1,536 results match your criteria: "Izmir Katip Celebi University Atatuerk Training and Research Hospital[Affiliation]"

Objectives: The aim of this study was to translate the Exercise Benefits/Barriers Scale (EBBS) into Turkish and investigate the perceptions of Turkish-speaking patients with different axial spondyloarthritis (axSpA) subtypes regarding exercise benefits and barriers.

Patients And Methods: This validation study was conducted between June 2018 and December 2021. Patients with axSpA were consecutively assessed regarding physical (age, sex and body mass index) and disease-related characteristics (disease activity, spinal mobility, functional status, quality of life, health status, emotional status, and kinesiophobia).

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Cardiomyopathy, which is shortly defined as a disease of the myocardium, has a broad definition that includes many different diagnoses. Recent advances in cardiac imaging techniques, including basic and advanced echocardiography, computed tomography, nuclear medicine, and cardiac magnetic resonance, allow for a more accurate evaluation of volumes and thickness of cardiac chambers, systolic and diastolic function of the ventricules, and tissue structure. Multimodality imaging often provides the first clinical suspicion for specific etiologies, especially when the medical and family history is unclear, by identification of red flags of underlying systemic diseases.

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  • The study investigates the safety of omitting axillary lymph node dissection (ALND) in patients with residual axillary disease after neoadjuvant chemotherapy (NAC), focusing on those treated with sentinel lymph node biopsy (SLNB) or targeted axillary dissection (TAD).
  • An analysis of two multicenter cohorts (MF18-02 and MF18-03) included 501 patients who received regional nodal irradiation and achieved a complete clinical response to NAC.
  • Results showed low recurrence rates (0.4% axillary, 0.8% locoregional) and no significant differences in disease-free or disease-specific survival between SLNB and TAD, suggesting ALND omission is safe if patients receive
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Background: Breast cancer is a heterogeneous condition with variations in histopathological, genomic, and biological characteristics. Although clinicopathological prognostic factors and gene expression profiles are commonly used to guide treatment decisions in patients with breast cancer, there is still a need for new prognostic markers. One potential marker is survivin, a protein belonging to the apoptosis inhibitor family.

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: This study aimed to investigate the protective effect of diosmin and hesperidin in diabetic neuropathy using a rat model, focusing on their impact on nerve regeneration through the fibroblast growth factor 21 (FGF21) and galectin-3 (gal3) pathway. Forty adult male Wistar rats were used in this study. Diabetes was induced using streptozotocin (STZ), and the rats were divided into control, diabetes and saline-treated, diabetes and diosmin + hesperidin (150 mg/kg) treated, and diabetes and diosmin + hesperidin (300 mg/kg) treated groups.

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: Secukinumab is a monoclonal antibody against interleukin 17 approved for patients with axial spondyloarthritis (axSpA), psoriatic arthritis (PsA), and psoriasis. Treating axSpA and PsA patients with a history of malignancy is a challenge. While initial results on the applicability of secukinumab in this patient group are positive, the number of studies on this topic remains limited.

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: The aim of this study was to investigate the circulating levels of asprosin, clusterin, zinc-alpha-2-glycoprotein (ZAG), nuclear factor-kappa B (NF-κB), and peroxisome proliferator-activated receptor-gamma (PPAR-γ) in patients with T2DM in relation to microvascular and macrovascular complications. Measuring these biomarkers may provide insight into the pathophysiology of T2DM and indicate novel targets for the therapy of diabetes-related complications. : A total of 260 subjects consisting of four groups: healthy controls (Group-1), T2DM patients without complications (Group-2), T2DM patients with microvascular complications (Group-3), and T2DM patients with macrovascular complications (Group-4).

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Objective: To evaluate the etiology-specific diagnosis of early-onset developmental epileptic encephalopathies (EO-DEEs) in a nationwide Turkish cohort to determine the implications for therapeutic management.

Methods: The cohort comprised 1450 patients who underwent EO-DEE. The utility of genetic testing was assessed with respect to the initial phases of next generation sequencing (NGS) (2005-2013) and the current NGS era (2014-2022).

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Chronic subdural hematoma (CSDH) is one of the most common types of intracranial hemorrhage, particularly in elderly individuals. Although most patients present with unilateral CSDH, bilateral involvement is not rare. Furthermore, bilateral CSDHs are associated with rapid deterioration and poorer outcomes because of a higher risk of brain herniation than unilateral hematomas.

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  • The study investigates the reliability of three different methods for measuring carpal height in wrist radiographs, focusing on inter and intraobserver consistency.
  • 179 wrist radiographs were evaluated independently by two observers, with measurements taken one month apart to ensure reliability.
  • Results showed that all methods were highly reproducible, with the carpal height (CH) and revised carpal height (RCH) ratios demonstrating similar and better interobserver reliability compared to the capitate-radius (CR) index, although no statistical differences were found overall.
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  • Cardiovascular disease (CVD) significantly affects people living with HIV (PLWH), with this study finding a diagnosed CVD prevalence of 10.8% among 1425 participants aged 40-75.
  • The assessment utilized five different risk evaluation tools, revealing that 42.8% of participants had a high 10-year risk of CVD, while 71.7% were classified as high- to very high-risk using the SCORE2 tool.
  • The findings stress the need for better cardiovascular health monitoring and highlighted that current utilization of lipid-lowering therapy is inadequate, despite a large number of PLWH being eligible for such treatment per recent guidelines.
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When the family is considered as a system, individuals with a severe mental disorder can be affected by all the processes and conditions in the family. Women with a severe mental disorder are also affected by many factors such as their place in the family and society, gender roles and gender inequality. In the study, the authors aimed to determine domestic difficulties faced by women diagnosed with a severe mental disorder who were followed in a Community Mental Health Center in a province in the west of Türkiye.

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Artificial Intelligence Applications for Imaging Metabolic Bone Diseases.

Semin Musculoskelet Radiol

October 2024

Dipartimento di Scienze Mediche e Chirurgiche, Bologna University, Bologna, Italy.

Article Synopsis
  • AI is revolutionizing medical imaging for metabolic bone diseases (MBDs) like osteoporosis and rare conditions, enhancing diagnosis and management.
  • The article analyzes various AI techniques, recent advancements, and their clinical applications, while addressing ethical issues and future developments.
  • By combining AI with existing imaging methods, there is potential for improved diagnostic accuracy and patient outcomes in the treatment of MBDs.
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  • The study aimed to investigate how in-hospital declines in hemoglobin levels affect long-term mortality and major adverse cardiovascular and cerebrovascular events (MACCE) in patients with ST-segment elevation myocardial infarction (STEMI) who received primary percutaneous coronary intervention (PCI).
  • Researchers categorized patients based on hemoglobin decline into low (<3 g/dl or no decline) and high (≥3 g/dl) groups, analyzing their mortality and MACCE rates.
  • Findings revealed that patients with high hemoglobin decline experienced significantly higher mortality (65%) and MACCE rates (71%) compared to those with low decline, suggesting a concerning link between hemoglobin decline and adverse outcomes in STEMI patients after PCI.
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  • Appendicitis is a common surgical emergency, but there's ongoing concern about the rate of unnecessary surgeries and uncertainty in diagnosis, prompting this study to evaluate existing risk prediction models for appendicitis.
  • The research involved 3,358 adult patients with right iliac fossa pain from 84 centers, focusing on data like clinical findings, diagnostic tests, and rates of unnecessary surgeries, using various risk scoring systems to analyze effectiveness.
  • Results showed that while the Adult Appendicitis Score performed best overall, the RIPASA score was more effective in men; both scoring systems demonstrated strong diagnostic capabilities, but female patients had higher rates of negative appendicectomy and lower surgery rates compared to males.
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  • The study evaluated five different scoring systems (FGSI, UFGSI, ACCI, qSOFA, LRINEC) to predict outcomes in patients with Fournier gangrene, analyzing data from 311 patients between 2010 and 2024.
  • Univariate and multivariate analyses showed that UFGSI and FGSI were the most effective scoring systems in predicting mortality, with higher values seen in non-survivor patients.
  • ROC analysis determined optimal cut-off values for each scoring system, with UFGSI proving to be the most accurate for predicting mortality, achieving 84% sensitivity and 97% specificity at a score ≥12.
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  • * Three cases of WS were examined, with diagnoses confirmed through genetic testing, revealing both known and novel mutations in the WFS1 gene.
  • * Early diagnosis of WS is crucial as it helps identify associated health issues, potentially reducing complications and improving patient outcomes.
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Our primary aim with this study was to build a patient-level classifier for stroke territory in DWI using AI to facilitate fast triage of stroke to a dedicated stroke center. A retrospective collection of DWI images of 271 and 122 consecutive acute ischemic stroke patients from two centers was carried out. Pretrained MobileNetV2 and EfficientNetB0 architectures were used to classify territorial subtypes as middle cerebral artery, posterior circulation, or watershed infarcts along with normal slices.

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Background: Radiation-induced lung injury (RILI), a serious side effect of thoracic radiotherapy, can lead to acute radiation pneumonitis (RP) and chronic pulmonary fibrosis (PF). Despite various interventions, no effective protocol exists to prevent pneumonitis. Oxytocin (OT), known for its anti-inflammatory, antiapoptotic, and antioxidant properties, has not been explored for its potential in mitigating RILI.

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  • This study looked at different patterns in colorectal cancer (CRC) and how they related to patient outcomes and certain gene mutations.
  • The researchers found that some features, like tumor budding (TB) and poorly differentiated clusters (PDC), were linked to worse survival chances for patients.
  • They suggest that doctors should pay more attention to TB and PDC when assessing CRC to help predict how well a patient might do.
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  • Antenatal hydronephrosis involves swelling in a fetus's kidneys, making it crucial to differentiate between serious cases needing long-term care and those needing little intervention.
  • The study compared two guidelines for managing antenatal hydronephrosis, focusing on identifying their effectiveness in various factors like detection rates, imaging requirements, and patient outcomes.
  • Results showed the newer guideline led to fewer tests, reduced radiation exposure, and less need for surgical interventions compared to the older guideline.
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Objectives: We aimed to report the characteristics of pediatric IgG4-related disease (IgG4-RD) through a multicentre registry, to assess disease clusters, and to evaluate the performances of the 2019 American College of Rheumatology and European League Against Rheumatism (ACR/EULAR) classification criteria and the 2020 revised comprehensive diagnostic (RCD) criteria in this cohort.

Methods: Data of IgG4-RD patients in 13 pediatric rheumatology centers were recorded to a web-based registration system. The diagnosis of IgG4-RD was made according to the 2011 comprehensive diagnostic criteria.

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Objective: Ascertainment of disease activation is an important component of therapeutic decisions in ulcerative colitis patients and may present certain clinical challenges. The objective of this study was to determine serum levels of the M30 fragment of cytokeratin 18 and its utility as an activation marker in patients with ulcerative colitis, who are known to have increased apoptosis.

Methods: A total of 60 ulcerative colitis (30 active and 30 remission) patients aged over 18 years and 29 healthy individuals as controls were included in the study.

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Diabetes mellitus, fundamentally characterized by hyperglycemia, leads to significant metabolic disturbances. Type 2 diabetes mellitus is a chronic, inflammatory, preventable metabolic disease that is a significant health issue globally. The neutrophil-to-lymphocyte ratio (NLR) is an essential marker of systemic inflammation.

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  • - The study assessed trauma CT interpretation proficiency among emergency medicine residents in Turkey, finding a median accuracy rate of 64.9% with factors influencing interpretation performance analyzed.
  • - Four main factors linked to interpretation failure were identified: shorter interpretation times, lower self-confidence, over-reliance on radiology reports, and lack of departmental training programs.
  • - The findings suggest the necessity for improved educational strategies in radiology for emergency medicine residents to enhance their skills in trauma CT interpretation and ultimately improve patient care outcomes.
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