108 results match your criteria: "Konya Numune Hospital[Affiliation]"

Article Synopsis
  • The study investigates the effectiveness of two methods—plate screw system and intramedullary nailing—used in treating humeral shaft fractures, specifically looking at stress shielding through finite element analysis.
  • Advanced imaging techniques, specifically CT scans, were utilized to create a detailed 3D model of the humerus, which was then analyzed using specialized software.
  • Results indicated that intramedullary nailing produced less stress and fewer concentrations on the implants compared to the plate system, suggesting it may be a more effective method for osteosynthesis in these fractures.
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Background: The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), led to high morbidity and mortality rates worldwide. It is known that some patients, initially hospitalized in general wards, deteriorate over time and require advanced respiratory support (ARS). This study aimed to identify key risk factors predicting the need for ARS in patients during the pandemic's early months.

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Cancer remains a significant global health concern, with increasing genetic and metabolic irregularities linked to its onset. Among various forms of cancer, skin cancer, including squamous cell carcinoma, basal cell carcinoma, and melanoma, is on the rise worldwide, often triggered by ultraviolet (UV) radiation. The propensity of skin cancer to metastasize highlights the importance of early detection for successful treatment.

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Article Synopsis
  • The study investigated the prevalence, clinical features, and comorbidity of body dysmorphic disorder (BDD) among patients seeking plastic and reconstructive surgery, finding a BDD prevalence of 4.7% overall and 8.6% specifically in cosmetic procedure seekers.
  • Researchers assessed participants using various psychological scales, discovering that those with BDD had significantly higher anxiety and depression scores compared to controls.
  • The findings highlight the critical need to identify individuals with BDD before they undergo surgery to prevent unnecessary procedures and address their mental health issues.
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Objectives: This study aims to systematically evaluate the quality and reliability of YouTube videos on cardiac rehabilitation, addressing a gap in the literature regarding the assessment of online health resources in this field.

Design And Setting: The study is a cross-sectional analysis. This research was conducted entirely online, utilizing the YouTube platform for data collection.

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Surgical antimicrobial prophylaxis (SAP) is the peri-operative administration of antimicrobial agents. Compliance rates vary worldwide from 15% to 84.3%, with studies in Turkey not exceeding 35%.

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Article Synopsis
  • The study investigates congenital abnormalities of the kidney and urinary tract (CAKUT), highlighting their role in perinatal and neonatal mortality, and aims to detail their subtypes and associated extra-renal defects through fetal autopsies.
  • Conducted on 110 autopsies from January 1997 to May 2019, the findings showed a predominance of male cases and identified renal dysplasia and renal agenesis as the most common abnormalities, with significant extra-renal organ involvement.
  • The study emphasizes the importance of prenatal imaging and genetic counseling in managing future pregnancies and warns that CAKUT and related anomalies are relatively common.
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Article Synopsis
  • * Conducted with 60 patients, the study found no significant differences in laboratory or clinical findings based on vitamin D levels, despite a low median level of 11.5.
  • * The findings suggest no correlation between vitamin D and ITP diagnosis, indicating further research, such as randomized controlled trials, is needed to fully understand this relationship.
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Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. There is a need for biomarkers that can be used for the diagnosis of sepsis and the early identification of patients at high risk of death. In this study, we aimed to investigate the relationship between Mid-regional pro-adrenomedullin (MR-proADM), procalcitonin (PCT), and copeptin in sepsis.

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The placenta, the foremost and multifaceted organ in fetal and maternal biology, is pivotal in facilitating optimal intrauterine fetal development. Remarkably, despite its paramount significance, the placenta remains enigmatic, meriting greater comprehension given its central influence on the health trajectories of both the fetus and the mother. Preeclampsia (PE) and intrauterine fetal growth restriction (IUGR), prevailing disorders of pregnancy, stem from compromised placental development.

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Background: Violence, with an increasing rate of cases in the health care system which adversely affects the quality of provision of services, has become a social health issue that also has negative impacts both on healthcare workers and patients. This study was conducted to determine the opinion of patients, who had been admitted to the emergency department, towards violence against healthcare workers, and their level of satisfaction with health services.

Methods: The study employed a cross-sectional design and was conducted with 348 patients who had received healthcare services in the adult emergency department in Turkey.

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Objective: Diagnostic and prognostic biomarkers for malignant melanoma are crucial for treatment and for developing targeted therapies. Malignant melanoma is a highly immunogenic tumor, and its regression, treatment, and prognostic evaluation are directly related to escape from immune destruction. Therefore, we aimed to determine the expression levels of CD80, CD86, and PD -L1 in malignant melanoma tissue samples by immunohistochemistry and to investigate the possible relationship between these proteins and the clinicopathological features in this study.

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There is a lack of consensus of the frequency of follow-up of laboratory parameters during isotretinoin treatment. We conducted a retrospective analysis of the changes in laboratory parameters used in daily practice for patients with acne who were treated with isotretinoin to determine the optimum test repetition frequency. Patient demographic data; cumulative isotretinoin doses; alanin transaminase (ALT), aspartate transaminase (AST), γ-glutamyltransferase (GGT), creatinine kinase (CK), low-density lipoprotein cholesterol (LDL-C), and triglyceride (TG) levels during treatment were recorded.

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What is the yield of EBUS-TBNA for re-evaluation of previously treated non-small-cell lung cancer?

Turk J Med Sci

April 2023

Department of Interventional Pulmonology, Atatürk Sanatoryum Training and Research Hospital, Health Science University, Ankara, Turkey.

Article Synopsis
  • * Two patient groups were identified: one treated with chemoradiotherapy (G1) and the other with radical surgery (G2).
  • * Results showed that EBUS-TBNA was highly effective, with G1 showing a 50% malignant detection rate and G2 achieving perfect diagnostic values for sensitivity, specificity, and accuracy, suggesting it is a reliable rebiopsy method.
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Introduction: Carbapenem-resistant (CRKP) infection has recently gained worldwide interest due to limited treatment options and high morbidity and mortality rates. The aim of this study was to determine the risk factors of carbapenem-resistant (CRKP) infection in older adult patients.

Material And Methods: This retrospective, single-center study included 132 patients with healthcare-associated CRKP infection (case group) and 150 patients with healthcare-associated carbapenem-susceptible (CSKP) infection (control group), aged > 65 years.

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Chronic myeloid leukemia (CML) occurrence during pregnancy is unusual due to the low prevalence of the disease in women of childbearing age, with only three reported cases. The mother was diagnosed with CML with positive BCR-ABL gene fusion in her 32nd week of gestation. The placenta showed an increased population of myelocytes and segmented neutrophils in the intervillous space and features of maternal villous malperfusion (increased perivillous fibrinoid material and distal villous hypoplasia).

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One of the rarest types of hereditary thrombocytopenia is the MYH9-related disorder. This spectrum of disorders is characterized by large platelets with or without leukocyte inclusion bodies, a decrease in the total number of platelets, and autosomal dominant inheritance. Proteinuric nephropathy that frequently progresses to end-stage renal failure, as well as the beginning of progressive high-frequency sensorineural hearing loss in young adults, is also associated with MYH9-related disorder.

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Purpose: The effects of the 5-hydroxytryptamine (5-HT3) receptor antagonists on regional anaesthesia are complex and unclear. The present study was designed to test the hypothesis that granisetron, a selective 5-HT3 receptor antagonist, would decrease the duration of motor block, sensory block, and proprioception in a dose-dependent fashion in a rat model of bupivacaine-induced sciatic nerve blockade.

Materials And Methods: Thirty-eight male Wistar Albino rats that received unilateral sciatic nerve blocks were randomly divided into five experimental groups.

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Psychometric properties of Iowa Anesthesia Satisfaction Scale Turkish version.

Ir J Med Sci

October 2023

Department of Anesthesiology, Faculty of Medicine, Ordu University, Ordu, Turkey.

Background: The Iowa Satisfaction with Anesthesia Scale (ISAS) is a valid and reliable measurement tool developed to evaluate patient satisfaction with anesthesia care during different surgical interventions. It is adapted to various languages and used in many studies. Considering the satisfaction of the patient with anesthesia applied in surgical procedures, the presence of such a measurement tool is crucial.

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Objective: Many methods are used in the treatment of coronavirus disease 2019 (COVID-19), which causes acute respiratory distress syndrome (ARDS), and there are conflicting reports in the literature regarding the results of mesenchymal stem cell (MSC) therapy, which is one of those methods. The aim of our study is to evaluate the effect of MSC treatment applied together with standard treatments on survival.

Materials And Methods: This retrospective case-control study evaluates the survival effect of MSC treatment administered to patients treated in intensive care after the development of ARDS due to COVID-19 between March 2020 and March 2021.

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Readmission after OSA surgery in pediatric patients.

Eur Arch Otorhinolaryngol

February 2023

Konya Numune Hospital, Ferhuniye Mahallesi Hastane Caddesi No:22, 42060, Selçuklu, Konya, Turkey.

Objectives: This study aimed to determine the readmission rate after adenotonsillectomy with the diagnosis of obstructive sleep apnea (OSA) and analyze the factors associated with readmission.

Methods: It was planned as a retrospective study conducted in a single institution that included pediatric patients who underwent adenotonsillectomy with OSA diagnosis between December 2018 and March 2021. Patients who were readmitted for bleeding or pain/dehydration were compared with those who did not require readmission.

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Demographic and clinical characteristics of inpatient stroke patients in Turkey.

Turk J Phys Med Rehabil

March 2022

Department of Physical Medicine and Rehabilitation, Koç University, Faculty of Medicine, Istanbul, Turkey.

Article Synopsis
  • The study evaluates stroke rehabilitation facilities in university hospitals and training hospitals in Turkey, identifying geographical disparities in patient access and treatment.
  • During the analysis of 1,529 stroke patients, data on demographics, treatment periods, and functional statuses were collected to assess rehabilitation effectiveness.
  • Findings revealed that most patients treated in training hospitals were from regions with fewer local patients, and the study emphasizes the need for standardized evaluation methods to improve rehabilitation outcomes.
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Background: Coronavirus disease 2019 (COVID-19) can cause cytokine release syndrome (CRS), which leads to high mortality rates. Tocilizumab suppresses CRS by blocking the signal transduction of interleukin-6 (IL-6).

Objective: To evaluate the clinical and laboratory parameters associated with mortality among patients receiving tocilizumab treatment.

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Article Synopsis
  • Direct oral anticoagulants (DOACs) are increasingly used as an alternative to warfarin for treating acute pulmonary thromboembolism due to fewer drug interactions and no need for frequent INR monitoring.
  • A cross-sectional study analyzed data from 836 patients, finding that 38.5% used DOACs, primarily rivaroxaban, due to challenges in maintaining effective INR levels with warfarin.
  • The findings suggest that DOACs are gaining popularity for real-life treatment, highlighting the significance of updated clinical data in guiding their use.
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Background: Automated chemiluminescent microparticle immunoassays (CMIAs) are the most common first step at high-volume laboratories for syphilis screening. If the initial screening test is reactive, 1 more treponemal test is required, resulting in increased cost. In this multicenter study, we aimed to determine the correlation between the CMIA signal-to-cutoff ratio (S/Co) and the confirmatory tests to reduce unnecessary confirmatory testing.

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