452 results match your criteria: "Sisli Hamidiye Etfal Education & Training Hospital[Affiliation]"

Objectives: Contemporary studies assessing the importance of the systemic immune-inflammation index (SII) in older patients presenting with acute coronary syndrome (ACS) are scarce. This study investigated the impact and prognostic value of the SII regarding long-term mortality in older patients with ACS.

Methods: The study included 401 older patients aged 75 years and above admitted with ACS between May 2015 and December 2022.

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Purpose: Cochlear implantation (CI) surgery is essential for restoring hearing in individuals with severe sensorineural hearing loss. Accurate placement of the electrode within the cochlea is essential for successful auditory outcomes and minimizing complications. This study aims to analyze the relationship between the round window niche (RWN) alignment, its visibility during surgery, and the impact on surgical techniques and outcomes.

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The clinical policy of the Emergency Medicine Association of Türkiye (EMAT) provides guidance on the use of tranexamic acid (TXA) in emergency settings. TXA, an antifibrinolytic drug, is used to control bleeding by inhibiting plasminogen. Its applications have expanded from hemophilia and severe menstrual bleeding to include various forms of trauma and surgery-related bleeding.

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Background: With the assistance of smart fixator technologies, the correction of complex deformities has been facilitated; however, the accurate integration of specialized radiographs and measurements into the system remains the greatest disadvantage, necessitating specialized imaging and an experienced team. When inexperienced technicians and doctors perform these specialized postoperative radiographs, excessive exposure of the patient and team to radioactive rays exacerbates inadequacies in measurements and delays the correction of residual deformities due to angular and translational adjustments. In this study, we compared postoperative measurements with those taken peroperatively via fluoroscopy, hypothesizing that it reduces the exposure of the patient and team to radioactive rays, allows for more accurate and timely correction of deformities and assembly parameters, and reduces time and costs.

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Article Synopsis
  • Time plays a critical role in diagnosing headache disorders and understanding their underlying mechanisms, highlighting the need for effective timing analysis in headache research.
  • A review of studies covering primary headache types—migraine, tension-type headache, and cluster headache—reveals distinct timing patterns, such as circadian rhythms in migraines and night-time occurrences in cluster headaches.
  • Understanding these time patterns can improve the phenotyping, management, and treatment of headache disorders, pointing towards new, personalized approaches in headache care.
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Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 virus) has been a major cause of significant morbidity and mortality. Acute kidney injury (AKI) has been seen in COVID-19-infected subjects, and it has frequently resulted in an abnormal estimated glomerular filtration rate. Colchicine, an immunomodulatory drug, was used in several studies in the early stages of the pandemic.

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Background: Hypertension (HT) is a global health problem. Although there are effective treatment protocols, patients have difficulty in adapting to regular use of drugs, diet, and lifestyle changes. Mobile apps can be a potential alternative for managing HT and improving self-care behavior.

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Dr. Hulusi Behçet (1889-1948) was a renowned Turkish dermatologist who made significant contributions in the field. His innovative research led to the discovery of Behçet's disease, a complex autoimmune disorder characterised by recurring mouth ulcers, inflammation of the eye, genital ulcers, and skin lesions.

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Article Synopsis
  • The study assessed the quality of laparoscopic radical hysterectomy (LRH) videos on YouTube, focusing on how well they showcased surgical techniques and anatomical landmarks.
  • Out of 250 videos analyzed, only 40 met the criteria for detailed examination, with 60% demonstrating a complete list of surgical steps, but only 32.5% scored well on the LAP-VEGaS assessment tool.
  • Videos with higher LAP-VEGaS scores and those featuring a teaching voice were more popular, attracting significantly more daily views compared to lower-scoring videos or those with music.
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Objectives: This study aimed to validate a Turkish version of the Composite Autonomic Symptom Score 31 (T-COMPASS 31) for assessing autonomic dysfunction.

Patients And Methods: The COMPASS 31 questionnaire was translated into Turkish following a rigorous protocol. Forty-five patients with autonomic dysfunction symptoms related to their primary disease and 45 healthy controls matched for age and sex participated in the study.

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Objective: We aimed to evaluate medical school students' knowledge and approaches regarding telehealth.

Method: In this descriptive study, an electronic survey was conducted among students attending the Faculties of Medicine at Health Sciences University. The first part of the Form included questions evaluating individual characteristics and telehealth approaches, and the second part included opinions and suggestions regarding telehealth usage topics.

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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 Atherogenic Index of Plasma (AIP) is associated with coronary artery disease (CAD) and acute coronary syndrome (ACS), but the relationship between AIP and ACS in elderly patients remains unclear. We investigated the prognostic capability of AIP for in-hospital and long-term mortality in elderly patients with ACS undergoing coronary angiography (CA). We analyzed 627 patients with ACS over 75 years of age who were admitted to our clinic between April 2015 and December 2022 and underwent CA.

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Gender and Age Trends in HIV Incidence in Turkey between 1990 and 2021: Joinpoint and Age-Period-Cohort Analyses.

Medicina (Kaunas)

August 2024

Epidemiology PhD Program, Graduate School of Health Sciences, İstanbul Medipol University, 34810 İstanbul, Türkiye.

Despite a global decrease in HIV incidence, recent trends in Türkiye indicate a concerning rise, particularly among younger populations and women. This study investigates the local and regional dynamics influencing these trends using advanced epidemiological methodologies. Utilizing Age-period-cohort analysis and joinpoint regression, we analysed HIV incidence and prevalence data from the Global Burden of Disease study for Türkiye.

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May the Nuclear Medicine be with you! Neuroendocrine tumours and the return of nuclear medicine.

Eur J Nucl Med Mol Imaging

December 2024

Molecular Imaging and Therapeutic Nuclear Medicine, Cancer Imaging, Peter MacCallum Centre Melbourne, and Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia.

Article Synopsis
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Background/aims:  Liver fatty acid-binding protein (LFABP) controls hepatocyte lipid metabolism and can be a biomarker in liver diseases. We compared the correlation of LFABP levels with liver histology in viral hepatitis and nonalcoholic fatty liver disease (NAFLD) and investigated the utility of serum LFABP as a biomarker for liver damage.

Materials And Methods:  We included 142 patients (60 chronic viral hepatitis B [CHB], 35 chronic viral hepatitis C [CHC], 47 NAFLD) and 40 healthy controls.

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A disturbance in the metabolism of homocysteine in both the mother and the fetus has been implicated in several placental vasculopathy-related disorders, including pregnancy loss. This study aimed to provide insights into the potential role of homocysteine, Vitamin B12, and folic acid in early pregnancy losses, with a specific focus on the Turkish population. The results of 93 pregnant women who experienced miscarriage between 5 and 14 gestational weeks and 93 healthy pregnant women at the same gestational weeks were compared.

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Article Synopsis
  • * The condition is uncommon but should be included in the differential diagnosis for periorbital tissue lesions.
  • * A misdiagnosis of a mucocele was corrected during surgery when unexpected findings led to a frozen biopsy that confirmed the lymphoma diagnosis.
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Background: Mycosis fungoides (MF) is the most common cutaneous lymphoma with a chronic disease course. MF patients may also suffer from systemic comorbidities such as cardiovascular and metabolic diseases.

Methods: In this study, we aimed to evaluate the demographic and clinical features of MF patients registered in the MF-TR registry system and to examine the relationship of these features with systemic comorbidities.

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Article Synopsis
  • The study aimed to assess how different patterns of diabetic macular edema (DME) respond to intravitreal injection therapies, particularly ranibizumab and aflibercept, over a 12-month period.
  • Participants were categorized into four groups based on their OCT features, and their visual acuity and central macular thickness were measured at baseline and after 3, 6, and 12 months.
  • Results showed no significant differences in visual acuity improvement or the number of injections needed among the groups, but group 4 had the highest baseline central macular thickness and the most significant reduction in thickness by month 12.
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The effect of phototherapy treatment on serum melatonin levels in term newborns.

Turk J Med Sci

July 2024

Department of Ophthalmology, Şişli Hamidiye Etfal Education and Research Hospital, University of Health Science, İstanbul, Turkiye.

Background/aim: The aim of this study was to investigate the effect of phototherapy treatment on serum melatonin levels in term newborn infants.

Material And Methods: This study was planned as a single-center, prospective, observational, case-control study. Term infants (gestation week ≥37 weeks) who received at least 6 h of phototherapy due to jaundice constitute the phototherapy group, while the term infants without jaundice and who were exclusively breastfed constitute the control group.

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Objective: The Hounsfield unit density value (HUDV) is a relative quantitative measurement of radio density used by radiologists in the interpretation of computed tomography (CT) images. Our aim is to investigate the role of HUDV in evaluating pre-epiglottic space (PES) involvement of laryngeal carcinoma.

Methods: Seventy-four patients treated for laryngeal carcinoma in our clinic between 2014 and 2019 were included in the study.

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Purpose: This study aimed to determine the effects of video-assisted education given before breast cancer surgery on patients' anxiety and comfort.

Design: A nonrandomized, controlled, quasi-experimental model was used.

Methods: The study was conducted in the general surgery clinic of a public hospital.

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Article Synopsis
  • - The study focused on distinguishing tuberculous lymphadenitis (TBLN) from non-tuberculous lymphadenitis (NTBLN) in adults in Turkiye, analyzing demographic, clinical, and laboratory data from patients with swollen lymph nodes.
  • - A total of 812 patients were studied, revealing that TBLN was the most common diagnosis (53.69%), with higher occurrence in females and those who had elevated erythrocyte sedimentation rate and positive test results for tuberculosis (p < 0.05).
  • - The findings suggest that identifying specific variables can help clinicians improve their diagnosis and treatment strategies for adult lymphadenopathy.
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