165 results match your criteria: "Manisa City Hospital[Affiliation]"

Highly selective inhibitors of cyclin-dependent kinase 4 and 6 (CDK4/6is) have emerged as a standart of care for first- and second-line therapies in combination with endocrine therapy (ET) for HR+/HER2- metastatic breast cancer (MBC) patients. It has been reported that combination therapy is more effective than ET alone and is safe in elderly patients as well as young patients. Nevertheless, elderly and very old patients with HR+/HER2-MBC treated with CDK4/6 inhibitor (CDK4/6i) combinations are relatively underrepresented in randomized controlled trials.

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Schwannomas commonly occur in the head and neck region but are rarely seen in the gastrointestinal tract; the stomach and small intestine are the most commonly involved sites. These tumors are usually misdiagnosed as gastrointestinal stromal tumors (GISTs) before histopathological confirmation due to radiological similarity. GI schwannomas show positivity for S100 protein and vimentin but are negative for CD 117 and CD 34, which helps in differentiating the tumor from GISTs.

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Medical device-related pressure injuries: The mediating role of attitude in the relationship between ICU nurses' knowledge levels and self-efficacy.

J Tissue Viability

December 2024

Faculty of Health Science, Fundamentals of Nursing Department, Afyonkarahisar Health Sciences University, 03030, Afyonkarahisar, Turkey. Electronic address:

Aim: This study examines the mediating role of attitude towards preventing pressure injuries (PIs) in the effect of knowledge about Medical Device-Related Pressure Injuries (MDRPI) on self-efficacy in PI management among Turkish intensive care unit (ICU) nurses.

Materials And Methods: A descriptive, cross-sectional study was conducted with 302 ICU nurses in Turkey from October 15, 2023, to April 30, 2024. Data were collected using the Nurse Information Form, Medical Device Related Pressure Injury Knowledge Assessment Test (MDRPI-KAT), Attitude towards Pressure Ulcer Prevention Instrument (APuP), and the Pressure Ulcer Management Self-Efficiency Scale (PUMSES).

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The postpartum period is a well-defined risk factor for cerebral venous sinus thrombosis (CVST). However, it is unclear which patients are at risk for CVST in the postpartum period. Thus, determining some CVST risk factors in postpartum patients may be useful for preventing the disorder in this population.

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Background: Stenotrophomonas maltophilia, a pathogen that colonizes medical equipment and causes nosocomial infections due to its ability to form biofilms, has high mortality rates. This study investigated the risk factors related to mortality in patients who were diagnosed with S. maltophilia bacteremia.

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  • Mitochondrial DNA depletion syndromes (MDDSs) are a group of complex genetic disorders being studied for their occurrence in young children with liver problems.
  • The research involved 40 children under 5 years old, mostly showing symptoms like jaundice, liver enlargement, and elevated lactate levels, with a significant diagnosis rate using genetic tests.
  • The findings suggest that common demographic and lab tests aren't enough for diagnosing these inherited conditions, as only 22.5% were diagnosed with MDDS while around 42.5% were diagnosed with more comprehensive genetic analysis.
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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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Extrapulmonary tuberculosis (EPTB) is an important public health problem due to its diverse clinical presentations, diagnostic complexities, and significant impact on patient outcomes and public health. Our study aimed to understand the sociodemographic, clinical, and laboratory characteristics as well as diagnostic and treatment modalities of adult patients with EPTB. This is a multicentric retrospective study that covers patients with EPTB cases followed up from January 2015 to December 2022 among tuberculosis (TB) dispensaries and Infectious Diseases and Clinical Microbiology clinics of 15 hospitals located in various regions of Turkey.

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Aim: Immature granulocytes show bone marrow activation before neutrophil response and there are studies in the literature showing that the number of immature granulocytes is an auxiliary marker in the diagnosis and treatment of different diseases. The Delta Neutrophil Index (DNI), Immature Granulocyte Count (IGC) have previously been studied as markers in thyroid and breast cancers. The aim of this study was to determine whether immature granulocyte IGC and DNI values measured in preoperative blood parameters have a diagnostic benefit for the detection of advanced colon cancer.

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Real-world data on Empagliflozin and Dapagliflozin use in patients with HEART failure: The RED-HEART study.

ESC Heart Fail

September 2024

Department of Cardiology, İzmir University of Economics, Faculty of Medicine, Medical Point Hospital, İzmir, Türkiye.

Aims: We aimed to determine the use of sodium-glucose cotransporter 2 inhibitors (SGLT2is) and to identify clinical factors associated with their use in patients with heart failure (HF) in a real-life setting.

Methods: Real-world data on Empagliflozin and Dapagliflozin use in patients with HEART failure: The RED-HEART study is a multicentre, cross-sectional and observational study that included HF patients in the outpatient setting regardless of ejection fraction from 19 cardiology centres between August 2023 and December 2023.

Results: The study population consisted of 1923 patients with HF, predominantly men (61.

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  • In Turkey, a single-dose varicella vaccine was introduced in February 2013, aiming to reduce hospitalizations related to chickenpox among children under 18 years old.
  • A study analyzed hospitalization data from 2008 to 2018, comparing rates before and after the vaccine's introduction, finding a significant decrease in hospitalizations (3.79 to 2.87 per 100,000 children per year).
  • The most notable reduction was in children aged 1-5 years, with a 60.2% drop in hospitalizations post-vaccine, demonstrating the vaccine's effectiveness in preventing severe cases of varicella.
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Profiles of primary brain abscesses and their impact on survival: An international ID-IRI study.

Int J Infect Dis

October 2024

Gulhane School of Medicine, Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Ankara, Türkiye.

Article Synopsis
  • This study analyzed 331 patients with primary brain abscesses (PBAs) from 39 centers in 16 countries, focusing on infection causes, risk factors, and mortality outcomes over a 12-year period.
  • Study results showed that the majority of patients were middle-aged men (average age 46.8), with symptoms like headaches and fever; Gram-positive cocci were the most common pathogens.
  • Key factors influencing mortality at 42 days included intravenous drug use and malignancy, while factors affecting 180-day mortality included temporal lobe involvement and the presence of unidentified bacteria.
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  • - The study evaluated a new surgical method, atlas lateral mass and C2-3 transfacet screw fixation, as a safer and effective alternative to traditional posterior atlantoaxial fixation for patients with atlantoaxial instability.
  • - Eight patients with issues like odontoid fractures underwent the new fixation technique; results showed no surgical complications and successful fusion in all cases by the 12-month follow-up.
  • - Significant improvements were noted in neck pain and disability scores post-surgery, indicating that this method effectively stabilizes the area and enhances recovery compared to previous techniques.
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The assessment of care burden and influencing factors on family caregivers for cancer patients.

J Clin Nurs

October 2024

Department of Medical Services and Techniques (Public Health Nursing), Vocational School of Health Services, Manisa Celal Bayar University, Manisa, Turkey.

Background: The family caregivers as primary caregivers play a crucial role regarding the care of cancer patients. As defined in the literature, the care burden encompasses the negative objective and subjective outcomes including psychological and physical health problems, economic and social issues, deterioration of family relationships and feelings of loss of control that arise from caregiving responsibilities.

Aims: This study aims to assess the care burden and to evaluate the associated factors among family caregivers of cancer patients receiving treatment at a state hospital in Türkiye.

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Objective: This study investigated the effects of hospitalization in the neonatal intensive care unit (NICU) due to congenital pneumonia (CP) on maternal stress and attachment, focusing on how the duration of invasive and noninvasive mechanical ventilation, length of NICU stay, and postpartum breastfeeding initiation time influence mother-infant attachment.

Methods: Conducted among 30 mothers of 3-month-old infants admitted to the NICU with CP and a control group (n = 30), it analyzed the impact of medical intervention durations and breastfeeding initiation on maternal stress and attachment using statistical methods.

Results: The maternal stress in the NICU group was significantly higher than in the control group ( = .

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Background: The aim in tip surgery is to provide rotation, derotation, projection and deprojection. In this study, we aimed to show the effects of modified low septal strip septoplasty, septal extension graft, TIG technique and additional maneuvers on tip shape in dorsal preservation rhinoplasty (DPR) and to discuss our clinical results.

Patients And Methods: One hundred eighty-nine patients who underwent DPR with modified low septal strip septoplasty between November 2021 and August 2023 were included in the study.

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Objectives: To evaluate the relationships between volumetric Ga-prostate-specific membrane antigen (PSMA) positron emission tomography/computed tomography (PET/CT) parameters, Gleason score (GS), prostate-specific antigen (PSA) levels, histopathological data, and metastatic status in newly diagnosed prostate cancer (PCa) patients and to assess the predictive factors for progression despite treatment.

Methods: A total of 78 newly diagnosed patients with PCa who had Ga-PSMA PET/CT scans were included. Clinical parameters, histopathological data, and metastatic status were documented, and volumetric parameters of primary prostate lesions were measured.

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Objectives: We aimed to cardiologically evaluate the consequences of glycosaminoglycan (GAG) accumulation in the large vessels of patients with mucopolysaccharidosis (MPS).

Methods: The left ventricular wall thickness, left ventricular mass (LVmass) were evaluated and aortic annulus diameter (AA), aortic sinus valsalva diameter (SV), sinotubular junction diameter (STJ), systolic aortic diameter (ADs), diastolic aortic diameter (ADd) body indices were obtained by dividing by the surface area. Aortic distensibility and stiffness index were obtained using aortic strain.

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Investigation of hematologic findings related to brucellosis in Anatolian region.

Saudi Med J

May 2024

From the Department of Infectious Diseases and Clinical Microbiology (Çelik, Ceylan); from the Department of Biostatistics (Erdoğdu), Faculty of Medicine, University of Harran; from the Department of Infectious Diseases and Clinical Microbiology (Yüksekkaya), Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, from the Department of Infectious Diseases and Clinical Microbiology (Arslan), Batman Training and Research Hospital, Batman, from the Department of Infectious Diseases and Clinical Microbiology (Topcu), Şırnak State Hospital, from the Department of Infectious Diseases and Clinical Microbiology (Altındağ, Atalay), Cizre Dr. Selahattin Cizrelioğlu State Hospital, Şırnak, from the Department of Infectious Diseases and Clinical Microbiology (Şahinoğlu), Manisa City Hospital, from the Department of Infectious Diseases and Clinical Microbiology (Özer), Faculty of Medicine, University of Manisa Celal Bayar, Manisa, from the Department of Infectious Diseases and Clinical Microbiology (Gürbüz), SBU Van Training and Research Hospital, Van, from the Department of Infectious Diseases and Clinical Microbiology (Demircan), Kahramanmaraş Necip Fazıl City Hospital, from the Department of Infectious Disease and Clinical Microbiology (Kuşçu), Faculty of Medicine, Sütcü Imam University, Kahramanmaraş, from the Department of Infectious Diseases and Clinical Microbiology (Emre), Kahta State Hospital, Adıyaman, from the Department of Infectious Diseases and Clinical Microbiology (Kırık), Elazığ Fethi Sekin City Hospital, Elazığ, from the Department of Infectious Diseases and Clinical Microbiology (Atasoy), Ankara City Hospital, Ankara, from the Department of Infectious Diseases and Clinical Microbiology (İpek), Mardin Training and Research Hospital, Mardin, from the Department of Infectious Diseases and Clinical Microbiology (Doğan), Bayburt State Hospital, Bayburt, from the Department of Infectious Disease and Clinical Microbiology (Atlı), SBU Gazi Yaşargil Training and Research Hospital, Diyarbakır, from the Department of Infectious Diseases and Clinical Microbiology (Alkan), Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, from the Department of Infectious Diseases and Clinical Microbiology (Çiçek), Bingol State Hospital, Bingol, from the Department of Infectious Diseases and Clinical Microbiology (Aldemir), Sivas Numune Hospital, Sivas, from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Dr. Ersin Arslan Training and Research Hospital, from the Department of Infectious Diseases and Clinical Microbiology (Mızrakçı), Gaziantep LIV Hospital, Gaziantep, from the Department of Infectious Diseases and Clinical Microbiology (Ürkmez), Kırıkkale Yüksek İhtisas Hospital, Kırıkkale, from the Department of Infectious Disease and Clinical Microbiology (Al), Turhal State Hospital, Tokat, from the Department of Infectious Disease and Clinical Microbiology (Boran, Demiray), Bitlis State Hospital, Bitlis, and from the Department of Infectious Diseases and Clinical Microbiology (Tekin), Faculty of Medicine, University of Koç, Istanbul, Turkey.

Objectives: To investigate the prevalence of hematologic findings and the relationship between hemogram parameters and brucellosis stages in patients.

Methods: This multi-center study included patients older than 16 years of age who were followed up with a diagnosis of brucellosis. Patients' results, including white blood cell, hemoglobin, neutrophil, lymphocyte, monocyte, mean platelet volume, platelet and eosinophil counts were analyzed at the initial diagnosis.

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The epidermal growth factor receptor (EGFR) expression is considered to play an essential role in the pathogenesis of colorectal adenocarcinoma. This study assessed the expression and predictive/prognostic value of EGFR expression in pre-op biopsy and post-op resection specimens in patients receiving neoadjuvant radiotherapy/neoadjuvant chemoradiotherapy (NRT/NCRT). Thirty-four consecutive patients were included in this study.

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Introduction: Adrenocortical carcinoma (ACC) is a rare yet highly malignant tumor associated with significant morbidity and mortality. This study aims to delineate the clinical features, survival patterns, and treatment modalities of ACC, providing insights into the disease's prognosis.

Materials And Methods: A retrospective analysis of 157 ACC patients was performed to assess treatment methodologies, demographic patterns, pathological and clinical attributes, and laboratory results.

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Parkinson's disease (PD) is a neurodegenerative disorder that affects millions of individuals globally. It is characterized by the loss of dopaminergic neurons in Substantia Nigra pars compacta (SNc) and striatum. Neuroimaging techniques such as single-photon emission computed tomography (SPECT), positron emission tomography (PET), and magnetic resonance imaging (MRI) help diagnosing PD.

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Article Synopsis
  • Triple negative breast cancer (TNBC) often recurs after treatment, particularly in those with residual disease post-chemotherapy, and capecitabine is commonly used as a follow-up treatment for these patients.! -
  • A study analyzed 170 TNBC patients who received capecitabine after neoadjuvant chemotherapy, finding a 30% recurrence rate and 18% death rate, with a 3-year disease-free survival (DFS) of 66% and overall survival (OS) of 74% in the cohort.! -
  • Results indicated that while capecitabine's effectiveness was lower than past studies, certain patients, especially those with specific residual disease characteristics, could still benefit from it,
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