2,779 results match your criteria: "Istanbul Okmeydanı Research and Training Hospital[Affiliation]"

Can the efficacy of a medical treatment be predicted based on the type of idiopathic premature ventricular contraction?

J Electrocardiol

September 2024

Cardiology Department, Istanbul Medeniyet University Faculty of Medicine, Goztepe Training and Research Hospital, Dr. Erkin street, 34722 Istanbul, Turkey.

Background: Premature ventricular contractions (PVCs) are common arrhythmias with diverse clinical implications. This retrospective study aimed to evaluate the efficacy of medical treatments using various clinical, imaging, and electrocardiographic parameters in patients with idiopathic PVCs.

Methods: A total of 1051 patients with idiopathic PVCs were retrospectively analyzed.

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To evaluate and compare the quality and comprehensibility of answers produced by five distinct artificial intelligence (AI) chatbots-GPT-4, Claude, Mistral, Google PaLM, and Grok-in response to the most frequently searched questions about kidney stones (KS). Google Trends facilitated the identification of pertinent terms related to KS. Each AI chatbot was provided with a unique sequence of 25 commonly searched phrases as input.

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The primary objective of this in vitro study was to prevent the risk of toxicity associated with bupivacaine, widely used in clinical practice, by using magnesium (Mg), a readily available and cost-effective element, as an adjuvant. We hypothesized that Mg might exhibit a protective effect against cytotoxicity in a colon cell culture model under conditions of bupivacaine-induced LAST. Our secondary aim was to investigate its effect on genotoxicity, apoptosis, and iROS.

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Introduction: Breast cancer, the most prevalent cancer among women, often requires chemotherapy with docetaxel being a key agent. However, docetaxel-inducted peripheral neuropathy (DIPN) can adversely impact patients' quality of life. This case discusses an unusual instance of severe DIPN leading to wheelchair dependence in a 35-years old woman undergoing neoadjuvant treatment for locally advanced breast cancer.

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Comparison of the BIG Score and Pediatric Trauma Score for Predicting Mortality.

Pediatr Emerg Care

December 2024

From the Department of Emergency Medicine, University of Health Sciences, Haseki Research and Training Hospital, Istanbul, Türkiye.

Objectives: The BIG score (base deficit + [2.5 × international normalized ratio] + [15 - Glasgow Coma Score]) was compared with the Pediatric Trauma Score (PTS) for predicting mortality in pediatric patients with multiple trauma.

Methods: This retrospective, single-center study included 318 consecutive pediatric patients (aged 1-18 years) with multiple trauma who were admitted to the emergency department between January 1, 2021, and December 31, 2023.

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Background/aim: The most common and often first metastatic site of colorectal cancer (CRC) is the liver, and radiological modalities have a critical role in the diagnosis of colorectal liver metastasis (CRLM). In this study, the possible relationship between portal vein diameter, number of metastases, and metastasis diameter was evaluated in CRLM patients who underwent computed tomography (CT) examination with intravenous contrast (IV).

Patients And Methods: Cases diagnosed with CRLM who underwent abdominal CT examination with IV contrast between December 2020 and January 2024 were retrospectively scanned.

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Objective: Primary hypophysitis might be challenging to diagnose, and there is a lack of evidence regarding optimal treatment strategies due to rarity of the disease. We aim to investigate the clinical features and compare the outcomes of different management strategies of primary hypophysitis in a large group of patients recruited on a nationwide basis.

Design: A retrospective observational study.

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Article Synopsis
  • * An analysis of 829 bladder cancer cases revealed that 80.5% were conventional urothelial carcinoma, while 19.5% had variant histology, with squamous differentiation being the most common subtype in the latter.
  • * Key factors like tumor grade and invasion levels differed significantly between the variant and conventional groups, affecting diagnostic outcomes, but demographic factors like age and gender showed no significant differences.
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Purpose: This study had two main goals: to determine which rhabdomyolysis patients need haemodialysis; and to highlight the significance of blood gas parameters, particularly base excess, as predictors of the need for haemodialysis.

Method: A total of 270 patients were included in this multicentre, retrospective study. Among the patients who were transferred in from the earthquake region and developed rhabdomyolysis, those with creatine kinase (CK) values >1000 U/L were included in our study.

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Background: The main complications seen in patients who have undergone modified radical mastectomy (MRM) are seroma, surgical site infection, hematoma, wound dehiscence, flap necrosis, and nerve damage. While these complications lead to some problems the most feared effect in the early period is that they cause a delay in adjuvant treatment. Incisional Negative Pressure Wound Therapy (iNPWT) decreases wound dehiscence by reducing oedema and tension, especially in the incision line.

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Objective: Technology addiction is an increasingly important public health problem all over the world that negatively affects people's mental and physical health. In this study, we examined technology addiction and social connectedness levels of psychiatric patients who admitted to clinics in different geographical regions of Turkey.

Methods: A total of 642 people with a diagnosis of psychiatric illness who applied to psychiatry clinics in İstanbul, Elaziğ, Malatya, Yozgat, Adıyaman, and Bingöl provinces were included.

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The circulating androgens have a role in the pathogenesis of both acne vulgaris and androgenetic alopecia; an association between these two have been found previously. The aim of this study is to investigate the relationship of the severity of acne vulgaris lesions to the subtype of AGA; and to validate the relationship between severities of acne vulgaris and AGA. This study was conducted cross-sectionally at five different dermatology clinics.

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Objective: The aim of the present study is to investigate the change in emotional/behavioral problems of children with autism spectrum disorder (ASD) and the perceived social support of parents during the coronavirus disease 2019 (COVID-19) pandemic.

Methods: A total of 51 children with ASD aged between 6 and 18 years took part in the study. The Aberrant Behavior Checklist (ABC), the Strengths and Difficulties Questionnaire (SDQ), and the Multidimensional Scale of Perceived Social Support (MSPSS) were used to evaluate ASD symptoms, emotional/behavioral problems, and perceived social support, respectively.

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Article Synopsis
  • The study aims to evaluate the effectiveness of complete blood count (CBC) parameters and various ratios in distinguishing pulmonary tuberculosis (TB) from community-acquired pneumonia (CAP) in children.
  • It analyzed data from 163 patients and found that certain CBC values and serum electrolyte levels differed significantly between TB and CAP, with CAP showing higher counts for neutrophils, monocytes, and other markers.
  • The findings indicate that specific CBC parameters and ratios, along with C-reactive protein (CRP), can serve as useful and cost-effective diagnostic tools for early differentiation between these two infectious diseases.
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Article Synopsis
  • Abacavir is a commonly used initial HIV treatment that can cause hypersensitivity reactions (HSR) linked to the HLA-B*57:01 allele, which can be serious and limit treatment options.
  • A study in Istanbul involved 867 treatment-naïve HIV patients to assess the prevalence of HLA-B*57:01 and found that 1.6% were positive, with four of those patients switched from abacavir-based therapy.
  • This prevalence data is lower than previous reports (3-3.6%) and suggests that HLA-B*57:01 screening is important for effective and safe HIV treatment planning in Turkey.
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Background: No consensus is obtained regarding the effects of remnant-preserving ACL reconstruction on long-term clinical and proprioceptive outcomes. This study aimed to compare proprioceptive and clinical outcomes of the knee joint after ACL reconstruction with two different lengths of preserved remnant tissue.

Methods: This study included 61 patients who underwent single-bundle ACL reconstruction with remnant preservation method using hamstring autograft, divided into two groups according to the length of the remnant tissue.

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Objectives: Parkinson's disease (PD) involves the progressive loss of dopaminergic neurons and the accumulation of α-synuclein. Elevated cholesterol levels may exacerbate α-synuclein aggregation, potentially contributing to PD. This study investigates the link between lipid profiles and PD severity, as well as cognitive functions in patients, aiming to inform pathogenesis and management strategies.

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Article Synopsis
  • * A five-and-a-half-year-old girl with SIOD presented with symptoms like short stature, facial differences, and abnormal blood levels, but initial genetic tests did not identify a pathogenic variant.
  • * Further investigation revealed a new genetic mutation associated with SIOD, and this case introduced novel clinical features (hypercalcemia, hypophosphatemia, and elevated FSH) previously unreported in SIOD patients, highlighting the complexity and variability of the disorder.
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Purpose: We aimed to investigate controversial pediatric urolithiasis issues systematically, integrating expert consensus and comprehensive guidelines reviews.

Methods: Two semi-structured online focus group meetings were conducted to discuss the study's need and content, review current literature, and prepare the initial survey. Data were collected through surveys and focus group discussions.

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Adrenal gland injury in trauma patients and its impact on clinical outcomes.

Ulus Travma Acil Cerrahi Derg

August 2024

Deparment of General Surgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul-Türkiye.

Background: Adrenal gland injury (AGI) associated with trauma is an uncommon and often overlooked condition. This study aimed to evaluate the frequency of AGI in individuals with severe trauma injuries and investigate the outcomes of patients with AGI.

Methods: All patients admitted to a tertiary trauma referral center under the trauma protocol who had a computed tomography (CT) scan between January 2012 and January 2023 were analyzed retrospectively.

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Background: Intimal hyperplasia is a normal adaptive feature of arteries in response to injuries, which include invasive vascular interventions. Its development limits the long-term success of bypass grafts. Various pharmacological agents have been successfully employed in experimental models to reduce the degree of intimal hyperplasia.

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A rare case of acute cerebellitis due to enterovirus treated with therapeutic plasma exchange: Case report and review of the literature.

J Clin Apher

August 2024

Istanbul Kanuni Sultan Suleyman Research and Training Hospital, Department of Pediatrics, Division of Neonatology Istanbul, University of Health Sciences, Istanbul, Turkey.

Background: Acute cerebellitis is a rare complication of pediatric infections. There are many reports that viral infections lead to neurological manifestations, including acute cerebellitis.

Methods: A retrospective chart review was conducted for pediatric patients diagnosed with enterovirus cerebellitis between 2000 and 2024.

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Interpretation of acid-base metabolism on arterial blood gas samples via machine learning algorithms.

Ir J Med Sci

August 2024

Department of Emergency Medicine, Adana City Research and Training Hospital, Health Science University, Adana, 01060, Türkiye.

Background: Arterial blood gas evaluation is crucial for critically ill patients, as it provides essential information about acid-base metabolism and respiratory balance, but evaluation can be complex and time-consuming. Artificial intelligence can perform tasks that require human intelligence, and it is revolutionizing healthcare through technological advancements.

Aim: This study aims to assess arterial blood gas evaluation using artificial intelligence algorithms.

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D-dimer/high sensitive troponin I ratio is useful in predicting in-hospital mortality in pulmonary embolism patients.

Ir J Med Sci

December 2024

Department of Emergency Medicine, Health Science University, Adana City Research and Training Hospital, Kışla Mahallesi, Dr. Mithat Özsan Bulvarı, 4522. Sokak No: 28, Yüreğir/Adana, Turkey.

Background: Pulmonary embolism requires careful differential diagnosis as it is associated with a wide range of symptoms that may suggest different diseases such as chest pain, shortness of breath and syncope. Since the disease can be fatal, especially in cases where right ventricular failure and hemodynamic instability develop, prognostic markers are great importance in terms of monitoring the patient during the treatment process.

Aim: We aimed in our study to compare the relationship between the ratio of D-dimer and High Sensitive Troponin T (HsTnT) values ​​with short-term mortality and to compare this relationship with Pulmonary Embolism Severity Index (PESI) scoring.

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