development of sustained ventricular tachycardia at the later postimplantation stage. Therefore, this study aimed to evaluate the clinical efficacy of orally administered amiodarone and propranolol in 3 patients with ventricular tachycardia (VT) after LVAD implantation who were resistant to initial anti-antiarrhythmic drugs. This retrospective cohort study consisted of the initial evaluation of the clinical data of 14 adult patients who underwent implantation of LVAD between January 2019 and March 2021.

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Background: Social capital is an important resource that enables employees to build trust-based relationships with other individuals and groups in the workplace. Although the evidence reveals the effect of employee empowerment on burnout, the moderator role of social capital in this relationship is still unexplored. However, considering the health employees who have mental health problems and increased dissatisfaction with the COVID-19 epidemic, the importance of determining the antecedent factors that may affect burnout plays an even more critical role.

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Objectives: This study aims to determine the awareness levels and factors affecting it, along with prevalent misconceptions about Steatotic Liver Disease (SLD) among participants with high-risk indicators.

Methods: A questionnaire with open-ended questions was utilized. Participants were recruited from two general internal medicine outpatient clinics, focusing on those with high-risk indicators for SLD.

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Article Synopsis
  • This study aimed to compare childhood-onset schizophrenia (COS) and early-onset schizophrenia (EOS) in terms of clinical characteristics, treatment approaches, and factors influencing prognosis.
  • It involved analyzing data from 31 COS and 66 EOS patients, assessing their symptoms and treatment effectiveness using established scales during both acute and stable phases.
  • Significant differences were found in treatment outcomes and symptom severity between the two groups, with COS patients showing higher comorbidities and requiring more complex treatments, highlighting the need for early diagnosis and specific predictors for better management of schizophrenia.
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Instrumental and Visual Evaluation of the Chameleon Effect of Single-shaded Composite Resins.

Oper Dent

July 2024

Neslihan Arhun, DDS, PhD, professor, Başkent University, Faculty of Dentistry, Department of Restorative Dentistry, Ankara, Turkey.

Objective: To evaluate the shade-matching ability of single-shade resin-based composite restorations in different thicknesses using both instrumental and visual techniques.

Methods And Materials: Cavities with 4 mm diameter and 2 mm (n=96) or 3 mm (n=96) depth were prepared in acrylic incisor teeth of shades A2, A3, B3, and C2 and restored with three single-shade resin composites, Omnichroma (Tokuyama Dental America, Encinitas, CA, USA [OM]), Vittra APS Unique (FGM Dental Group, Joinville, SC, Brazil [VU]), Zenchroma (President Dental, Allershausen, Germany [ZC]), and a microhybrid resin composite (Filtek 3M Z250 3M ESPE, St Paul, MN, USA [FZ]) of A2, A3, B3, and C2 shades. Readings were obtained using VITA Easyshade V spectrophotometer for the teeth and restorations.

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Imaging features and management of focal liver lesions.

World J Radiol

June 2024

Department of Surgery, İzmir Katip Celebi University, School of Medicine, İzmir 35150, Türkiye.

Notably, the number of incidentally detected focal liver lesions (FLLs) has increased dramatically in recent years due to the increased use of radiological imaging. The diagnosis of FLLs can be made through a well-documented medical history, physical examination, laboratory tests, and appropriate imaging methods. Although benign FLLs are more common than malignant ones in adults, even in patients with primary malignancy, accurate diagnosis of incidental FLLs is of utmost clinical significance.

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Objective: Heart failure is a leading cause of death and the most common diagnosis leading to hospitalization. Its awareness is lower than that of other cardiovascular diseases, both in the general population and among patients with heart failure (HF). This study aimed to establish the current level of knowledge about HF in patients with HF with reduced ejection fraction (HFrEF) and mildly reduced ejection fraction (HFmrEF) in Türkiye.

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Clinical features, severity, and immunological changes during venom immunotherapy in children and adults.

Allergy Asthma Proc

July 2024

From the Division of Pediatric Allergy, School of Medicine, Department of Pediatrics, Koc University, Istanbul, Turkey.

Article Synopsis
  • Hymenoptera venom allergy (HVA) is a major cause of severe allergic reactions; a study analyzed 76 adults and 36 children to explore clinical features and immunologic changes after venom immunotherapy (VIT).
  • Cardiovascular symptoms were more common in adults, while children primarily experienced skin reactions; risk factors for severe reactions included lower urticaria rates and higher serum tryptase levels in adults.
  • VIT significantly increased specific immunoglobulin G4 (sIgG4) levels in patients, with notable increases seen in Apis and Vespula groups, showing different allergic responses between adults and children after one year of treatment.
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Perioperative management in pediatric domino liver transplantation for metabolic disorders: A narrative review.

Paediatr Anaesth

November 2024

Department of Surgical Sciences, Organ and Tissue Transplantation Center, Başkent University, Ankara, Türkiye.

Domino liver transplantation and domino-auxiliary partial orthotopic liver transplantation are emerging techniques that can expand the liver donor pool and provide hope for children with liver disease. The innovative technique of domino liver transplantation has emerged as a pioneering strategy, capitalizing on structurally preserved livers from donors exhibiting single enzymatic defects within a morphologically normal context, effectively broadening the donor pool. Concurrently, the increasingly prevalent domino-auxiliary partial orthotopic liver transplantation method assumes a critical role in bolstering available donor resources.

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Background: The lack of evidence regarding optimal desensitization strategies for lung transplant candidates with preformed donor specific anti-human leukocyte antigen antibodies (DSAs) has led to varying approaches among centers towards this patient group. Our institution's desensitization protocol for recipients with preformed DSAs and negative flow cytometry crossmatch (FCXM) consists of intravenous immunoglobulin (IVIG) as the sole therapy. The study aimed to determine outcomes using this approach.

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Comparison of two methods for treatment of 1-2 cm kidney stones in pediatric patients: mini PCNL and RIRS.

Langenbecks Arch Surg

July 2024

Department of Urology, Adana City Training and Research Hospital, Health Sciences University, Adana, Türkiye.

Objective: This study aimed to compare the results of retrograde intrarenal surgery (RIRS) and mini-percutaneous nephrolithotomy (mini-PCNL) for the treatment of 1-2 cm kidney stones in pediatric patients.

Methods: The records of patients under the age of 18 years who were diagnosed with unilateral 1-2 cm kidney stones for the first time and underwent endoscopic surgery between February 2008 and April 2022 were retrospectively examined. The patients were divided into two groups: mini-PCNL and RIRS surgery.

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Objectives: We explored the prognostic utility of the unique combination of C-reactive-protein-to-albumin ratio (CAR) and significant weight loss (WL > 5%) over the preceding 6 months, namely, the CARWL score, in stage IIIC non-small-cell lung cancer (NSCLC) patients who underwent concurrent chemoradiotherapy (CCRT).

Methods: For each patient, the CAR was calculated using C-reactive protein and albumin measurements obtained on the first day of CCRT: CAR = C-reactive protein ÷ albumin. The availability of an ideal CAR cutoff that may categorize patients into two distinct progression-free (PFS) and overall survival (OS) outcomes was explored by employing receiver operating characteristic (ROC) curve analysis.

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