5,192 results match your criteria: "Yueksek İhtisas Research and Training Hospital[Affiliation]"

Objective: The objective of this study was to evaluate the efficacy and safety of isotonic and hypotonic intravenous fluids in maintenance fluid therapy for term infants.

Methods: This was a multi-centre, prospective, observational study conducted in 21 participating centres from December 30, 2020, to June 30, 2023. The study included term newborns requiring parenteral fluid therapy for maintenance (NCT04781361).

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Article Synopsis
  • - Nurses make up about 50% of the global health workforce, and the World Health Organization is pushing for broader roles to meet the increasing healthcare demands, emphasizing the need for evidence-based practices and robust academic training like PhD programs for nurses.
  • - The article stresses the importance of nurses actively participating in creating practical evidence-based guidelines, utilizing their clinical experience to ensure relevance and effectiveness.
  • - To improve nursing research and publication quality, strategies include enhancing writing skills through targeted education, promoting open-access publishing, and leveraging social media for wider reach, ultimately aiming to strengthen nursing's influence in health policy and patient care.
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Background: The aim of this study is to determine whether there are any changes in hemorheological parameters, including whole blood viscosity (WBV), plasma viscosity, erythrocyte aggregation, and erythrocyte deformability, in acute ischemic stroke patients, and to establish their relationship with stroke etiology. The study also aims to observe the changes in these parameters, if any, over time and after treatment, and to assess the correlation between risk factors for ischemic stroke and neuroimaging findings.

Methods: This was a prospective observational study including 70 patients diagnosed with acute ischemic stroke within the first 3 days of the onset of symptoms and 96 healthy controls.

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  • The study investigates how papaverine affects myringosclerosis (MS) in rats, focusing on its impact on hearing issues caused by the condition.
  • Twenty Wistar albino rats were divided into four groups to test different treatments, including myringotomy, saline application, and both systemic and topical papaverine.
  • Results indicated that papaverine increased the severity of MS, possibly due to its vasodilating effects that lead to higher levels of oxygen-derived free radicals, warranting further evaluation of its implications on MS.
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Intravascular lobular capillary hemangioma (ILCH), also known as intravenous pyogenic granuloma, is a benign vascular lesion with a distinctive lobular arrangement of capillaries. It is typically confined to the head, neck, and upper extremities, and its occurrence in the testicular region is exceedingly rare. Here, we present a case of a 68-year-old male who was initially diagnosed with a testicular tumor based on imaging studies but was later found to have an ILCH located in the epididymis.

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Purpose: Tamoxifen, a widely used drug for breast cancer treatment, is associated with adverse effects on the liver, including the development of fatty liver. This study aimed to investigate the potential protective effect of caffeine against tamoxifen-induced fatty liver in Wistar rats.

Methods: Rats were divided into normal control, tamoxifen + saline, and tamoxifen + caffeine.

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Hypoxia and Normoxia Preconditioned Olfactory Stem Cells Against Noise-Induced Hearing Loss.

J Craniofac Surg

October 2024

Acibadem Labcell Stem Cell Laboratory and Cord Blood Bank, Istanbul, Türkiye.

Objective: Noise-induced hearing loss is one of the leading causes of permanent hearing loss in the adult population. In this experimental study, the authors aimed to investigate the effectiveness of hypoxia and normoxia preconditioned olfactory stem cells against noise trauma.

Methods: Twenty-seven female guinea pigs were enrolled.

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Background: We evaluated the efficacy of different immunosuppressive regimens in patients with primary membranous nephropathy in a large national cohort.

Methods: In this registry study, 558 patients from 47 centers who were treated with at least one immunosuppressive agent and had adequate follow-up data were included. Primary outcome was defined as complete (CR) or partial remission (PR).

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Backgrounds Laparoscopic cholecystectomy (LC) is the gold standard for surgical removal of gallbladder today. In challenging cholecystectomy cases, conversion to an open technique may be necessary. Therefore, the preoperative prediction of conversion to open technique holds significant importance for patient safety and surgical strategy.

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Background: Rapid Response Teams, strategically devised to mitigate mortality and morbidity stemming from unforeseen deteriorations and cardiac arrests within healthcare facilities, are ubiquitously implemented on a global scale.

Aim: The aim of the study is to compare emergency physicians (EPs) and non-EPs on management protocols of Hospital Medical Emergency Teams (HoMET).

Methods: This was a retrospective cross-sectional study.

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Objective: This study examined patients with normal hearing thresholds who had trouble understanding speech in noise. We used electrocochleography (ECochG) to detect and compare SP/AP amplitude area ratios, a potential indicator of cochlear synaptopathy, and investigate speech perception disorder in noise.

Methods: The study included 68 people aged between 18 and 65 years, 35 patients and 33 healthy volunteers, who applied to the otorhinolaryngology clinic between November 2023 and March 2024 with a 2-month history of difficulty understanding speech in noisy environments.

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Acute liver injury is an increasing global health problem. It is a widespread side effect of cisplatin treatment in the clinic and can lead to liver failure if not treated promptly. Previous studies have revealed that green tea can protect some organs from treatments.

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Background: The quality and safety of information provided on online platforms for migraine treatment remains uncertain. We evaluated the top 10 trending websites accessed annually by Turkish patients seeking solutions for migraine treatment and assessed information quality, security, and readability in this cross-sectional study.

Methods: A comprehensive search strategy was conducted using Google starting in 2015, considering Türkiye's internet usage trends.

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In this study, we aimed to investigate the prognostic effect of the classifications made according to the stage of the largest lesion diameter (T-max stage) and of the sum of the longest diameters of the lesions (T-sum stage), the largest area stage (A-max stage), the sum of the largest areas (A-sum stage), the highest volume stage (V-max stage), the sum of the highest volume (V-sum stage) on disease-free survival, and overall survival (OS) in multifocal/multicentric breast cancers (MMBCs) and unifocal breast cancers (UBCs). The study included a total of 769 patients either with MMBC (n = 128) or UBC (n = 641) who underwent surgery between 2006 and 2015. In the analysis, the median age of 769 patients was 53.

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Straightening Crooked Nose with Precise Bone Refining.

Ear Nose Throat J

November 2024

Department of ENT, Tepecik Research and Training Hospital, University of Health Sciences, Izmir, Turkey.

Crooked noses pose significant challenges in rhinoplasty due to their complex anatomy, particularly in the bony vault. Traditional methods focus on osteotomies but often do not equalize the lengths of the nasal bones. This study introduces a novel technique using otologic drills to address this problem by shortening the longer nasal bone and aligning the nasion-rhinion line at the midline.

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Background: Radiation-induced lung injury (RILI), a serious side effect of thoracic radiotherapy, can lead to acute radiation pneumonitis (RP) and chronic pulmonary fibrosis (PF). Despite various interventions, no effective protocol exists to prevent pneumonitis. Oxytocin (OT), known for its anti-inflammatory, antiapoptotic, and antioxidant properties, has not been explored for its potential in mitigating RILI.

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In rat models, it is well-documented that chronic administration of propionic acid (PPA) leads to autism-like behaviors. Although the intranasal (IN) insulin approach is predominantly recognized for its effects on food restriction, it has also been shown to enhance cognitive memory by influencing various proteins, modulating anti-inflammatory pathways in the brain, and reducing signaling molecules such as interleukins. This study seeks to explore the potential therapeutic benefits of IN insulin in a rat model of autism induced by PPA.

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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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Role of vitamin D in COVID-19 and other viral infections.

World J Virol

September 2024

Division of Allergy and Immunology, Department of Pediatrics, Sakarya Research and Training Hospital, Sakarya University, Faculty of Medicine, Sakarya 54100, Türkiye.

Article Synopsis
  • * Research shows a strong link between vitamin D levels and respiratory infections, notably increasing the severity and mortality rates associated with COVID-19, suggesting that deficiency might heighten risks.
  • * Vitamin D may aid in viral defense by enhancing immune responses and influencing the renin-angiotensin system, with ongoing studies exploring its potential role in preventing and managing viral infections like COVID-19.
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Background: The use of biochemical markers in ADHF is considered valuable both in the diagnosis and treatment of diseases and in follow-up. This study aimed to investigate the prognostic power of serum sST2 and NT-proBNP levels in predicting long-term mortality in patients with ADHF using serial measurement.

Methods: A total of 122 patients with ADHF were included in this prospective study.

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  • The study investigates the effectiveness of pulmonary rehabilitation (PR) in improving effort capacity, quality of life, and walking distance in patients with interstitial lung diseases (ILD), specifically focusing on those with idiopathic pulmonary fibrosis (IPF) and non-IPF ILD.
  • Conducted retrospectively, the research includes 56 patients who participated in an 8-week outpatient PR program, with evaluations made before and after the program using the 6-minute walk test and quality of life scores.
  • Results showed significant improvements in walking distance and quality of life for both IPF and non-IPF patients, indicating that PR is beneficial for managing symptoms in ILD patients, regardless of the specific type.
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Article Synopsis
  • Signet-ring cell carcinoma of the uterine cervix is often diagnosed late due to its rarity and potential to occur secondary to other cancers, complicating management and treatment.
  • A 37-year-old woman experienced unusual vaginal bleeding, leading to the discovery of a cervical mass diagnosed as primary cervical signet-ring cell carcinoma after extensive evaluations; she underwent radical surgery and is disease-free two years later.
  • Accurate diagnosis requires imaging and immunohistochemical studies, but due to limited cases, there's no established treatment protocol, highlighting the importance of increased awareness for early detection and management.
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A multicenter multinational study to evaluate different aspects of the relationship between MS and pregnancy.

Mult Scler Relat Disord

November 2024

Department of Neurology, School of Medicine, Koç University, Istanbul, Turkey. Electronic address:

Background: To investigate the pregnancy-related issues in females with multiple sclerosis (MS) from Turkiye, Egypt, Kuwait, and Iran.

Methods: 1692 pregnancies of 701 females with MS were evaluated in this retrospective multicenter, international project. Demographics, clinical features, pregnancy outcomes, relapses, effects of exposure to disease-modifying drugs on pregnancy and fetus, and worries about pregnancy decisions were investigated.

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This study aims to systematically review the existing literature and perform a meta-analysis to evaluate the prevalence of hyponatremia among Guillain Barre Syndrome (GBS) patients and its relationship with disease prognosis. We comprehensively searched PubMed, Embase, Medline, Web of Science, Science Direct, and the Cochrane Library databases from 1995 to 2024 for observational studies on the prevalence of hyponatremia in GBS. The meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines.

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