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    Gastrostomy in hospitalized patients with acute stroke: "NöroTek" Turkey point prevalence study subgroup analysis
    (Turkish Neurological Society, 2022) Topçuoğlu, Mehmet Akif; Özdemir, Atilla Özcan; Aykaç, Özlem; Milanoğlu, Aysel; Gökçe, Mustafa; Bavli, Songül; Çabalar, Murat; Yayla, Vildan; Erdoğan, Haci Ali; Özkul, Ayça; Güneş, Aygül; Değirmenci, Bahar; Aluçlu, Ufuk; Kozak, Hasan Hüseyin; Güngör, Levent; Erdoğan, Mücahid; Özdemir Acar, Zeynep; Cenikli, Utku; Kablan, Yüksel; Yılmaz, Arda; Genç, Hamit; Nazliel, Bijen; Çaglayan, Hale Batur; Sarıönder Gencer, Elif; Ay, Halil; Demirbaş, Hayri; Akdoğan, Özlem; Emre, Ufuk; Kayım Yıldız, Özlem; Bolayır, Aslı; Demir, Turgay; Tanrıverdi, Zeynep; Tekan, Ulgen Yalaz; Akpınar, Çetin Kürşad; Özkan, Esra; Ilık, Faik; Şirin, Hadiye; Güler, Ayşe; Önder, Halil; Önder, Halil; Bektaş, Hesna; Ocek, Levent; Bakar, Mustafa; Ongün, Nedim; Krespi, Yakup; Işıkay, Canan Togay; Aslanbaba, Eda; Sorgun, Mine; Gürkas, Erdem; Karadeli, Hasan Hüseyin; Midi, İpek; Ilgezdı, İrem; Bilgiç, Adnan Burak; Akyol, Şener; Epceliden, M. Tuncay; Atmaca, Murat Mert; Kurşun, Oğuzhan; Keskin, Onur; Bekdik Şirinocak, Pınar; Baydemir, Recep; Akcakoyunlu, Merve; Öztürk, Şerefnur; Özel, Tuğba; Ünal, Ali; Dora, Babur; Yürekli, Vedat Ali; Arlıer, Zülfikar; Eren, Alper; Yılmaz, Ayşe; Kısabay, Ayşin; Acar, Bilgehan; Baştan, Birgül; Acar, Zeynep; Niflioğlu, Buket; Güven, Bülent; Kaya, Dilaver; Afşar, Nazire; Yazıcı, Duran; Aytaç, Emrah; Yaka, Erdem; Toplutaş, Eren; Değirmenci, Eylem; İnce, Fatma Birsen; Büyükşerbetçi, Gülseren; Aydın, İsa; Çetiner, Mustafa; Şen, Mustafa; Turgut, Nilda; Kale, Nilüfer; Çoban, Eda; Yeşilot, Nilüfer; Ekizoğlu, Esme; Kızek, Özgü; Birgili, Özlem; Yevgi, Recep; Kunt, Refik; Giray, Semih; Yazıcı Akkaş, Sinem; Şenadım, Songül; Yoldaş, Tahir; Asil, Talip; Duman, Taşkın; Atasoy, Tuğrul; Çınar, Bilge Piri; Demir, Tülin; Can, Ufuk; Ünsal, Yaprak Özüm; Eskut, Neslihan; Aslan, Yıldız; Baş, Demet Funda; Şener, Ufuk; Yılmaz, Zahide; Bozdoğan, Zehra; Alioğlu, Zekeriya; Arsava, Ethem Murat
    Objective: Nutritional status assessment, dysphagia evaluation and enteral feeding decision are important determinants of prognosis in acute neurovascular diseases. Materials and Methods: NöroTek is a point prevalence study conducted with the participation of 87 hospitals spread across all health sub regions of Turkey conducted on 10-May-2018 (World Stroke Awareness Day). A total of 972 hospitalized neurovascular patients [female: 53%, age: 69±14; acute ischemic stroke in 845; intracerebral hematoma (ICH) in 119 and post-resuscitation encephalopathy (PRE) in 8] with complete data were included in this sub-study. Results: Gastrostomy was inserted in 10.7% of the patients with ischemic stroke, 10.1% of the patients with ICH and in 50% of the patients with PRE. Independent predictors of percutaneous endoscopic gastrostomy (PEG) administration were The National Institutes of Health Stroke Scale score at admission [exp (?): 1.09 95% confidence interval (CI): 1.05-1.14, per point] in ischemic stroke; and mechanical ventilation in ischemic [exp (?): 6.18 (95% CI: 3.16-12.09)] and hemorrhagic strokes [exp (?): 26.48 (95% CI: 1.36-515.8)]. PEG was found to be a significant negative indicator of favorable (modified Rankin’s scale score 0-2) functional outcome [exp (?): 0.032 (95% CI: 0.004-0.251)] but not of in-hospital mortality [exp (?): 1.731 (95% CI: 0.785-3.829)]. Nutritional and swallowing assessments were performed in approximately two-thirds of patients. Of the nutritional assessments 69% and 76% of dysphagia assessments were completed within the first 2 days. Tube feeding was performed in 39% of the patients. In 83.5% of them, tube was inserted in the first 2 days; 28% of the patients with feeding tube had PEG later. Conclusion: The NöroTek study provided the first reliable and large-scale data on key quality metrics of nutrition practice in acute stroke in Turkey. In terms of being economical and accurate it makes sense to use the point prevalence method.
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    Normal neonatal electroencephalography and maturation of electroencephalography during neonatal period
    (Türkiye Klinikleri, 2019) Aksu Uzunhan, Tuğçe; Ay, Halil; Aydın, Kürşad; Çalık, Mustafa; Çarman, Kürşat Bora; Deda, Giuseppe; Çobanoğulları Direk, Meltem; Dolu, Merve Hilal; Duman, Okan; Erçelebi, Hakan; Ethemoğlu, Özlem; Gençpınar, Pınar; Gökben, Sarenur; Günbey, Ceren; Hasanoglu, Canan; Haspolat, Şenay; Kanmaz, Seda; Karalok, Zeynep Selen; Kaya Özçora, Gül Demet; Kırık, S.; Kömür, Mustafa; Okuyaz, Çetin; Olgaç Dündar, Nihal; Özbudak, Pınar; Öztopark, U.; Serdaroğlu, Ayşe; Sönmez, Fatma Müjgan; Şimşek, E.; Taşdemir, Haydar Ali; Tekgül, Hasan; Turanlı, Güzide; Türkdoğan, Dilşad; Ünay, Bülent; Ünver, O.; Yalnızoğlu, Dilek; Yarar, Coşkun
    Despite evolving technologies, electroencephalography (EEG) remains a powerful tool for neurological diagnosis and prognosis in both preterm and term neonates. Neonatal EEG is different from children and adult's EEG technically and also because it changes week by week as a result of brain maturation and growth. An EEG finding normal in a developmental stage may be abnormal in a different developmental stage owing to these rapid changes of brain growth. So it is important to know normal patterns of neonatal EEG in different conceptional weeks and behavioral states (sleep, awakeness). In this section, technical and qualitative features of normal neonatal EEG will be mentioned, normal graphoelements and maturational changes on the EEG background of neonates going through preterm to term age will be described.

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