1,106 results match your criteria: "Sisli Hamidiye Etfal Training And Research Hospital[Affiliation]"

Background: Acute appendicitis is one of the most common surgical emergencies. With antibiotic-first treatment strategies gaining importance, the risk of an appendiceal tumor as an incidental finding or as the cause of appendicitis presents an obstacle to a conservative approach. Neuroendocrine tumors, the most frequent type of appendiceal tumors, are difficult to diagnose preopera-tively due to their small size.

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Data in the literature on the use of ceftazidime-avibactam (CAZ-AVI) in carbapenem-resistant Klebsiella pneumoniae bloodstream infections (CRKP-BSIs) are limited especially in OXA-48 (Oxacillinase-48) predominant regions. Our study aimed to evaluate the effect of CAZ-AVI use on outcomes in CRKP-BSIs in Turkey, where OXA-48 is endemic. A multicenter retrospective observational study was conducted between January 2017 and September 2021.

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Article Synopsis
  • TRUS-guided prostate biopsy is a common method used to diagnose prostate cancer by obtaining tissue samples.
  • A study with 237 patients aimed to assess how different patient-related factors influence pain levels during the biopsy.
  • Results showed that older age and positive digital rectal exams correlated with higher pain, while patients using 5-alpha reductase inhibitors experienced less pain, indicating certain factors could help manage discomfort during the procedure.
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Gender Distribution of Editorial Board Members in Palliative Care Journals: Assessment of Gender Parity.

J Palliat Care

October 2024

Division of Intensive Care, Department of Anesthesiology and Reanimation, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey.

Although the representation of women in palliative care has improved in recent years, gender inequality still exists in editorial leadership. This study aimed to characterize gender distribution in leadership positions on the editorial boards of palliative care journals. This cross-sectional study analyzed the gender composition of editorial boards for palliative care journals indexed in the Web of Science (WoS) and the factors that affect this composition.

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Introduction: One of the predictable and preventable complications that may occur after transaortic valve implantation (TAVI) is the requirement for permanent pacemaker (PPM) implantation.

Aim: To evaluate the relationship between aortic knob calcification (AKC) assessed by preoperative chest X-ray and the requirement for post-procedure PPM implantation for patients who underwent TAVI.

Material And Methods: This study was conducted with 110 patients who underwent TAVI with a Myval transcatheter heart valve in our center between June 2020 and December 2022.

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BACKGROUND Anterior cruciate ligament (ACL) reconstruction commonly uses a hamstring tendon autograft, but the peroneus longus tendon can also be used. This study aimed to compare outcomes of anterior cruciate ligament reconstruction in 106 patients using peroneus longus tendon and hamstring tendon autografts. MATERIAL AND METHODS ACL repair was performed on 54 patients using a hamstring tendon autograft and 52 patients with a peroneus longus tendon autograft.

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: Ceftazidime-avibactam (CAZ-AVI) is recommended as first-line treatment for Oxacillinase-48 (OXA-48) β-Lactamase-producing carbapenem-resistant Enterobacterales (CRE) infections, while polymyxin-based combination therapies (PBCTs) are used as a last resort when CAZ-AVI is unavailable. Research comparing the effectiveness of CAZ-AVI and PBCT in CRE blood stream infections (CRE-BSIs) is limited, mostly focusing on carbapenemase (KPC)-producing isolates. In Turkey, OXA-48 is endemic and OXA-48-Like is common.

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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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  • The study investigates the characteristics and outcomes of adult patients who underwent surgery for thyroglossal cysts (TGCs), aiming to compare them with existing data on pediatric cases.
  • The research included 16 adult patients (average age 43.9 years), with the majority diagnosed via ultrasonography and treated mostly with the Sistrunk procedure, while some had concurrent thyroid diseases including papillary thyroid cancer.
  • No recurrence of TGC was observed during an average follow-up period of just over 22 months, indicating that adult patients may also experience effective surgical outcomes similar to those in children.
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Objectives: The incidence of papillary thyroid cancer (PTC) is increasing, and due to the favorable postoperative survival rates, the extent of surgery should be carefully determined, and complications during the operation should be avoided. The recurrent laryngeal nerve (RLN) divides the right paratracheal lymph node (RPTLN) into anteromedial and posterolateral compartments due to its anatomical course on the right and left sides of the neck, and the posterolateral lymph nodes are in close proximity to the RLN. Due to the risk of this complication, in this study, we aimed to determine the risk factors for the development of right paratracheal posterolateral lymph node (RPTPLLN) metastasis in PTC.

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Objectives: In this retrospective study, we evaluated the effectiveness of the tumor volume, grade invasion depth in the prediction of cervical lymph node metastasis.Identification of diagnostic parameters reliably predicting cervical lymph node involvement can be useful in improving the management of laryngeal cancer.

Methods: One hundred and seven patients with squamous cell carcinoma of larynx and who underwent surgery were assessed retrospectively.

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Preoperative Preparation in Hyperthyroidism and Surgery in the Hyperthyroid State.

Sisli Etfal Hastan Tip Bul

September 2024

Department of General Surgery, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.

Hyperthyroidism is a clinical condition that develops due to the excessive production and secretion of thyroid hormones by the thyroid gland, leading to an elevated concentration of thyroid hormones in tissues. Hyperthyroidism is characterized by low TSH and elevated T3 and/or T4, with the most common causes being Graves' disease, toxic multinodular goiter, and solitary toxic adenoma. T3 is the peripherally active form of thyroid hormone, affecting nearly each tissue and system.

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Comparison of Vitamin D, B12, and Folic Acid Levels According to Attack Frequency in Familial Mediterranean Fever Cases.

Sisli Etfal Hastan Tip Bul

September 2024

Division of Pediatric Gastroenterology, Department of Pediatrics, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.

Article Synopsis
  • Familial Mediterranean Fever (FMF) is an autoinflammatory disease prevalent in the Eastern Mediterranean, and this study investigates how the frequency of FMF attacks impacts vitamin D, vitamin B12, and folate levels.
  • The study included 333 FMF patients (classified into attack and frequent attack groups based on their attack frequency) and a control group of 161 healthy children, examining their vitamin levels to find any significant differences.
  • Results showed that while vitamin B12 levels were significantly lower in FMF patients compared to controls, attack frequency did not significantly influence levels of vitamin D, B12, or folate, suggesting that dietary habits may help maintain adequate vitamin B12 levels in FMF patients.
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Objectives: The role of hematologic, inflammatory and biochemical parameters as biomarkers, their role in identifying risky patients in the early stage and their role in prognosis in COVID-19 Coronavirus disease 2019 (COVID-19) were investigated.

Methods: The study included patients who were hospitalized and followed up with a prediagnosis of COVID-19 in the first wave in our country at the University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital Demographic and clinical characteristics as well as complete blood count, C reactive protein (CRP), procalcitonin (PCT), fibrinogen (FIB), ferritin, albumin (ALB), lactate dehydrogenase (LDH) levels on admission, third, seventh and 14th days were analyzed. Patients were grouped and compared according to the occurrence of death during hospital follow-up.

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Objective: Hepatitis B is a significant infectious disease on a global scale. The implementation of vaccination programs and other preventive measures (e.g.

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Background: Vitamin B12, an indispensable micronutrient, is pivotal in numerous physiological processes, with particular significance during pregnancy and fetal development. The increasing adoption of vegetarian diets and the economic challenges associated with accessing animal-based food sources contribute to the prevalence of vitamin B12 deficiency. This study aims to examine the levels of vitamin B12 and homocysteine in pregnant women upon admission for delivery and to analyze corresponding cord blood samples from their newborn infants in a substantial sample within the Istanbul metropolitan area.

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Article Synopsis
  • The study focuses on patients in the emergency department experiencing acute respiratory failure and explores how ketamine can help improve compliance with non-invasive mechanical ventilation (NIMV) in agitated patients.
  • Out of 81 patients analyzed, a significant number (56.8%) required intubation despite receiving ketamine, indicating ongoing challenges with NIMV compliance due to agitation.
  • The results suggest that while agitation negatively impacts NIMV compliance, using ketamine can reduce the need for invasive mechanical ventilation (IMV) in some cases.
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Background: Acute appendicitis is a common cause of acute abdominal pain necessitating surgical intervention. While the traditional treatment has been urgent appendectomy, recent studies suggest that an antibiotics-first approach can be safe for uncomplicated cases. Classifying appendicitis into uncomplicated and complicated categories is crucial for guiding treatment decisions and predicting patient outcomes.

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Article Synopsis
  • Meckel's diverticulum (MD) is the most common congenital gastrointestinal anomaly, found in about 2% of people, and is rarely symptomatic in adults.
  • This case highlights a 46-year-old male who experienced abdominal pain due to Meckel's diverticulitis, which had formed a fistula with the abdominal wall, and was also found to have a benign inflammatory myofibroblastic tumor (IMT) on imaging.
  • After surgery for the diverticulitis and complications like an anastomotic leak, the patient ultimately recovered, and this case emphasizes the importance of thorough diagnostic work to uncover incidental findings that can impact treatment.
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Electrophysiological monitoring of the nonrecurrent inferior laryngeal nerve and radiological evaluation of concurrent vascular anomalies.

Front Endocrinol (Lausanne)

October 2024

Division of Endocrine Surgery, Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Türkiye.

Article Synopsis
  • The study aimed to identify the electrical characteristics of nonrecurrent inferior laryngeal nerves (NRILNs) during thyroid surgeries using intraoperative neuromonitoring (IONM) and look for associated vascular anomalies.
  • Out of 7865 thyroidectomy patients, 42 had NRILNs, with most cases detected through specific EMG signs and difficulties identifying the recurrent laryngeal nerve.
  • The findings showed a 0.53% prevalence of NRILNs, with a significant percentage having vascular anomalies, and suggest early detection methods during surgery to reduce the risk of nerve injury.
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  • 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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