44 results match your criteria: "Kanuni Education and Research Hospital[Affiliation]"

: This study aims to assess the postoperative outcomes and complications of sutureless and sutured aortic valve replacement in patients with infective endocarditis. : A total of 58 patients who underwent redo aortic valve replacement for bacterial or non-bacterial endocarditis between January 2018 and March 2023 were included in our study. Surgical procedures were performed through a full median sternotomy due to redo cases and to provide optimal access.

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Background: Malignancy in pilonidal sinus disease (PSD) is rare, with squamous cell carcinoma (SCC) being the most common type. This study aims to assess the incidence of malignancy in PSD and identify risk factors to guide more targeted pathological examination strategies.

Methods: A retrospective analysis was conducted on 1505 patients who underwent surgical excision of PSD between January 1, 2014, and December 31, 2023.

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Aim: This study aims to reveal the characteristics of individuals who have lost an autism spectrum disorder (ASD) diagnosis and to evaluate their current psychiatric diagnoses. Additionally, the study aims to compare individuals who have lost ASD with typically developing (TD) individuals and those with ASD in terms of current psychopathology, functionality and sociodemographic and clinical variables.

Methods: The study included a total of 85 participants aged between 5 and 18, comprising 30 individuals who no longer meet the criteria for ASD (loss of autism diagnosis or LAD), 32 individuals with ASD and 23 TD individuals.

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Article Synopsis
  • The study investigated the two-year outcomes of the covered endovascular reconstruction (CERAB) procedure for patients with complex aortoiliac occlusive disease, focusing on a group of 40 patients.
  • All patients had a 100% technical success rate with notable improvements in clinical symptoms observed during the follow-up period.
  • The patency rates at 36 months were favorable, with primary patency at 85%, indicating that CERAB is effective for treating advanced aorto-occlusive conditions.
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This study aimed to examine the associations between Cognitive Disengagement Syndrome (CDS) and Specific Learning Disorder (SLD) in children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD). We included sixty "ADHD-only" cases and eighty-two "ADHD + SLD" cases with an IQ score of 80 and above, aged 8-15. We applied both a structured psychiatric interview and a mental status examination.

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We evaluated clinical parameters distinguishing cognitive disengagement syndrome (CDS) and childhood absence epilepsy (CAE). 40 children with CDS, 27 with CAE, and 41 controls aged 7-12 were compared regarding sleep problems, CDS, and ADHD symptoms. CDS-sluggishness symptoms, but not CDS-daydreaming symptoms, were significantly higher in CDS group than CAE group.

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Extremity muscle hernias are rare pathologies, most of which are managed conservatively. In symptomatic cases, surgical intervention may be required. This study represents a case of a rarer muscle hernia, semimembranosus, in a 43-year-old patient and describes the surgical technique of grafting with synthetic nonabsorbable polypropylene surgical mesh as well as the review of the literature about extremity muscle hernias.

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Background: Obesity, caused by caloric intake over output, is a global health problem. The relationship between sleep and obesity is discussed in the literature. Little is known about the compliance of sleep quality and patients' weight loss.

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Background: We aimed to evaluate patients with nasopharyngeal carcinoma (NPC) in a nonendemic population.

Methods: In a national, retrospective, multicenteric study, 563 patients treated with intensity modulated radiotherapy at 22 centers between 2015 and 2020 were analyzed.

Results: Median age was 48 (9-83), age distribution was bimodal, 74.

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Retrospective study. There can be a relationship between degenerative diseases in the spine and hip. : Degenerative diseases in the spine and hip may occur concomitantly.

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Introduction: Drones can transmit live video and geographic coordinates during the planning stages for search and rescue operations and the operations themselves. There are few simulation studies in which drones provided rescue support. However, the literature does not contain any simulation studies involving the use of drones to locate lost "victims" represented by dummies in rivers.

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Background: It has been reported that there is a relationship between erectile dysfunction and endothelial dysfunction. However, a practical and non-invasive method to clinically evaluate this relationship has not yet been determined. The cardio-ankle vascular index is a marker of arteriosclerosis that develops as a result of endothelial dysfunction.

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Objective: This study aimed to investigate the relationship and prognostic significance of cardio-ankle vascular index, which is a measure of arterial stiffness that can lead to endothelial dysfunction and poor cardiovascular issues in COVID-19 patients, with COVID-19.

Methods: The study included 115 patients, of which 65 patients in the case group with Real time reversetranscription-polymerasechainreaction test positive and diagnosed for COVID-19 and 50 volunteers in the control group. Patients with COVID-19 were classified as moderate/severe or mild COVID-19 in the subgroup analysis based on the severity of the disease.

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Pain management practices in the emergency departments in Turkey.

Turk J Emerg Med

October 2021

Department of Emergency Medicine, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.

Objectives: This study aimed to evaluate pain management practices in the emergency departments (EDs) in Turkey and to evaluate the prevalence and etiologies of oligoanalgesia to identify possible improvement strategies.

Methods: This multicenter cross-sectional observational study was conducted in 10 tertiary care hospitals in Turkey. Patients who were admitted to the ED with pain chief complaints were included in the study.

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Background: Ventricular repolarisation is assessed using the Tp-e interval and QT interval corrected by the heart rate (QTc) via an electrocardiogram (ECG). Prolonged Tp-e/QTc is related with an increased risk of arrhythmias and cardiac mortality.

Objective: This study was conducted at a single centre in collaboration with general surgery and cardiology clinics.

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THE EFFECTS OF PATIENT POSITION ON EARLY COMPLICATIONS OF SPINAL ANESTHESIA INDUCTION IN ARTHROSCOPIC KNEE SURGERY.

Acta Clin Croat

March 2021

1Department of Anesthesiology and Resuscitation, Kanuni Education and Research Hospital, Trabzon, Turkey; 2Karadeniz Technical University Faculty of Medicine, Department of Anesthesiology and Intensive Care Medicine, Trabzon, Turkey.

Spinal anesthesia is widely used in different patient positions to create efficient and rapid anesthesia induction in surgical interventions. Early and late complications of spinal anesthesia may vary according to the type of needle, drug dose and concentration, patient weight and height, puncture technique, and position of the patient. This study aimed to prospectively compare early complications of spinal anesthesia between patients in sitting and lateral decubitus positions with motor block onset time and sensory block time to T10 level.

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Article Synopsis
  • Acute kidney injury (AKI) is common in COVID-19 patients, leading to severe outcomes; this study explored factors affecting in-hospital outcomes in patients with both conditions.
  • The study evaluated 578 hospitalized COVID-19 patients with AKI, identifying their characteristics and renal outcomes from 34 hospitals in Turkey, with data collected from March to June 2020.
  • Findings revealed a median patient age of 69, high rates of comorbidities like hypertension and diabetes, and that worse renal outcomes correlated with higher AKI stages; the overall in-hospital mortality rate was 38.9%.
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Prevalence of celiac disease in children with joint hypermobility.

Acta Reumatol Port

November 2021

Karadeniz Technical University, Faculty of Medicine, Department of Pediatric Gastroenterology, Hepatology and Nutrition, Trabzon.

Introduction: Generalized joint hypermobility is a clinical feature that is associated with excessive joint laxity, which can occur alone or with various inherited disorders. The term of benign joint hypermobility or joint hypermobility is used when the presence of musculoskeletal symptoms in subjects with generalized joint hypermobility in the absence of demonstrable systemic rheumatic diseases. In recent studies, it was shown that there is a strong relationship between structural and functional gastrointestinal disorders and joint hypermobility.

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Article Synopsis
  • Older adults with chronic kidney disease (CKD) and those on maintenance haemodialysis (HD) show a higher likelihood of severe COVID-19 outcomes compared to non-uraemic patients.
  • The study analyzed data from 879 hospitalized COVID-19 patients, revealing that older individuals in the CKD and HD groups experienced significantly greater rates of severe illness and ICU admissions than the control group.
  • In-hospital mortality rates were also notably elevated in older patients with CKD and HD, indicating a critical need for targeted healthcare strategies for these vulnerable populations.
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Acquired noncaustic esophageal strictures in children.

Clin Exp Pediatr

November 2020

Department of Pediatric Gastroenterology Hepatology and Nutrition, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.

Background: Esophageal stricture (ES) is an uncommon clinic entity in pediatrics that may be congenital or acquired in childhood. Acquired noncaustic ES is very rare, and clinical features of affected patients are unknown.

Purpose: We aimed to evaluate the clinical findings, and outcomes of patients with acquired noncaustic ES to aid physicians in the early referral of patients to gastroenterologists.

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We investigated the effects of increased intra-abdominal pressure during laparoscopy on the endocrine and exocrine functions, oxidative stress and histopathology of the pancreas in rats. We established three experimental groups of eight animals. Group 1 was the untreated control.

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The present study aimed to investigate the potential use of T2-weighted sequences with diffusion weighted imaging (DWI) in magnetic resonance (MR) enterography instead of conventional contrast-enhanced MR imaging (MRI) sequences for the evaluation of active inflammation in Crohn disease.Two-hundred thirteen intestinal segments of 43 patients, who underwent colonoscopy within 2 weeks before or after MR enterography were evaluated in this retrospective study. DWI sequences, T2-weighted sequences, and contrast-enhanced T1-weighted sequences were acquired in the MR enterography scan after cleaning of the bowel and using an oral contrast agent.

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Objective: To investigate the early neonatal outcomes of very-low-birth-weight (VLBW) infants discharged home from neonatal intensive care units (NICUs) in Turkey.

Material And Methods: A prospective cohort study was performed between April 1, 2016 and April 30, 2017. The study included VLBW infants admitted to level III NICUs.

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Objective: The most common cause of urinary obstruction is ureteropelvic junction (UPJ) obstruction. In short stenosis, a dismembered pyeloplasty is performed, but for long segment stenosis, the procedure is not well defined. We present the reverse flap ureteroplasty method, which we prepared from the pelvis for use in long segment UPJ obstruction.

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