1,358 results match your criteria: "Yuksek Ihtisas Training and Research Hospital[Affiliation]"

: The management of patients with aortic valve pathologies can sometimes fall into a "gray zone", where the optimal treatment approach is not straightforward. The comparative benefits of sutureless aortic valve replacement (SUAVR) using the Perceval bioprosthesis versus transcatheter aortic valve implantation (TAVI) for the "gray zone" of aortic valve replacement procedures remain a topic of debate. To further explore this issue, we conducted a study with pairwise, single-arm, and Kaplan-Meier-based meta-analyses to compare the outcomes of SUAVR with the Perceval bioprosthesis versus TAVI, as well as to evaluate the efficacy, safety, and durability of SUAVR with the Perceval bioprosthesis over mid-term and long-term follow-up periods.

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  • This study examined central nervous system (CNS) complications in children undergoing treatment for acute leukemia, focusing on patients with acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML).
  • Out of 115 reviewed patient records, CNS complications were found in 23.1% of AML and 13.5% of ALL patients, with the induction phase of treatment being the most risky period.
  • Common symptoms included seizures and hemiparesis, and various CNS complications such as chemotherapy-induced leukoencephalopathy and Wernicke's encephalopathy were identified, highlighting the need for careful neuroimaging for accurate diagnosis.
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Background: The continuity of arteriovenous fistula (AVF) patency is essential for effective hemodialysis. In the present study, we aimed to investigate the relationship between AVF patency and atherogenic index of plasma (AIP) in patients with native proximal upper-extremity AVF.

Methods: A total of 143 patients with native proximal upper-extremity AVF created in our clinic between January 2014 and April 2022 were analyzed retrospectively.

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Postoperative pneumonia (PP) is one of the most serious complications following coronary artery bypass graft (CABG) surgery. The recently developed admission blood glucose (ABG)/estimated average glucose (eAG) ratio has been identified as a prognostic marker in cardiovascular diseases. This study aimed to investigate the predictive role of the modified ABG/eAG (mABG/eAG) ratio in the development of pneumonia during the early postoperative period in diabetic patients undergoing CABG surgery.

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Objective: The objective of this study is to investigate the potential influence of refractive error on Video Head Impulse Test outcomes.

Material And Methods: Eighty-two patients were included in the study, and all patients underwent video head impulse testing. Patients were divided into four groups according to their refractive error: myopia, myopia-astigmatism, astigmatism, and emmetropia as control.

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  • Latent tuberculosis infection (LTBI) screening is essential for solid organ transplant (SOT) recipients, but many centers in Turkey are not adequately performing these screenings.
  • In a study involving 766 SOT patients, 46.9% tested positive for LTBI, but only about half of those treated were registered, and there was a low completion rate of treatment.
  • The findings highlight the need for better TB risk assessment and adherence to national guidelines to improve pre-transplant care for SOT recipients in Turkey.
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Background:  Anatomical and histological features of the thoracolumbar fascia may play an active role in chronic low back pain (LBP). This study aimed to evaluate the efcacy of interfascial injection in patients with LBP.

Methods:  Sixty participants with chronic LBP were recruited for this study.

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Risk factors for early mortality in acute aortic dissection surgery.

Eur J Radiol

September 2024

University of Health Sciences, Bursa City Hospital, Department of Anesthesiology and Reanimation, Bursa, Türkiye.

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Background: Mean platelet volume (MPV) is a widely available laboratory index, however its prognostic significance in patients with coronary artery disease (CAD) is still unclear. We intended to investigate and pool the evidence on the prognostic utility of admission MPV in predicting clinical outcomes in patients with CAD.

Methods: PubMed, Web of Science, and Scopus were the major databases used for literature search.

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Background: There may be severe difficulties in determining the severity of LMCA (left main coronary artery) lesions. The use of intravascular ultrasound (IVUS) facilitates decisions about lesion severity in these patients. The aim of this study was to investigate the relationship between the UHR (uric acid to HDL-C ratio) and lesion severity in patients who underwent LMCA IVUS.

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  • The study aimed to differentiate between COVID-19 and other respiratory viral infections in critically ill children to prioritize care and avoid neglecting non-COVID cases.
  • Conducted in 24 pediatric intensive care units, the research evaluated radiological findings in 225 patients from March to May 2020, with 81 confirmed COVID-19 cases.
  • Results showed that chest X-rays of COVID-19 patients were more likely to appear normal, while other viruses like rhinovirus showed distinct patterns, indicating non-specific radiological findings in COVID-19.
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Background: Cerebrospinal fluid (CSF) biomarkers provide critical insights into the pathophysiology and progression of multiple sclerosis (MS), as this study aimed to investigate the relationships between CSF oligoclonal band (OCB) counts and the clinical course and short-term prognosis of MS patients.

Methods: A retrospective cohort analysis covering a five-year period was conducted at two MS centers. Data on demographics, clinical presentation, MRI findings, EDSS scores, annualized relapse rate (ARR) in the first two years, and CSF analyses were analyzed.

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Aim: To investigate changes in choroidal thickness and vascularity in keratoconus patients treated with corneal crosslinking.

Methods: This study evaluated 28 eyes of 22 patients with keratoconus who underwent corneal crosslinking. The choroidal thicknesses were evaluated on enhanced depth imaging optical coherence tomography at the preoperative and postoperative 3d, 1, and 3mo.

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  • * The initiative has formed four working groups aimed at enhancing research, clinical management, eHealth, and healthcare system reforms, ensuring a collaborative effort among patients, caregivers, and other stakeholders.
  • * As it progresses, the initiative plans to boost the use of eHealth tools and passive PROs in research and clinical settings, while also refining statistical methods in clinical trials and fostering alignment among industry, regulatory bodies, and health policymakers regarding PROs in MS healthcare.
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Background: This study investigates the gap in understanding the dynamics of recurring disease activity (RDA) in RRMS patients after fingolimod (FGL) treatment discontinuation. The aim is to investigate RDA in RRMS patients after stopping FGL, aiming to improve management and comprehension of disease progression post-treatment.

Methods: In this multicenter, retrospective study, data from 172 of 944 RRMS patients aged 18-55, across nine centers in Turkey, who discontinued FGL treatment, were analyzed.

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Purpose: To evaluate the predictive factors of neovascular age-related macular degeneration (nAMD) with poor response to three loading doses of intravitreal bevacizumab (IVB).

Methods: A retrospective cohort study was performed on nAMD patients three loading IVB initial treatment. The patients were divided into two groups, without residual fluid on optical coherence tomography (OCT) images (Group 1) and with residual fluid (Group 2).

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Background: Upper extremity strength and function are rarely assessed in routine multiple sclerosis (MS) care. This study aimed to evaluate hand muscle strength and functionality in individuals with MS and investigate correlations with upper extremity function, cognitive status, health-related quality of life (HRQOL), and balance.

Methods: A cross-sectional study was conducted with 45 consecutive individuals with MS between the ages of 18 and 65.

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  • - 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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Triglyceride glucose index as a marker of primary patency rate of arteriovenous fistula in diabetic hemodialysis patients.

Eur Rev Med Pharmacol Sci

May 2024

Department of Cardiovascular Surgery, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Yıldırım, Bursa, Turkey.

Objective: Arteriovenous fistula (AVF) structures are vital formations used for hemodialysis. Diabetes mellitus (DM) is a critical disease affecting the vascular system. The triglyceride glucose (TyG) index has been shown to be associated with major adverse cardiovascular events in patients with Type 2 DM.

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Objectives: It was aimed to to provide a comprehensive assessment of therapeutic and tectonic emergency keratoplasty procedures, along with a discussion on their indications, prognostic factors for functional success, and postoperative outcomes.

Methods: Patients who underwent therapeutic or tectonic Penetrating Keratoplasty (PKP) procedures between 2010 to 2021 in our hospital were retrospectively reviewed. Patient files were evaluated in terms of demographic characteristics, medical and ocular history, visual acuity, initial ocular findings, presence of glaucoma, causative microorganisms, details of surgical procedures, complications, graft transparency and globe integrity.

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  • Anastomotic stricture (AS) is a common complication after esophageal atresia (EA) repair, and a study was conducted using data from the Turkish Esophageal Atresia Registry to identify risk factors for its development.
  • The research included 713 patients from 2015 to 2021, finding that 20.19% developed AS, with significant factors like being a term baby, having a birth weight over 2,500g, experiencing gastroesophageal reflux (GER), and having a recurrent tracheoesophageal fistula (TEF).
  • The study concluded that these risk factors are critical for understanding AS development in EA patients, particularly within their first year of life, and emphasized the importance of
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