49 results match your criteria: "Yasam Hospital[Affiliation]"

Introduction And Aim: Tibial plateau fractures are one of the most complex and common intra-articular fractures encountered in trauma surgery. This study aims to evaluate the MRI intra-articular findings of patients with tibial plateau fractures treated surgically and the functional and radiological changes after surgical treatment.

Materials And Methods: A total of 91 patients admitted to our clinic between 2010 and 2019 and operated for tibial plateau fracture were identified from the hospital information system.

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  • This study investigates how often pregnant women experience heart-related issues and are diagnosed with heart diseases during different stages of their pregnancy.
  • The research included 658 pregnant women, primarily in their third trimester, with common complaints such as palpitations and chest pain.
  • Findings highlighted that hypertension and mitral regurgitation were the most prevalent diagnoses, and emphasized the importance of regular heart assessments throughout pregnancy to manage any cardiovascular risks.
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  • Appendicitis is a common surgical emergency, but there's ongoing concern about the rate of unnecessary surgeries and uncertainty in diagnosis, prompting this study to evaluate existing risk prediction models for appendicitis.
  • The research involved 3,358 adult patients with right iliac fossa pain from 84 centers, focusing on data like clinical findings, diagnostic tests, and rates of unnecessary surgeries, using various risk scoring systems to analyze effectiveness.
  • Results showed that while the Adult Appendicitis Score performed best overall, the RIPASA score was more effective in men; both scoring systems demonstrated strong diagnostic capabilities, but female patients had higher rates of negative appendicectomy and lower surgery rates compared to males.
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Objective: This study aims to assess the efficacy and safety of tricuspid valve (TV) transcatheter edge-to-edge repair (TEER) procedures using the MitraClip or TriClip device in high-risk patients with severe secondary tricuspid regurgitation (TR) and provide Turkish-specific data on procedural outcomes and clinical follow-up.

Methods: This study enrolled 42 high-risk patients with severe secondary TR who underwent transcatheter edge-to-edge repair using either the MitraClip or TriClip device. Patient selection criteria included severe TR, high surgical risk (EuroScore ≥ 8 and Tricuspid Regurgitation Impact Severity Score (TRI-SCORE) ≥ 6), symptomatic despite medical therapy, and anatomical suitability for TriClip.

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  • The study aimed to evaluate the effectiveness of stereotactic body radiotherapy (SBRT) on patients with oligometastatic colorectal cancer (CRC) and its impact on survival and local control rates.
  • A total of 388 patients with up to 5 metastatic lesions were analyzed, showing that most had previously undergone surgery and had limited organ involvement, with median follow-up of about 30.7 months.
  • Results indicated that higher SBRT doses (≥100 Gy) significantly improved local control, progression-free survival, and overall survival rates, highlighting SBRT as a promising treatment for metastatic CRC.
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Introduction: This study aims to compare the addition of SGLT2 inhibitors or doubling the diuretic dose in patients receiving treatment with beta-blockers, angiotensin-converting enzyme inhibitors (ACEi), or angiotensin receptor blockers (ARB), as well as mineralocorticoid receptor antagonists (MRA), for heart failure with reduced ejection fraction (HFrEF) who present to the emergency department with decompensated heart failure.

Methods: This study is a single-center and prospective analysis. A total of 980 decompensated heart failure (HFrEF) patients receiving optimal medical therapy (OMT) according to the 2021 European heart failure guidelines were randomized in a 2:1 ratio into the furosemide and empagliflozin treatment arms.

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Objectives: Posterior reversible encephalopathy syndrome (PRES) is a clinic radiological disorder characterized by headache, epileptic seizure, encephalopathy, visual impairment, and focal neurological deficits. Gestational hypertension, which is a significant risk factor for PRES, may cause significant morbidity and mortality among pregnant women.

Design: Twenty-four patients with PRES caused by eclampsia who were admitted to our hospital in the last 5 years were included in this study.

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Introduction: The choice of treatment for rectal cancer often differs in older and younger patients, with the rate of radiotherapy use lower among older adults. In our daily practice, when evaluating a frail older patient with rectal cancer, we usually choose to give less treatment. This may be due to concern that the patient will not be able to tolerate radiotherapy.

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Smad Family Member (SMAD), a protein family responsible for transducing the signal induced by TGF-β into the nucleus, is thought to play a role in the pathology of many heart diseases. Therefore, we aimed to evaluate the influence of the SMAD1 rs1016792 polymorphism and gene expression on pulmonary arterial hypertension (PAH) due to congenital heart disease (CHD) in children. A total of 90 children, 45 of whom were PAH-CHD children and 45 healthy children, were included in the study.

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  • This study compared echocardiographic and clinical features in patients with migraines and embolic stroke of undetermined source (ESUS) who have a patent foramen ovale (PFO).
  • It involved 310 participants and found that ESUS patients were generally older, had more comorbid conditions like diabetes and hypertension, and displayed greater echocardiographic abnormalities compared to migraine patients.
  • Despite these differences, the calculated risk scores for PFO-related embolic events were similar in both groups, indicating potential distinctions in their clinical profiles that may influence treatment approaches.
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Background: To effectively control the HIV epidemic and meet global targets, policymakers recommend the rapid initiation of antiretroviral therapy (ART). Our study aims to investigate the effect of rapid ART programs on individuals diagnosed with HIV, considering varying coverage and initiation days after diagnosis, and compare it to standard-of-care ART treatment in Turkey.

Methods: We used a dynamic compartmental model to simulate the dynamics of HIV infection in Turkey.

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  • The study assessed the impact of Rhinapi nasal spray on allergic rhinitis symptoms among 10,000 participants in Turkey over a 3-week period.
  • The treatment led to significant improvements in total symptom scores, quality of life (QoL) scores, and otolaryngological examination scores, with statistically significant changes before and after usage.
  • The findings suggest that Rhinapi effectively reduces symptoms of allergic rhinitis and can be considered as an additional treatment option for those affected.
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Introduction: Single-tablet regimens (STRs) can increase treatment success and even improve the quality of life of human immunodeficiency virus (HIV) patients. In this study, we aim to analyze the real-life efficacy and tolerability data of people living with HIV (PLWH) initiated on or switched to bictegravir/emtricitabine/tenofovir alafenamide fumarate (BIC/FTC/TAF) as first-line treatment.

Materials And Methods: This retrospective analysis was performed in HIV-1-positive patients who were initiated BIC/FTC/TAF in the HIV clinic between June 2020 and June 2022.

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Introduction Scoliosis, a multifaceted spinal deformity commonly affecting pediatric and adolescent populations, has spurred extensive scientific inquiry to understand its origins and impacts. Early-onset scoliosis (EOS), characterized by spinal curvature exceeding 10° before the age of 10, presents a unique challenge necessitating a comprehensive understanding of its etiological factors. Within this context, the potential role of hypoxia-induced by adenoid hypertrophy in contributing to the pathogenesis of EOS has emerged as an intriguing avenue of investigation.

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Close association has been established between obstructive sleep apnea (OSA) and adolescent idiopathic scoliosis (AIS), with PSQ being employed as a screening method for OSA. A cross-sectional study was conducted among patients aged from 10 to 16 years who presented to a scoliosis outpatient clinic. Patient demographics, radiological assessments, and PSQ scores were gathered.

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Purpose: Currently, there is a lack of research comparing tadalafil treatment protocols recommended during low-intensity shock wave therapy (LI-SWT) for patients with erectile dysfunction (ED) who are unresponsive to phosphodiesterase type 5 inhibitors (PDE5i). The objective of this study is to compare the efficacy of only LI-SWT versus LI-SWT plus 5 mg tadalafil daily versus LI-SWT plus 20 mg tadalafil alternate-day in PDE5i -resistant ED. MATERıALS AND METHODS: In this study, a cohort of 105 patients with PDE5i-resistant ED was recruited and divided into three groups labeled as A (only LI-SWT), B (LI-SWT plus 5 mg tadalafil daily), and C (LI-SWT plus 20 mg tadalafil alternate-day), comprising 27, 42, and 36 patients, respectively.

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This study aims to compare the effects of osteoplastic craniotomy on temporalis muscle and bone graft atrophy in patients operated on with a pterional approach to the standard technique. Patients operated on for an intracranial aneurysm with a pterional approach between 2014 and 2018 were studied. Following the exclusion criteria, 36 patients were included in this retrospective study.

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This study aimed to analyze immunohistochemical staining and pathological data in cervical intraepithelial neoplasia (CIN) and squamous cell cervical carcinoma (SCC) with abnormal colposcopic findings. A histopathological evaluation of 45 low-grade squamous lesions (LSILs), 177 high-grade squamous lesions (HSILs) and 16 SCC biopsy materials from existing slides was obtained from blocks obtained from the archive. In addition, SOX-2 immunohistochemical staining was evaluated.

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With or without a Tourniquet? A Comparative Study on Total Knee Replacement Surgery in Patients without Comorbidities.

Medicina (Kaunas)

June 2023

Department of Orthopaedics and Traumatology, School of Medicine, Kastamonu University, 37150 Kastamonu, Turkey.

This study aimed to determine the effects of tourniquet use and the complications of total knee arthroplasty (TKA) in patients without comorbidities to investigate whether tourniquet application can be employed without adverse effects and to assess its impact on the occurrence of any complications. A total of 106 patients who underwent unilateral TKA were divided randomly into two groups according to whether a tourniquet was used during the surgery or not. Patients with comorbidities (except arterial hypertension) were excluded from the study.

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  • This study investigates the effectiveness of acetabular-side surgeries in treating Legg-Calvé-Perthes disease, focusing on two types of osteotomies: pembersal and triple osteotomy.
  • Twelve patients underwent these surgeries, and their outcomes were assessed based on hip range of motion, strength, and various radiological measurements before and after the operations.
  • Results showed significant improvements in hip function and radiological parameters, with pembersal osteotomy being more effective in correcting certain radiological angles, indicating that these acetabular-side surgeries are safe and effective without needing femoral intervention.
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Objective: Optimal care in the delivery room is important to decrease neonatal morbidity and mortality. We aimed to evaluate neonatal resuscitation practices in Turkish centers.

Materials And Methods: A cross-sectional survey consisted of a 91-item questionnaire focused on delivery room practices in neonatal resuscitation and was sent to 50 Turkish centers.

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Background: It is aimed to investigate the incidence of cerebrospinal fluid gusher in cochlear implantation and the association between cerebrospinal fluid gusher and inner-ear malformations in adult and pediatric patients.

Methods: A retrospective case review of 1025 primary cochlear implantation procedures was performed. Patients with inner-ear malformation or cerebrospinal fluid gusher during primary cochlear implantation were included and divided into 2 groups according to age: pediatric and adult groups.

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Ectopic maxillary third molar teeth can often be located in the maxillary sinus, and the region necessarily requires a multidisciplinary approach due to its proximity to the oral cavity. Ectopic third molar tooth in the maxillary sinus was detected by oral and radiological examination in a 26-year-old male patient. The tooth was removed, and sinus augmentation was performed through the Caldwell-Luc procedure, and a dental implant was placed afterward.

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Aim: This study aimed to determine the effects of various sociodemographic variables and experiences, unhelpful beliefs about stuttering, and perceived social support on psychological well-being in stuttering adults.

Methods: Forty-five stuttering adults were included in our study, and sociodemographic data were collected using a stuttering experiences information form, the Unhelpful Thoughts and Beliefs About Stuttering (UTBAS)-6 scale, the perceived social support scale, and the Warwick-Edinburgh Mental Well-being Scale.

Results: It was determined that the total score of the UTBAS scale, the high scores on the fear of negative evaluation, avoidance, self-doubt and insecurity, and the hopelessness subscales, and the low scores of the perceived social support scale were correlated with lower psychological well-being results in stuttering individuals.

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Objective: To examine the complication rate in adult patients during and after cochlear implantation.

Methods: A retrospective chart review was conducted of patients who had undergone cochlear implantation at a tertiary referral centre between 2009 and 2018. All complications and their treatments were categorised as either minor or major, as well as intra- or post-operative.

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