25 results match your criteria: "Izmit Seka State Hospital[Affiliation]"

Introduction: The relationship between restless legs syndrome (RLS) and iron deficiency is a well-known topic. However, the etiology of the disease has not been determined. As the central iron deficiency is the most critical biological abnormality for RLS, we planned a study examining the relationship between RLS and hepcidin, which is the only regulatory hormone of iron metabolism known so far.

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Introduction: Restless legs syndrome (RLS) is a common but underdiagnosed neurological syndrome. It is characterized by the feeling of discomfort and desire to move, especially in the lower extremities, which often occurs at night, and the cure or relief of symptoms with movement. Irisin is a hormonelike polypeptide that was first identified in 2012, weighs 22 kDa, consists of 163 amino acids, and is mainly synthesized in muscle.

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Giant Cutaneous Horn (Cornu Cutaneum) Developing from a Hypertrophic Burn Scar.

Adv Skin Wound Care

February 2022

Nur Cihan Cosansu, MD, is Dermatologist, Sakarya University, Education and Research Hospital, Department of Dermatology, Sakarya, Turkey. Tuba Cetiner, MD, is Dermatologist, Izmit Seka State Hospital, Department of Dermatology, Kocaeli, Turkey. Gülcan Yuksekal, MD, is Dermatologist, Yenikent State Hospital, Department of Dermatology, Sakarya, Turkey. The authors have disclosed no financial relationships related to this article. Submitted January 2, 2021; accepted in revised form March 12, 2021.

A cornu cutaneum (CC) is a rare lesion. This case report describes a 63-year-old woman with a giant CC lesion on her right hip arising from a hypertrophic burn scar at its base. To the authors' knowledge, this is the first case described in the literature of a CC that developed from a burn scar.

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Article Synopsis
  • Noise-induced hearing loss (NIHL) primarily affects the outer and inner hair cells in the cochlea, leading to potential damage to spiral ganglion neurons due to glutamate excitotoxicity following acoustic trauma (AT).
  • Excessive glutamate release is harmful, while GABA functions in regulating hearing post-injury, suggesting a complex interaction between these neurotransmitters in maintaining hearing sensitivity.
  • A study on BALB/c mice reveals that expressions of genes linked to glutamate, GABA, and neurosteroid synthesis change significantly after noise exposure, emphasizing the disrupted balance between excitotoxicity and inhibition in the recovery process.
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Background: Health information technologies (HITs) present numerous opportunities for the improvement and transformation of healthcare, which include reducing human errors, improving clinical outcomes, facilitating care coordination, improving efficiency of practice and tracking data over time. HITs involve various technologies that range from simple charting, to a more advanced decision support and integration with medical technology.

Objective: The aims of this study were to examine the readiness for the implementation of health information technologies (HITs) among medical and administrative staff as well as to evaluate the effects of information security status on the readiness.

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Background: Patients with acute coronary syndrome (ACS) have about a three-fold risk for developing contrast-induced acute kidney injury(CI-AKI). Investigating studies on routine hydration therapy have frequently included patients with stable coronary artery disease and high risk of CI-AKI [estimated glomerular filtration rate (eGFR) < 60 ml/min]. However, data on routine hydration treatment in non-ST segment elevation myocardial infarction (NSTEMI) patients with eGFR ≥60 ml/min are insufficient.

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Background: Hydroxyethyl Starch (HES) 130/0.4 (6%) is a commonly used intravascular volume expander with anti-inflammatory and antioxidant properties. In this study, we aimed to compare the histopathologic activity of HES 130/0.

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Background: Partial posterior hyaloidectomy is suggested to minimize traction on the vitreous base and thus reduce the risk of iatrogenic breaks in patients with macular hole and epiretinal membrane.

Aims: To evaluate the safety and efficacy of limited vitrectomy in patients with macular hole.

Study Design: Retrospective cohort study.

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Purpose: To investigate the vasomotor responses and diameter of retinal vessels in patients with macular edema secondary to retinal vein occlusion (RVO) who were treated with intravitreal dexamethasone implant.

Methods: We enrolled 17 eyes of 17 patients with macular edema secondary to RVO. All patients were evaluated through optical coherence tomography and dynamic and static retinal vessel analysis, using the Dynamic Vessel Analyzer (Imedos, Jena, Germany) before administration (baseline) and 1 week, 1 month, and 2 months after administration of intravitreal dexamethasone.

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Background: In ankle fractures involving the posterior malleolus, the issue of which types of fractures require posterior malleolus fixation is still controversial. Recent studies have demonstrated that trimalleolar fractures adversely affect the functional outcomes in comparison to bimalleolar fractures of the lateral and medial malleolus. The purpose of this study was to assess the effects of posterior malleolus fixation on the functional and radiological outcomes.

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The discovery of the chimeric tyrosine kinase breakpoint cluster region kinase-Abelson kinase (BCR-ABL)-targeted drug imatinib conceptually changed the treatment of chronic myelogenous leukemia (CML). However, some CML patients show drug resistance to imatinib. To address this issue, some artificial heterocyclic compounds have been identified as BCR-ABL inhibitors.

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Objective: Our study analyzed the incidence of posterior pelvic injury patterns and their influence on the surgical treatment of transverse-oriented acetabular fractures .

Methods: Fifty-one transverse-oriented acetabular fracture cases admitted between 1999 and 2013 were evaluated retrospectively. Comparative studies were performed for groups organized by acetabular fracture type, degree of sacroiliac separation, and postoperative reduction quality .

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Medial gastrocnemius muscle flap for the reconstruction of unhealed amputation stumps.

J Wound Care

August 2017

Famiy Doctor, Kocaeli Directorate of Public Health, Izmit, Turkey.

Objective: Unhealed amputation stumps after transtibial amputation are common and often require reamputation futher up the leg. The aim of our study is to describe our experience with medial gastrocnemius muscle flap coverage following a transtibial amputation.

Method: We retrospectively examined the records of patients who had an unhealed transtibial amputation stump who were then treated with a medial gastrocnemius muscle flap.

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BACKGROUND Assessment of risk for all-cause mortality and re-hospitalization is an important task during discharge of acute heart failure (AHF) patients, as they warrant different management strategies. Treatment with optimal medical therapy may change predictors for these 2 end-points in AHF patients with renal dysfunction. The aim of this study was to evaluate the predictors for long-term outcome in AHF patients with kidney dysfunction who were discharged on optimal medical therapy.

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Survival evaluation of the patients with diabetic major lower-extremity amputations.

Musculoskelet Surg

August 2016

Department of Podiatry, School of Medicine, Acıbadem University, Istanbul, Turkey.

Purpose: The purpose of this study was to evaluate the survival after major lower-limb amputation, at a level either below (BKA) or above (AKA) the knee, in diabetic patients.

Methods: A total of 140 diabetic patients who underwent major lower-limb amputation during the period of 2001-2011 were enrolled in the study. The patients were grouped as below-knee and above-knee amputations.

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Distal fusion level selection in Lenke 1A curves according to axial plane analyses.

Spine J

November 2015

Department of Orthopaedics and Traumatology, School of Medicine, Kocaeli University, Umuttepe Merkez Kampüsü, Umuttepe 41380 Kocaeli, Turkey. Electronic address:

Background Context: In adolescent idiopathic scoliosis (AIS), identification of curve patterns and determination of fusion levels are most important for correcting deformity, improving trunk balance, and saving motion segments. Lenke 1A scoliosis is the most common type of AIS, accounting for around 16% of all AIS; however, how to determine the lower instrumented vertebrae in this common curve type is unclear.

Purpose: The aim was to classify Lenke 1A curves according to lumbar axial plane analyses to determine optimal distal fusion level selection.

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Background: Sudden cardiac deaths due to arrhythmias are thought to be an important cause of mortality in patients with renal transplants. Exposure to immunosuppressive drugs may lead to QT or PR interval abnormalities which may consequently cause arrhythmias. Our study investigated the long term impact of four different immunosuppressive drugs on PR and corrected QT intervals (QTc) in renal transplant patients

Methods: The study population consisted of 98 kidney transplant recipients.

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Gnathic osteosarcomas, experience of four institutions from Turkey.

Int J Clin Exp Pathol

May 2015

Department of Pathology, Gülhane Military Medical Academy Ankara, Turkey.

Osteosarcoma is the most frequent primary gnathic sarcoma. Neither the etiology nor the variables effecting the prognosis are fully known due mostly to the rarity of gnathic osteosarcomas. To date a considerable number of clinicopathologic features have been suggested in the evaluation of gnathic osteosarcomas.

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Expression levels of elastin and related genes in human varicose veins.

Folia Biol (Praha)

December 2014

Yeditepe University, Faculty of Medicine, Department of Medical Biology, Istanbul, Turkey.

Among the suspected reasons for varicose vein formation are changes in the quantity and content of the elastin protein; however, comprehensive investigations about elastin assembly in varicose vein formation are yet lacking. In this study, we aimed to determine the changes in mRNA levels of elastin and some of its functionally related proteins, fibulin 5, LOXL-1, MMP-2 and MMP-9 in varicose vein formation. We analysed the mRNA levels of elastin, fibulin-5, LOXL1, MMP2 and MMP9 in samples of 35 healthy and 35 varicose great saphenous vein tissues.

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Experimental model of osteoporosis: comparison between ovariectomy and botulinum toxin a.

Acta Ortop Bras

January 2014

Department of Orthopaedics and Traumatology, Kocaeli University, School of Medicine, Kocaeli-Turkey.

Objective: To evaluate whether Botulinum toxin-A (BTX-A) has a similar effect to that of ovariectomy (OVX) on bone regarding bone mineral densitometry.

Methods: A total of 51 female rats were randomly divided into three groups of 17 animals each. The rats in the first group formed the control group, without any surgical procedure (Group 1).

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Background: Estrogen is the major sex steroid affecting the growth, remodeling, and homeostasis of the female skeleton. Estrogen loss in postmenopausal women leads to osteoporosis. The aim of this study was to evaluate the early and long- term effects of estrogen loss on bones, tendons, muscles, and menisci in ovariectomized rats.

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Introduction: Fracture healing is a complex process influenced by intrinsic and extrinsic factors. The aim of the present study was to evaluate the effects of botulinum toxin (BTX) A on fracture healing.

Materials And Methods: Following the induction of bilateral standard closed femoral fractures and relative fixation in 18 Wistar albino rats, 8 IU of BTX A were injected into the right femoral region.

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Congenital vertical talus, also known as congenital convex pes valgus, is a complex, rare, foot deformity that is resistant to conservative treatment. We report a case of bilateral congenital vertical talus with severe lower extremity external rotational deformity that was treated by means of a method of serial manipulations and casts. Although the initial manipulation and casting before surgical treatment is the current concept of idiopathic congenital vertical talus, a good result can be obtained by a well-organized conservative treatment with the help of patient compliance, so routine surgical release of the Achilles tendon may not be necessary in all cases.

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Noninvasive predictors for liver fibrosis in patients with nonalcoholic steatohepatitis.

World J Hepatol

August 2011

Hüseyin Saadettin Uslusoy, Selim Giray Nak, Macit Gülten, Department of Gastrenterology, İzmit Seka State Hospital, Kocaeli 41000, Turkey.

Aim: To evaluate certain anthropometric, clinical and laboratory features indicating liver fibrosis in nonalcoholic steatohepatitis and to establish the noninvasive markers for liver fibrosis.

Methods: Eighty-one patients (40 male, 41 female) who were diagnosed with fatty liver by ultrasonographic examination and fulfilled the inclusion criteria participated in the study. Anamnesis, anthropometric, clinical and laboratory features of all cases were recorded and then liver biopsy was performed after obtaining patient consent.

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