22 results match your criteria: "Istanbul Dr. Lütfi Kırdar Kartal City Hospital[Affiliation]"

Article Synopsis
  • Frozen shoulder is primarily treated conservatively, with corticosteroid injections being commonly used; however, which method of injection is most effective remains debated.
  • This study compared two injection techniques—anterior extra-articular and posterior intra-articular—on 54 patients, assessing their effectiveness through various evaluation parameters over several weeks.
  • Results showed significant improvement in both groups regarding pain and shoulder function, but there were no significant differences between the two injection methods in terms of outcomes.
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Article Synopsis
  • The study investigates the effects of two anaesthetic agents, sevoflurane and desflurane, on the endothelial glycocalyx during laparoscopic hysterectomy by measuring levels of syndecan-1 and heparan sulfate.
  • Results show no significant difference in glycocalyx markers between the two anaesthetics at any time point, but there was a notable change in heparan sulfate levels within the desflurane group.
  • The conclusion indicates that both anaesthetics can mitigate surgical stress on the endothelial glycocalyx, with desflurane offering a more substantial protective effect than sevoflurane.
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Primary cutaneous nocardiosis of the ankle caused by N. brasiliensis: a case report.

Infection

October 2024

Department of Infectious Diseases and Clinical Microbiology, Dr. Lütfi Kırdar Kartal City Hospital, 34865, Cevizli, Kartal, İstanbul, Türkiye.

Nocardia is a genus of aerobic, Gram-positive bacteria known for their filamentous and branching morphology. N. brasiliensis is the most common species causing cutaneous nocardiosis.

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Article Synopsis
  • Colorectal cancer is a major global health issue, and in Turkey, a study was conducted to assess the effectiveness of second-line treatments for patients with RAS wild-type metastatic colorectal cancer.
  • The research involved a retrospective analysis of 588 patient records from 28 centers, categorizing them by the type of biological treatments received: anti-EGFR and anti-VEGF.
  • Results showed no significant differences in overall survival or progression-free survival among the different treatment groups, indicating similar effectiveness of the biological agents in second-line treatments.
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Purpose: To present the short-term outcomes of our novel technique, the suture-assisted method, in long scleral tunnel Ahmed Glaucoma Valve (AGV) implantation.

Methods: This retrospective study included glaucoma patients who underwent AGV implantation using the suture-assisted long scleral tunnel method and were fellowed for at least 6 months between January 2022 and November 2022. Preoperative and postoperative assessments included best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior and posterior segment examinations, anti-glaucomatous medications, and intraoperative and postoperative complications were also evaluated.

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Background: Sever disease is one of the most common causes of heel pain in growing children and adolescents. There is no consensus about etiology of Sever disease.

Methods: The study comprised 41 participants aged 8 to 13 years who visited the orthopedic outpatient clinic: 17 patients with Sever disease and 24 asymptomatic children.

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Is Immune Thrombocytopenia and its Treatment Associated with Sarcopenia?

Niger J Clin Pract

February 2024

Heamotology Department, Dr. Lutfi Kırdar Kartal City Hospital, Kartal, Istanbul/Turkey.

Background: Immune thrombocytopenia (ITP) is defined as an isolated platelet count less than 100 × 109/L in the absence of other causes of thrombocytopenia. Sarcopenia is a body-wide muscular disorder with a progressive nature that leads to reduced mobility, physical disability, falls, and poor quality of life. We aimed to evaluate the frequency of objectively diagnosed sarcopenia in patients with ITP and to determine whether ITP therapies have sarcopenic effects.

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Objectives: This study aims to examine the treatment outcomes and related factors in locally advanced sinonasal cancer across Turkiye.

Methods: Twelve centers participants of the Turkish Society for Radiation Oncology Head and Neck Study Group attended the study. One hundred and ninety-four patients treated with intensity-modulated radiation therapy between 2001 and 2021 were analyzed retrospectively.

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Article Synopsis
  • The study compares two methods of treating subtrochanteric femur fractures—intramedullary (IM) and extramedullary (EM) fixation—highlighting the challenges orthopedic surgeons face with these types of injuries.
  • A total of 85 patients were evaluated, with no significant age or gender differences noted between the two groups, and the most common cause of fractures was falling from a height.
  • Results showed that both fixation methods produced similar outcomes in terms of complications and recovery, indicating that more research is needed to determine the best treatment approach for these fractures.
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Objectives: A clinically practical tool to assess skin biomechanical properties rapidly and accurately is still lacking. Our aim was to examine the intra- and inter-observer reproducibility of a myotonometer for objective skin property assessment in systemic sclerosis (SSc), comparing it with the modified Rodnan skin score (mRSS), and distinguishing patients from healthy controls.

Method: Thirty-four patients (21 limited and 13 diffuse SSc), and 31 age and gender-matched healthy controls were enrolled.

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Article Synopsis
  • Objective: The study compared two fixation methods—proximal femoral nail (PFN) and dynamic condylar screw (DCS)—for treating reverse oblique and transverse intertrochanteric fractures, noting no established gold standard exists for these types of fractures.
  • Methods: Researchers included 61 patients (36 with PFN and 25 with DCS) and evaluated outcomes like fracture reduction quality, union time, and complications over follow-ups of about 34 to 43 months.
  • Results: DCS led to faster fracture union but was linked to higher nonunion rates, while PFN resulted in shorter hospital stays, making PFN preferable for reducing complications overall.
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Aim: To evaluate the optimal timing and outcome of fluoroscopically guided transforaminal epidural steroid injections (TFESI) for the management of radicular pain due to extruded lumbar disc herniation (LDH).

Material And Methods: In this clinical study, 305 individuals received fluoroscopically guided TFESI for the management of radicular pain due to extruded LDH. Preprocedural and 12-week postprocedural Visual Analog Scale (VAS) scores measuring radicular pain were statistically compared.

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The study evaluated the distributions and prognostic significance of ABO and rhesus (D) groups in male breast cancer (MBC) patients. The data of 137 patients were retrospectively reviewed. Clinical, histopathological data and ABO/Rh blood groups of the patients were recorded.

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Background: This study aimed to evaluate the factors influencing final visual acuity in pediatric traumatic cataracts.

Methods: Data of patients who presented with traumatic cataracts were reviewed retrospectively. We evaluated age at trauma; gender, trauma type, cause, and zone; duration between the time of trauma and cataract surgery; surgical method used; time, location, and type of intraocular lens (IOL) implantation; initial and final best corrected visual acuity (BCVA); amblyopia rate; and complications.

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Purpose: This study aimed to compare the clinical outcomes following deep anterior lamellar keratoplasty and penetrating keratoplasty in contralateral eyes of the same patients.

Methods: In this retrospective, comparative case series, clinical outcome data included best-corrected visual acuity, refractive spherical equivalent, refractive astigmatism, endothelial cell density, endothelial cell loss, central corneal thickness, and intraocular pressure, which were evaluated at 6, 12, 24, and 36 months after deep anterior lamellar keratoplasty and penetrating keratoplasty. Additionally, complications were assessed.

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Introduction: Rheumatoid arthritis (RA) is related to cardiovascular disease and results in increased mortality rates. Ischemia, autonomic nervous system dysfunction, impaired cardiac ionic currents, and genetic predisposition may be the underlying mechanisms. Proarrhythmic ventricular electrophysiological remodeling detected on the basis of Tp‑e interval, Tp-e/QT, and Tp-e/QTc ratios plays a key role in the prognosis.

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Split cornea transplantation can reduce the shortage of donor corneas. Therefore, this study aimed to evaluate the effect of split graft storage time on the outcomes of split corneal transplantation through Descemet membrane endothelial keratoplasty (DMEK) and deep anterior lamellar keratoplasty (DALK) surgeries. Split corneal transplantation was performed in 80 eyes using 41 donor corneas.

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Background: Intramedullary nailing is the most preferred fixation method for diaphyseal radius and ulna fractures in the young age group. The aim of this study was to compare the dorsal and lateral entry points in the context of entry site-related complications, fracture union and functional results.

Methods: This retrospective comparative study included pediatric patients who underwent surgery for isolated diaphyseal radius or both bone forearm fractures with intramedullary nailing using Kirschner wire between January 2013 and January 2019.

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