16,534 results match your criteria: "Lueleburgaz State Hospital[Affiliation]"

Virtual anatomical atlas of the deep brain nuclei.

Neurosurg Rev

November 2024

Department of Neurosurgery, Yeditepe University, School of Medicine Kosuyolu Hospital, Kosuyolu Street, Kadıkoy, İstanbul, 34718, Türkiye.

This study aims to improve understanding of the anatomy of the deep brain nuclei relevant to deep brain stimulation as well as stereotactic lesioning procedures, including radio frequency, high-focused ultrasound, and radiosurgery. We created interactive, three-dimensional virtual models from cadaveric dissections and radiological segmentation. We used five brain specimens (ten hemispheres) obtained from routine autopsies, prepared according to Klingler's method.

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  • Glycogen synthase kinase 3β (GSK3β) is an enzyme linked to heart failure (HF), and this study examines its serum levels in various HF types.
  • Researchers analyzed serum GSK3β levels in 112 HF patients and 50 healthy controls, employing echocardiographic evaluations and statistical analyses to determine significance.
  • Results indicated that GSK3β levels were significantly elevated in HF patients compared to controls, with highest levels in heart failure with preserved ejection fraction (HFpEF) and lowest in reduced ejection fraction (HFrEF), suggesting a potential protective mechanism related to ejection fraction.*
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  • Dual antiplatelet therapy (DAPT) is essential for managing acute and chronic coronary syndromes, helping to lower mortality rates and prevent further complications.
  • A study followed 1500 patients on a specific fixed-dose DAPT (ASA + clopidogrel) to evaluate its effectiveness and safety, primarily focusing on hospitalization and bleeding risks.
  • Results indicated that the fixed-dose combination therapy was effective, with low rates of hospitalization for cardiovascular issues and minimal bleeding complications in appropriately selected patients.
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Background: SARS-CoV-2 variants have distinct features of transmissibility, infectivity, and aggressiveness that may cause different clinical manifestations. A better understanding of the disease presentation and progression could help to outline more precise preventive and treatment frameworks. This study describes the differences in COVID-19 presentation and outcomes across five variant waves.

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Evaluation of dysmenorrhea changes in patients undergoing cervical dilatation: Does it work?

J Obstet Gynaecol Res

January 2025

Department of Obstetrics and Gynecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences Turkey, Istanbul, Turkey.

Objective: To demonstrate that cervical dilation will relieve symptoms in women with primary dysmenorrhea.

Materials And Methods: In this retrospective cohort study, 30 patients were included in the study group and 30 patients were included in the control group. Age, sex, occupation, education level, duration of dysmenorrhea, and presence of dyspareunia were recorded for all patients.

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Background: Medication management is a critical aspect of nursing, in particular with respect to paediatric patients, in whom medication errors are prevalent. Enhancing competence in this area requires not only general nursing skills but also targeted educational interventions and emotional support. This study aims to examine the relationship between nursing students' levels of liking children and their self-efficacy in paediatric medication administration, thereby exploring the impact of emotional factors on clinical competence.

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Anterior selective targeting for radiosurgical treatment of trigeminal neuralgia: a cohort study.

Acta Neurochir (Wien)

November 2024

Department of Neurosurgery, Faculty of Medicine, Gazi University, Emniyet Mahallesi, Mevlana Bulvarı No: 29, Ankara, Turkey.

Objective: Before commonly used targets such as the Retrogasserian Zone (RGZ) and the Root Entry Zone (REZ) were adopted for the radiosurgical treatment of trigeminal neuralgia (TN), a more anterior target involving the Gasserian ganglion was used. Thanks to advancements in imaging technology, it is now possible to identify and target separate nerve divisions in Meckel's Cave as desired. Although this approach has been mentioned previously, no clinical study has investigated it until now.

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International Consensus Statement on Platelet Function and Genetic Testing in Percutaneous Coronary Intervention: 2024 Update.

JACC Cardiovasc Interv

November 2024

Medizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany; Privatklinik Lauterbacher Mühle am Ostsee, Seeshaupt, Germany.

Current evidence indicates that dual antiplatelet therapy with aspirin plus a P2Y inhibitor is essential for the prevention of thrombotic events after percutaneous coronary interventions. However, dual antiplatelet therapy is associated with increased bleeding which may outweigh the benefits. This has set the foundations for customizing antiplatelet treatments to the individual patient.

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Background: Endovascular treatments are frequently applied in pelvic venous disorders (PeVDs) with guidelines recommendations. There is no clear answer as to which of the embolization methods applied with endovascular treatments is superior. In this study, we aimed to compare the outcomes and symptom relief of patients with PeVDs treated using coils alone versus those treated with both coils and ethylene vinyl alcohol copolymer, as well as to evaluate the material usage and safety and efficacy of these treatments.

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Objective: The potential risk of thermal damage in the transcanal endoscopic ear surgery has been a concerning issue. This study aimed to investigate the histopathological effects of heat exposure of different durations in external auditory canal (EAC) skin and facial nerve tissues.

Methods: This study was conducted on 20 rabbits assigned equally to five groups according to the endoscope-transmitted heat exposure duration: Control group (no exposure), 2, 10, 15, and 30 min.

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Acute pancreatitis (AP) is a clinical condition that arises acutely in the pancreas through various inflammatory pathways due to multiple causes. Turkish Society of Gastroenterology Pancreas Working Group developed comprehensive guidance statements regarding the management of AP that include its epidemiology, etiology, clinical presentation, diagnostic criteria, disease severity, treatment, prognosis, local and systemic complications. The statements were developed through literature review, deliberation, and consensus opinion.

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Evolving Clinical Features of Diabetic Ketoacidosis: The Impact of SGLT2 Inhibitors.

Pharmaceuticals (Basel)

November 2024

Department of Endocrinology and Metabolism, Faculty of Medicine, Recep Tayyip Erdogan University, Rize 53100, Türkiye.

: The antidiabetic effect of SGLT2 inhibitors (SGLT2-is) is based on their ability to increase glucose excretion through urine by inhibiting the kidney-resident SGLT2 protein. Euglycemic diabetic ketoacidosis (EuDKA) is an uncommon but potentially life-threatening adverse effect of these medications, which are notable for their antidiabetic, cardiovascular, and renal protective properties. This study aimed to clarify the impact of SGLT2-is on demographic, clinical, and biochemical characteristics in patients with DKA.

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  • Glycemic variability (GV) is a common issue in critically ill patients, and this study explored its impact on 28-day mortality through a multicenter analysis involving 578 patients across five ICUs in Turkey.
  • The study tracked several glycemic parameters within the first 24 hours, finding significant differences in CV (coefficient of variation), SD (standard deviation), and MGD (maximal-minimal glucose difference) between survivors and non-survivors, with higher levels linked to increased mortality risk.
  • Results indicated that CV is an independent risk factor for mortality, with a strong correlation with MGD, suggesting that monitoring these glycemic metrics could be critical for predicting patient outcomes in intensive care settings.
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  • Chronic obstructive pulmonary disease (COPD) is a major global health issue, and factors like biomass exposure, patient demographics, and other health conditions play a significant role in worsening patient outcomes during episodes of exacerbation.
  • A study analyzed medical records of 334 COPD patients from January 2021 to December 2023, focusing on how biomass exposure influences hospital outcomes like ICU admissions, length of stay, and in-hospital mortality, rather than looking at its direct effects.
  • Results showed that patients with biomass exposure were more likely to be female, had lower smoking rates, and experienced higher ICU admissions and mortality; older patients also faced greater health challenges during their hospital stays, although specific characteristics didn't significantly correlate with outcomes.
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The objective of this study is to examine the correlation between the active range of motion (ROM) of the affected upper extremity and functional capacity in children with Obstetric Brachial Plexus Palsy (OBPP) who have undergone the modified Hoffer tendon transfer technique. The study cohort comprised 52 children with OBPP, aged 4-14 years, who had undergone a shoulder tendon transfer. The ROM was quantified using a goniometer, while functionality was evaluated through the administration of the Brachial Plexus Outcome Measure (BPOM).

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: This study aimed to investigate the relationship between tramadol use and cardio electrophysiological imbalance (iCEB/iCEBc) in general surgery patients with complaints of acute postoperative pain (APP). : In this prospective cross-sectional study, a total of 218 consecutive patients over the age of 18, who underwent surgical procedures in our clinic (postoperative), were included. For analgesic effect, tramadol was administered with an initial total max dose not exceeding 2 mg/kg.

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This study examines the critical role of aquaporins (AQPs) in skin physiology and aging pathophysiology. The skin plays a vital role in maintaining homeostasis by acting as a protective barrier against external pathogens and excessive water loss, while also contributing to the appearance and self-esteem of individuals. Key physiological features, such as elasticity and repair capability, are essential for its proper function.

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Schizophrenia is a severe neuropsychiatric illness of uncertain etiopathogenesis in which antipsychotic drugs can attenuate the symptoms, but patients rarely return to the premorbid level of functioning. In fact, with each relapse, people living with schizophrenia progress toward disability and cognitive impairment. Moreover, our patients desire to live normal lives, to manage their daily affairs independently, date, get married, and raise and support a family.

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To evaluate the agreement among radiologists in the evaluation of rectal cancer staging and restaging (after neoadjuvant therapy) and assess whether locoregional recurrence can be predicted with this information. Pre-neoadjuvant and after-neoadjuvant therapy magnetic resonance imaging (MRI) examinations of 239 patients diagnosed with locally advanced rectal cancer were retrospectively reviewed by three radiologists. The agreement between the MRI findings (localization of tumor involvement, tumor coverage pattern, external sphincter involvement, mucin content of the mass and lymph node, changes in the peritoneum, MRI T stage, distance between tumor and MRF, submucosal sign, classification of locoregional lymph node, and EMVI) was discussed at the September 2023 meeting of the Society of Abdominal Radiology (SAR) and the interobserver and histopathological findings were examined.

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  • * A significant increase in interest was noted, particularly in high-income states, with no seasonal variations affecting the relative search volume.
  • * Growing public interest indicates a rising demand for education and accessible information on Dry Needling therapy for healthcare professionals and students.
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Background: Hallux valgus is a deformity characterized by lateral deviation of the big toe and medial deviation of the first metatarsal, causing difficulty in walking and requiring various treatments. Despite its multifactorial etiology, the role of the tibialis anterior tendon in hallux valgus and its variations in the morphology of tibialis anterior tendon distal insertion sites have not been fully explored. This study aimed to evaluate the effect of such variations on hallux valgus using magnetic resonance imaging.

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  • The study investigates the effects of combining hyperbaric oxygen therapy (HBOT) with steroid treatment on patients suffering from sudden sensorineural hearing loss (SSNHL).
  • It involved 50 participants who received intravenous steroids and underwent HBOT, with improvements in hearing observed across various frequencies after treatment.
  • Results indicated significant enhancement in hearing, particularly at lower frequencies, suggesting that the combination therapy is effective for SSNHL patients.
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  • This study investigates the normal measurements of orbital structures in healthy adults, focusing on differences between males and females.
  • Using MRI scans, researchers measured various aspects like the diameters of extraocular muscles and the length of the inter-zygomatic line in 102 individuals, totaling 204 orbits.
  • Results showed that males generally have larger dimensions than females in all measured aspects, which may aid in diagnosing orbital conditions and establishing normative values.
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Acne vulgaris (AV) is a chronic inflammatory skin condition predominantly observed during adolescence. Interoception accuracy (IAc) refers to the ability to perceive internal bodily states such as hunger and thirst. Since the brain and skin originate from the same embryological layer, the ectoderm, it is hypothesized that skin changes and disorders might affect individual perceptions.

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Background: Laparoscopic cholecystectomy (LC) is widely performed with generally favorable outcomes, but postoperative pain remains a significant issue, influenced by various factors including the specimen extraction site and gallstone size.

Methods: A prospective randomized controlled study was conducted on 100 patients undergoing LC. Participants were randomized to have the specimen removed through either the epigastric or umbilical trocar.

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