32 results match your criteria: "Kartal City Hospital[Affiliation]"

Article Synopsis
  • Lateral condyle fractures are common in children (ages 6-10) and can be treated using open or closed reduction methods, but guidelines on treatment choices are unclear.
  • This study reviewed 111 patients who had surgery for Song type 4 and 5 fractures from 2011-2016, comparing outcomes between those treated with closed reduction and percutaneous pinning (CRPP) and open reduction and internal fixation (ORIF).
  • Results showed no significant differences in patient demographics or fracture displacement, but radiological outcomes indicated a higher rate of lateral spur formation in the ORIF group (47.5%) compared to the CRPP group (23%).
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  • 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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  • 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 investigated physical activity levels and factors impacting an active lifestyle in patients with primary Sjögren's syndrome (pSS).
  • Among 97 participants, it was found that 46 were physically inactive, with barriers like fatigue, pain, and lack of motivation hindering activity, while knowledge of health benefits served as a motivation.
  • The research concluded that enhancing motivation and awareness of physical activity benefits, along with addressing pain and psychological barriers, is crucial for developing effective exercise programs for pSS patients.
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  • 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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Introduction: Posterolateral corner (PLC) injuries constitute 16 % of all knee ligament injuries and are often seen with other ligamentous injuries. PLC injuries can be overlooked. If left untreated, other ligamentous reconstructions are at risk, residual laxity may occur, and early osteoarthritis may result.

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Objective: This animal model aimed to compare the rat group that received brain irradiation and did not receive additional treatment (only saline) and the rat group that underwent brain irradiation and received Granulocyte colony stimulating factor (G-CSF) treatment. In addition, the effects of G-CSF on brain functions were examined by magnetic resonance (MR) imaging and histopathologically.

Methods: This study used 24 female Wistar albino rats.

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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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Introduction: To introduce the surgical results and examine the effect of intraocular tamponades on surgical outcomes in patients with coexisting macular hole (MH) and rhegmatogenous retinal detachment (RRD) without high myopia.

Methods: This retrospective, cross-sectional, two-center study was carried out with 29 eyes of 29 patients. The patients were divided into two groups according to the intraocular tamponade used in surgery: silicone oil (Group 1) and CF gas (Group 2).

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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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Posterior Fascicular Ventricular Tachycardia: A Rare Cause of Tachycardia.

J Coll Physicians Surg Pak

June 2022

Department of Emergency Medicine, Istanbul Medipol University, Faculty of Medicine, Istanbul, Turkey.

A 13-year male patient with a history of tachycardia attacks was diagnosed to have left posterior fascicular ventricular tachycardia (VT) according to the electrocardiogram (ECG) obtained at the emergency service. This diagnosis was confirmed with advanced electrophysiological studies and the case was diagnosed by genetic evaluation, which was performed to reveal the underlying cause, to have Brugada type 2 syndrome that might be associated with sudden cardiac death. Underlying causes should be evaluated, although idiopathic VTs generally have a good prognosis.

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Article Synopsis
  • Obesity can lead to sleep problems like obstructive sleep apnea and restless leg syndrome, and this study looked at how being overweight affects sleep quality.
  • The study included 76 people over 18 years old who were very overweight, and they measured things like body fat and sleep quality using special questionnaires.
  • Results showed that higher body weight was linked to worse sleep quality, with many people having a high risk of sleep apnea and a notable number also experiencing restless leg syndrome.
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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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