933 results match your criteria: "Kayserı City Training and Research Hospital[Affiliation]"

Article Synopsis
  • This study explores how inflammation affects outcomes in patients with ST-Elevation Myocardial Infarction (STEMI), specifically looking at in-hospital mortality and the modified Naples prognostic score (mNPS).
  • The research included 2,576 STEMI patients and analyzed various inflammatory markers, finding that higher levels of these markers, particularly mNPS, were linked to increased in-hospital mortality.
  • Results indicate that mNPS not only predicts in-hospital mortality more effectively than other inflammatory indices but also provides a net clinical benefit in assessing patient risk during hospitalization.
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Background: On 6 February, 2023, Turkey experienced a disaster resulting from two major earthquakes. The elderly population stands out as one of the most vulnerable and least adaptable. This study aims to identify the quality of life (QOL) and post-traumatic stress disorder (PTSD) symptoms among elderly earthquake survivors in Turkey.

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Article Synopsis
  • - The study examined the effectiveness of three types of nasal irrigation sprays in 1,700 adults with allergic rhinitis, comparing hypertonic nasal spray, algae-containing hypertonic nasal spray, and isotonic saline nasal spray over a 3-week period.
  • - Results showed that the hypertonic sprays (both types) significantly improved symptom and quality of life scores compared to the saline group, which only showed minor improvements in turbinate condition.
  • - Both hypertonic sprays resulted in lower total symptom scores and improved quality of life, indicating they could be valuable additions to standard allergic rhinitis treatment.
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  • - The study aimed to evaluate the effectiveness of combining hyperbaric oxygen therapy (HBOT) and topical haemoglobin spray in treating difficult diabetic foot ulcers (DFUs) with significant slough or necrosis.
  • - Patients receiving the combo treatment (oxygen group) showed a higher healing rate of 85.7% compared to 52.4% in the control group after 16 weeks, although the initial wound severity scores were similar.
  • - The findings suggest that this combined therapy enhances wound oxygenation, addressing hypoxia and promoting healing more effectively than standard wound care alone.
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Median nerve conduction study findings in various arm positions.

Neurosciences (Riyadh)

October 2024

From the Division of Clinical Neurophysiology, Department of Neurology, University of Health Sciences Adana City Training and Research Hospital, Adana, Turkey.

Objectives: To investigate the effects of various arm positions on median nerve conduction studies (NCSs).

Methods: This prospective cohort study, conducted at Adana City Training and Research Hospital between January and July 2023, included 20 healthy participants. Median NCSs were performed on the participants in three different standing positions with the elbow as the stimulation point: 1) with the arm adducted (P1), 2) with the arm anteflexed (P2), and 3) with the arm raised upwards (P3).

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Introduction: Proportional short stature is one of the most important features of Noonan Syndrome, and adult height often remains below the 3rd percentile. Although the pathophysiology of short stature in NS patients is not fully understood, it has been shown that GH treatment is beneficial in NS, and it significantly improves the height in respect to the results of short and long-term GH treatment.

Methods: In this study, the efficacy of GH therapy was evaluated in children and adolescents with Noonan syndrome who attained final height.

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Optic nerve sheath diameters predict mortality and severity in hepatic encephalopathy.

Eur J Gastroenterol Hepatol

December 2024

Emergency Medicine Clinic, Adana City Training and Research Hospital, Health Sciences University, Adana, Turkey.

Article Synopsis
  • The study aimed to evaluate the effectiveness of optic nerve sheath diameter (ONSD) measurements from CT scans in predicting mortality and disease severity in patients with hepatic encephalopathy (HE) in the emergency department.
  • A total of 217 HE patients and an equal number of healthy controls were examined, revealing a 32.7% mortality rate among HE patients, with various factors identified as independent predictors of both mortality and disease severity.
  • The findings indicate that ONSD measurements are a strong predictor for assessing the prognosis of HE patients, potentially aiding clinicians in decision-making.
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Background: Primary hypertension (HTN) in children is on the rise and linked to the childhood obesity epidemic. Recent studies support the role of hyperuricemia in the pathogenesis of HTN. With this study we intend to evaluate the effect of body mass index (BMI) and uric acid levels on daily blood pressure (BP) parameters/phenotypes and target organ damage (TOD).

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Establishing direct causal and functional links between genotype and phenotype requires thoroughly analyzing metabolites and lipids in systems biology. Tissue samples, which provide localized and direct information and contain unique compounds, play a significant role in objectively classifying diseases, predicting prognosis, and deciding personalized therapeutic strategies. Comprehensive metabolomic and lipidomic analyses in tissue samples need efficient sample preparation steps, optimized analysis conditions, and the integration of orthogonal analytical platforms because of the physicochemical diversities of biomolecules.

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Background: Orthopedic surgeons face challenges regarding perioperative bleeding during the operations of pelvic and acetabular fracture cases. Although the recently popular tranexamic acid (TXA) has proven to be a useful tool, this study primarily aimed to conduct a retrospective comparative analysis of the results of the prophylactic administration of tranexamic acid during open fixation of pelvis and acetabulum fractures, especially regarding operative time and the amount of blood transfused; and in addition, share the results related to other findings including the management of the erythrocyte suspension use and overall cost as secondary aims and thus providing a comprehensive point of view.

Methods: The files of patients with pelvis or acetabulum fractures admitted to the Emergency Clinic of the Adana City Training and Research Hospital between January 1, 2020, and December 31, 2023, were analyzed retrospectively.

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Background: Bladder cancer continues to be a significant health issue, leading to ongoing research into novel biomarkers and treatment strategies. This study aims to evaluate the potential of serum fibronectin levels and fibronectin gene polymorphisms as biomarkers for predicting the recurrence and treatment response in patients with NMIBC undergoing intravesical BCG therapy.

Methods: Between June 2022 and December 2022, data of 73 patients who applied to the Mersin University Urology Clinic due to NMIBC and were followed and treated in our clinic, receiving intravesical BCG treatment, when necessary, as well as 56 individuals without any malignancy, were prospectively examined.

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The aim of this study was to review the characteristics and classifications of pelvic injuries due to earthquake trauma, to determine the treatment options and outcomes, and to present the experiences of our single trauma center. Sixty patients (23 male, 37 female) who underwent surgical treatment for pelvic ring injuries after the earthquake were analyzed in this study. Demographic data, such as age and gender, operations, and fracture details were recorded.

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Article Synopsis
  • Millions are affected by natural disasters annually, leading to serious medical issues like crush syndrome, which often results in acute kidney injury tied to high mortality rates.
  • This study analyzed data from 1024 patients with crush syndrome after the February 2023 earthquakes in Kahramanmaras, focusing on their treatment and outcomes in Turkish hospitals.
  • The findings revealed high rates of acute kidney injury and hemodialysis treatment, with a 9.8% in-hospital mortality rate, highlighting the urgent need for improved emergency response training and protocols for managing kidney health in disaster scenarios.
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Purpose: Surgical patients frequently experience symptoms such as preoperative anxiety, postoperative pain, and nausea and vomiting. The aim of this study was to determine the effects of acupressure on preoperative anxiety, postoperative pain, and nausea and vomiting in otolaryngology patients.

Design: The study was designed as a prospective, assessor-blinded, parallel, 2-armed (1:1), randomized controlled trial.

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Article Synopsis
  • Coeliac disease (CD) is an autoimmune condition triggered by gluten consumption, and this study explored the link between blood groups and adherence to a gluten-free diet among children with CD.
  • The research involved 177 children diagnosed with CD and a control group of 211 healthy children, analyzing their blood groups and dietary compliance over at least a year.
  • The findings showed no significant connection between ABO blood groups or the Rh factor and either the diagnosis of CD or the willingness to follow a gluten-free diet, indicating that all blood types are equally susceptible to CD.
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Article Synopsis
  • The study aimed to compare the effectiveness of two concentrations of topical cyclosporine A (0.05% and 0.1%) after pterygium surgery in terms of recurrence and other clinical parameters over six months.
  • A total of 245 patients were divided into three groups and assessed for visual acuity, intraocular pressure, inflammation, and pterygium recurrence at various postoperative intervals.
  • The findings indicated no significant differences in recurrence, inflammation, or intraocular pressure among the groups, suggesting that both concentrations of cyclosporine A are similarly effective in improving postoperative outcomes.
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Objective: Weather conditions such as low air temperatures, low barometric pressure, and low wind speed have been linked to more cases of carbon monoxide (CO) poisoning. However, limited literature exists regarding the impact of air pollution. This study aims to investigate the relationship between outdoor air pollution and CO poisoning in 2 distinct cities in Turkey.

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Article Synopsis
  • The study assesses the effectiveness of ChatGPT as a resource for patients preparing for rotator cuff repair surgery and compares the information quality between ChatGPT versions 3.5 and 4.0.
  • In a trial with experienced surgeons, 13 patient questions were posed to both versions, examining the quality and readability of their responses.
  • Results indicated high-quality information from ChatGPT, but concerns over reliability due to lack of citations, with version 4.0 deemed more readable than 3.5, although both were still considered challenging to read.
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Background: The consequences of COVID-19, such as respiratory failure and mortality, require the search for fast and effective solutions. The aim of this retrospective study is to determine the effect of extracorporeal hemadsorption on mortality in severe COVID-19 cases hospitalized in the intensive care unit (ICU).

Methods: Our study is retrospective, single-center, and observational.

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Soft tissue sarcomas are rare cancers and most cases are metastatic at the time of diagnosis. Although the chances of survival are good with surgical treatment in the early stages, systemic treatment in the advanced stages is only associated with a survival duration of ~12 months. Alterations in the anaplastic lymphoma kinase (ALK) gene are becoming increasingly recognized as pan-cancer indicators in solid tumors.

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Objective: To evaluate long-term outcomes of surgical resection for congenital brain tumors (CBTs) in infants under one year of age and to identify factors related to survival.

Methods: Our retrospective study analyzed infants who underwent gross total or subtotal resection (STR) for CBTs between 2001 and 2019. Data were obtained from medical records, including demographics, clinical presentation, diagnosis, tumor characteristics, and presence of hydrocephalus.

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Background: The increasing prevalence of antibiotic-resistant bacterial infections has led to the search for new approaches.

Objective: This study aimed to evaluate the effects of carvacrol and N-acetyl cysteine, both individually and in combination, on the planktonic cells and biofilm formations of Staphylococcus aureus, including methicillin-resistant and methicillin-sensitive strains. Additionally, the study sought to perform cytotoxicity tests and chemical characterization to further understand the properties and potential applications of these substances.

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Article Synopsis
  • The study aims to differentiate between high-grade glioma (HGG) and isolated brain metastasis (BM) using machine learning on radiomics data from brain imaging.
  • It included a large retrospective analysis of 1287 patients, focusing on both solitary and multiple mass cases.
  • The model utilized features extracted from T2-FLAIR images and was evaluated for its diagnostic accuracy, achieving significant results in distinguishing between the two conditions.
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Objectives: Predicting the success of vaginal delivery is an important issue in preventing adverse maternal and neonatal outcomes. This study sought to examine whether measurement of the angle of progression (AoP) can predict a successful vaginal delivery following induction of labour (IoL) among late term nulliparous women with a low (4>) Bishop score.

Methods: This prospective study included consecutive nulliparous pregnant women whose gestational age was 41 weeks and 1-6 days (late-term).

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Purpose: The present study aimed to assess Lipocalin-2 (LCN2) expression in patients with papillary thyroid cancer (PTC) and to compare it with multinodular goitre (MNG). We also investigated the correlation between LCN2 expression and clinicopathologic characteristics.

Methods: This retrospective study included 63 surgically treated adult patients with papillary carcinoma and 65 adult patients with a MNG.

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