591 results match your criteria: "Gazi Yasargil Training and Research Hospital[Affiliation]"

Background: Albumin, a vital component in regulating human blood oncotic pressure, plays an important role in the prediction of prognosis in pediatric patients.Previous research identified significant differences in serum albumin levels of healthy and critically ill children.

Methods: The present study aims to investigate the correlation between albumin levels measured during pediatric intensive care unit(PICU) admission and clinical outcomes.

View Article and Find Full Text PDF

Background And Aim: Given the significance of pain management in the context of diabetic foot ulcer (DFU) care, particularly in terms of ensuring patient adherence to treatment regimens, this study was undertaken to ascertain the impact of cold washing on pain and comfort levels during diabetic foot care.

Methods: A single-blind randomized controlled trial was conducted in the chronic wound care clinic of a teaching and research hospital in the southeastern region of Turkey. The sample consisted of 68 patients, with 34 assigned to the cold application group and 34 assigned to the control group.

View Article and Find Full Text PDF

Background: Hospitals, being establishments with varying functions and capacities, must have disaster plans that reduce vulnerability, ensure the continuity, and possibly increase the capacity of healthcare services; these measures are crucial for reducing mortality and facilitating the normalization of life after a disaster. In this study, the aim was to analyze the operational process of the disaster management plan at Dicle University Faculty of Medicine Hospital following the earthquake in Kahramanmaraş on 6 February 2023.

Methods: This is a retrospective observational study.

View Article and Find Full Text PDF

Objectives: As previous studies on the use of a cervical pessary to prevent preterm birth (PTB) have produced conflicting results, we aimed to investigate the feasibility, acceptability and safety of a new technique for inserting a cervical pessary and compare it with the traditional technique in patients at high risk of PTB.

Methods: Women at high risk of PTB treated with a cervical pessary between January 2018 and January 2021 were retrospectively evaluated. After applying exclusion criteria, a total of 68 eligible patients were identified and retrospectively analyzed.

View Article and Find Full Text PDF

Objective: The aim of the study was to determine the prevalence, risk, and predisposing factors of diabetic foot ulcers in adults with diabetes.

Methods: This study is multi-centered descriptive cross-sectional research. Data were collected between June 2022 and November 2022 in seven cities, including five teaching and research hospitals and two public hospitals.

View Article and Find Full Text PDF
Article Synopsis
  • The Intermountain Risk Score (IMRS) is a simple and inexpensive tool that predicts mortality using patient demographics and basic lab results, specifically for those with acute pulmonary edema.
  • In a study of 371 patients, the IMRS effectively stratified patients into low, moderate, and high-risk groups based on their likelihood of dying within one month or one year of hospitalization.
  • Results showed that a cutoff IMRS value of 15.5 significantly predicted mortality risk, with higher scores correlating to greater risk of death, confirming the IMRS as a reliable predictor in this medical context.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF
Article Synopsis
  • 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.
View Article and Find Full Text PDF

Superiority of 68Ga-Trivehexin PET/CT Over 18F-FDG PET/CT in the Evaluation of Lymph Nodes in Patients With Breast Cancer.

Clin Nucl Med

November 2024

From the Department of Nuclear Medicine, Gazi Yaşargil Training and Research Hospital, University of Health Sciences, Diyarbakır, Turkey.

A patient with left upper quadrant breast cancer who had 18F-FDG PET/CT imaging underwent 68Ga-Trivehexin PET/CT. 68Ga-Trivehexin PET/CT showed higher radiotracer accumulation in the primary tumor, left internal mammary lymph nodes, and axillary lymph nodes compared with 18F-FDG PET/CT. However, Trivehexin uptake was not observed in FDG-positive lymph nodes in the mediastinum and left hilar region.

View Article and Find Full Text PDF

Objective:   We aimed to examine both the expression levels of high mobility group box 1 (HMGB1) and vascular cell adhesion molecule-1 (VCAM-1) proteins in the placentas of pregnant women with gestational diabetes mellitus (GDM) and control groups by immunohistochemical (IHC) method.

Material And Methods:   An experimental case-control study was conducted, including 40 pregnant women complicated with GDM and 40 healthy pregnant women. Placental tissues obtained following cesarean delivery were subjected to routine tissue monitoring.

View Article and Find Full Text PDF

Healthcare-associated infections in patients with COVID-19: is it different from the pre-pandemic period?

J Infect Dev Ctries

September 2024

Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.

Introduction: Healthcare-associated infections (HAIs) are common in intensive care unit (ICU) patients and may cause devastating consequences. However, the prevalence of HAI and its effects on in-hospital mortality among critically ill COVID-19 patients is ambiguous. We determined the prevalence of HAI and the rate of mortality in critically ill COVID-19 patients and compared it with pre-pandemic ICU patients.

View Article and Find Full Text PDF

Introduction: Shock indexes (SI) have been associated with in-hospital mortality, particularly in heart failure patients.

Aim: In our study, we aimed to investigate the relationship and prognostic value of the shock index (SI), modified shock index (MSI) and age-adjusted shock index (ASI) with spontaneous echo contrast (SEC) formation in patients with heart failure with reduced ejection fraction (HFrEF).

Material And Methods: We designed our research as a two-center, retrospective study.

View Article and Find Full Text PDF

Predictive Significance of Laboratory Tests in Bacteremic Brucellosis.

Iran J Public Health

April 2024

Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, University of Kırşehir Ahi Evran, Kırşehir, Van, Türkiye.

Background: Brucellosis is one of the most common zoonotic infections. Although culture is the gold standard diagnostic method, bacterial growth in blood cultures may not always occur due to various factors. We aimed to investigate demographic, clinical, and laboratory findings that may have predictive significance for bacteremia in brucellosis.

View Article and Find Full Text PDF

Objective: This study aims to compare the demographic, clinical characteristics, and outcomes of burn injuries in toddler and preschool children, and to validate the American Burn Association (ABA) Burn Triage Decision Matrix in the Turkish pediatric population.

Methods: A retrospective analysis was conducted on 684 pediatric burn patients (494 toddlers, 190 preschoolers) admitted to our burn center over a 5-year period. Variables including gender, burn etiology, burn area, depth, treatment modalities, complications, length of hospital stay, and mortality were analyzed.

View Article and Find Full Text PDF

An unusual imaging finding mimicking double contour sign following ultrasound-guided intra-articular knee injection of steroid: A case report.

Agri

January 2024

Division of Pain Management, Department of Physical Medicine and Rehabilitation, İstanbul University - Cerrahpaşa, Faculty of Medicine, Istanbul, Türkiye.

Examination of monosodium urate crystals in the synovial fluid remains the gold standard for the diagnosis of gout. On ultra-sound (US) examination, the double contour sign (DCS) is one of the most common imaging findings of gout. In this article, we present, for the first time, a unique imaging finding mimicking DCS after US-guided intra-articular knee injection of steroid and discuss it in light of the literature data.

View Article and Find Full Text PDF

Evaluation of Screening Results for Vancomycin-Resistant Enterococci: Three-Year Surveillance.

Iran J Public Health

August 2024

Department of Medical Microbiology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Health Sciences University, Diyarbakır, Turkey.

Background: Enterococci are facultative anaerobic, binary, or chained Gram-positive cocci. The gastrointestinal colonization of hospitalized patients is the most important reservoir of vancomycin-resistant enterococci. We aimed to evaluate retrospectively the screening results of vancomycin-resistant enterococci, studied by the simultaneous (real-time) polymerase chain reaction method on rectal swabs of adult and pediatric patients hospitalized in our hospital in 2019-2021.

View Article and Find Full Text PDF

Blood transfusion in pediatric intracranial tumor surgery.

BMC Anesthesiol

October 2024

Department of anesthesiology and reanimation, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.

Article Synopsis
  • Pediatric central nervous system tumors are the most common solid tumors in children and can lead to serious health issues; the study investigates factors affecting the need for blood transfusions during surgeries for these tumors.
  • A retrospective analysis of 138 patients under 15 years old who had craniotomy from January 2018 to December 2023 found that 44.9% required intraoperative blood transfusions, with key factors identified as age under 4 years and surgery lasting over 490 minutes.
  • The research concludes that younger age and longer surgical duration are significant risk factors for requiring blood transfusions, highlighting the importance of careful monitoring in these cases to prevent complications.
View Article and Find Full Text PDF
Article Synopsis
  • The ARTEMIS registry investigates Peripartum Cardiomyopathy (PPCM), a serious condition occurring during late pregnancy or shortly after childbirth, focusing on clinical characteristics and outcomes in Turkish patients.
  • The study observed 293 women primarily aged 25-35 diagnosed with PPCM, mostly presenting symptoms like shortness of breath, and found a low usage of advanced imaging techniques, relying mainly on echocardiography.
  • Results indicated a 5.1% mortality rate among patients, emphasizing the need for better education for healthcare practitioners and the critical role of national registries in managing rare diseases like PPCM.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Purpose: The present study aimed to predict the prognostic role of quantitative 18 F-fluorodeoxyglucose PET/computed tomography parameters such as maximum standardized uptake value (SUV max ), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) obtained from primary tumor, lymph node metastases, and liver metastasis (LM) in patients with colorectal LM (CLM).

Material And Method: The research was designed as a retrospective study and 66 patients with CLM were enrolled between January 2017 and December 2018. Primary tumor SUV max (PSUV max ), liver SUV max (LSUV max ), and lymph node SUV max (LnSUV max ) values obtained from the primary tumor, liver, and lymph nodes were recorded.

View Article and Find Full Text PDF
Article Synopsis
  • There isn’t a lot of information about how harmful cyclosporine A (CsA) can be when someone takes too much of it, even though it's commonly used for organ transplants and certain kidney problems.
  • A 2-year-old boy who has a kidney issue accidentally took ten times more CsA than he should have, but surprisingly, he didn’t show any symptoms of being sick.
  • The doctors acted quickly by stopping the medicine and giving him fluids, which helped return his CsA levels to normal in just two days, showing how important quick actions are in these situations.
View Article and Find Full Text PDF

Background: The objective of this study was to assess the impact of preoperative sphenopalatine ganglion block (SPGB) on postoperative pain and assess intraoperative and postoperative analgesic consumption in patients undergoing septorhinoplasty.

Methods: In this prospective, randomized controlled study, 72 patients were included and divided into two groups: group 1 (36 patients) received the sphenopalatine ganglion block (SPGB), while group 2 (36 patients) served as the control group. Patient assessments, using the numerical rating scale (NRS), were conducted at the postoperative first hour, fourth hour, and 24 hour.

View Article and Find Full Text PDF
Article Synopsis
  • Millions are affected by natural disasters annually, leading to serious medical issues like crush syndrome, which often results in acute kidney injury tied to high mortality rates.
  • This study analyzed data from 1024 patients with crush syndrome after the February 2023 earthquakes in Kahramanmaras, focusing on their treatment and outcomes in Turkish hospitals.
  • The findings revealed high rates of acute kidney injury and hemodialysis treatment, with a 9.8% in-hospital mortality rate, highlighting the urgent need for improved emergency response training and protocols for managing kidney health in disaster scenarios.
View Article and Find Full Text PDF
Article Synopsis
  • Inflammatory low back pain (IBP) is commonly associated with spondylarthritis (SpA) but can also be a symptom of various malignancies, both hematologic and solid tumors.
  • A study analyzed 34 patients diagnosed with malignancy-related IBP over the past decade, comparing their clinical features to a control group of patients with axial SpA.
  • Findings revealed that malignancy-related IBP patients had higher levels of inflammatory markers and a similar ratio of hematologic to solid tumors, suggesting that malignancies should be considered in differential diagnoses of IBP.
View Article and Find Full Text PDF
Article Synopsis
  • The study compared the effects of thymoquinone (TQ), St. John wort (SJW), and silver sulfadiazine (AgSD) on wound healing in rats subjected to burns.
  • Topical TQ significantly accelerated healing, enhanced granulation and vascularization, and improved antioxidant levels, while SJW showed some positive effects but was less effective in systemic application.
  • AgSD reduced oxidative stress but negatively impacted the wound healing process, suggesting that TQ is the most effective treatment, SJW works better topically, and AgSD should be used with caution.
View Article and Find Full Text PDF