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We aimed to present a rare case with right ectopic ureter (EU) occurred in different clivage and right double ureteropelvic system (DUS) which causes diurnal urinary incontinence (DUI) and serious social problem in a young girl accepted late period. A 14-years-old girl was evaluated for ectopic ureter causing urinary incontinence and recurrent infection. She had periodic pains in right lomber region and congenital urinary incontinence which repeated 5 minutes after toilet need. Her internal clothes were frequently wet. Hydroxyzine HCl, imipramin HCL, Sertralin HCL, desmopressin, and oxybutinin HCL had been used for the patient who applied to different health institutions. She did not have any benefits of these drugs. She had right ectopic ureter, associated with urethra and double collecting system in right kidney after performing renal USG, cystoscopy, VCUG, urodinamy, MRU, and MAG-3. Right ectopic ureter was found, dissected, and cut at the limit of urethra. Ureteroneocystostomy was performed. Vesicoureteral reflux was not identified in control VCUG. Postoperative evaluation documented no urinary incontinence and no low life quality. The patient has urinary continence, high life quality, and normal kidney function and she has no social problem. Ectopic ureter should be considered in the differential diagnosis of children and adolescents which applied with the congenital diurnal incontinence considering bladder dysfunctions treated with medical and conservative approaches.

Objective: This study aims to present the demographic characteristics, clinical findings, laboratory and histopathological data, and treatments administered to pediatric patients diagnosed with Wilson’s disease in our clinic over the past 11 years. Methods: Nineteen pediatric patients diagnosed with Wilson disease between September 1, 2012 and January 1, 2023 at Selçuk University Faculty of Medicine, Department of Pediatric Gastroenterology, were retrospectively analyzed. Clinical, biochemical, radiological and histopathological findings were recorded, and the Ferenci scoring system was used in the diagnostic assessment. Results: Of the patients, 57.8% were male and the mean age at diagnosis was 8.84 ± 3.64 years. The most common reason for admission was incidentally detected elevated transaminases, and 78.9% of patients presented with the hepatic form. Hepatomegaly was the most frequent physical examination finding (52.6%). Kayser–Fleischer rings were present in 31.5% and neurological symptoms in 15.7% of cases. Mean serum ceruloplasmin level was 8.47±8.06 mg/dL, 24-hour urinary copper excretion was 468.42 ± 562.87 µg, and mean hepatic copper concentration (n=16) was 797.63 ± 527.08 µg/g. Genetic confirmation was performed in 10 patients; treatment modification was required in three due to D-penicillamine–related hematological side effects, and one patient underwent liver transplantation. Conclusion: Pediatric Wilson disease shows wide clinical variability but predominantly presents with hepatic involvement. Low ceruloplasmin levels, increased urinary copper excretion and hepatic copper accumulation are key diagnostic indicators, while the Ferenci score enhances diagnostic reliability. Early diagnosis, regular follow-up and treatment adherence positively influence disease progression.

Objective: This study investigated the ability of dynamic breast magnetic resonance imaging (MRI) to predict pathological complete response (pCR) after neoadjuvant chemotherapy (NACT) in locally advanced breast cancer with marker placement and compared MRI findings with the gold standard postoperative pathology. Methods: We retrospectively evaluated Dynamic Contrast-Enhanced MRI exams of 85 breast masses in 71 NACT patients with ultrasonography-guided marker placement (2020-2023). Two radiologists, blinded to pathology, assessed the radiologic treatment response (rR) on MRI using RECIST 1.1. Pathological evaluation defined pCR as absence of invasive carcinoma. Statistical analysis provided Kappa, sensitivity, specificity, PPV, and NPV. Results: Post-NACT MRI showed 52.9% radiological complete responce (rCR), while pathology confirmed 45.2% pCR. Strong concordance between rR and pR was observed (p <0.001, ĸ = 0.740). MRI’s diagnostic performance yielded 80% sensitivity, 94.7% specificity, 95% positive predictive value (PPV) and 80% negative predictive value (NPV). False negatives related to microscopic tumors, docetaxel effects, artifacts, low histological grade, and luminal subtype. False positives linked to HER2 positivity, granulation, and fibrosis. Conclusion: MRI effectively correlates with pR post-NACT in marker-placed breast cancers, showing high specificity. For patients with MRI-evaluated complete response, pCR might be confirmed non-surgically by vacuum-assisted biopsy, though larger, long-term studies are needed for validation.

Aim:Metabolic syndrome(MetS) is associated with chronic inflammation,immune function and nutritional status. The C-reactive protein-albumin-lymphocyte(CALLY) index is a new index that may have prognostic value in various cancers and cardiovascular diseases.Magnesium(Mg) affects the functioning of many enzymes involved in glucose metabolism.Calcium(Ca) plays a key role in hypertension and obesity.This study aimed to investigate the relationship between MetS and serum Mg/Ca ratio and CALLY index. Methods:This study was done retrospectively on individuals over 18 years of age who applied to the Unit No.56 Family Medicine in Karaman Center between April 1,2023 and April 1,2025.Age,gender,smoking,blood pressure values,height,weight and waist circumference were evaluated.In addition,laboratory results such as fasting serum Mg,Ca,Hemoglobin A1c,low-density lipoprotein,high-density lipoprotein,total cholesterol,triglyceride,blood glucose,insulin,albumin,CRP levels and lymphocyte count were evaluated.Body mass index(BMI),Homeostasis Model Assessment(HOMA) and CALLY index were calculated with formulas.The diagnostic criteria for MetS recommended by the Turkish Society of Endocrinology and Metabolism were used for the diagnosis of MetS.Analysis was done using appropriate statistical methods. Results:MetS was detected in 24.5%(n=184) of the 750 people who participated in the study.The Mg/Ca ratio was lower in those with MetS.However,no statistically significant difference was observed.Although the power of the CALLY index to distinguish metabolic syndrome was weak,it was found to be statistically significant.Additionally,it was found that the risk of MetS increased by 1.05 times for each unit decrease in the CALLY index. Conclusions:The obtained data show that the CALLY index may provide additional value in identifying individuals at high risk of developing MetS.However,large-scale randomized studies are needed to fully define the biomarker's properties.

Objective: This study examines compassion fatigue among male nurses working in closed psychiatric wards and identifies its individual, relational, and institutional determinants. It explores ethical dilemmas and professional challenges in clinical practice within the context of gender-based role expectations, and their implications for professional identity and caregiving relationships. The study also aims to inform institution-based support strategies by identifying factors that promote emotional resilience and self-compassion. Method: The study used a qualitative research method and included ten male nurses working in a closed psychiatric ward of a state hospital. Data were collected through semi-structured interviews and analyzed using inductive thematic analysis. Coding was conducted independently by two researchers, and consensus was reached on the themes. Results: The analysis identified four main themes: sources of compassion fatigue, emotional burden and responses, ethical sensitivity and professional boundaries, and efforts toward self-compassion and emotional recovery. Findings indicated that compassion fatigue is not merely individual burnout but a process shaped by emotional labor, ethical dilemmas, and institutional stressors. Protective factors included self-compassion and team support. Participant accounts revealed that greater responsibilities in safety, crisis management, and physical intervention expose male nurses to distinct stressors shaping experiences. Conclusion: Compassion fatigue in psychiatric nursing is a complex phenomenon emerging at the intersection of empathy, ethical responsibility, and institutional dynamics. Focusing on male nurses’ experiences, this study highlights the role of supervision practices supporting emotional resilience and institutional support policies. Findings suggest that, alongside psychoeducation and self-compassion–based approaches, institution-level preventive programs may be beneficial.

Objective In this study, it was aimed to investigate the relationship between age, gender, and operation type of symptoms and findings that can be seen in the first six weeks after discharge of patients who underwent open heart surgery, as well as to analyze the frequency of symptoms and findings, their onset times, and their coexistence. Method Between July 2023-November 2023, the complaints of 160 patients who underwent open heart surgery happened in the first 6 weeks after discharge and the onset time were prospectively examined. Results The most common complaints were sleep disturbance 45.6%, dyspnea 37.5%, chest pain 33.1%, arm and shoulder pain 32.5%, respectively. The least common ones were sternum dehiscence (6.8%) and physical activity limitation (6.2%). Wound infection was seen in 43% of women and 21% of men (p=0.004). Sleep disturbance was detected in 56% of women and 40% of men (p=0.05). Anxiety was common in isolated valve surgery (p=0.02) and leg pain was common in CABG (p=0.03). Dyspnea (p=0.01), impaired sexual activity (p=0.03) and arm-shoulder pain (p=0.08) varied with age. In multiple coexistence analysis; Anxiety, neuropsychological complaints and gastrointestinal complaints showed coexistence. Similarly, in the multiple coexistence analysis, pain, sleep disturbance, dyspnea and wound infection were seen to be differentiated from other variables. Conclusion Complaints seen after the discharge from open heart surgery vary depending on gender, type of operation and age. While the earliest symptom was anxiety, the latest complaint was sexual activity disorder. Anxiety, neuropsychological and gastrointestinal complaints were observed together.

The integration of artificial intelligence (AI) and wearable technologies into healthcare has driven significant progress in patient monitoring, especially in diagnosing and managing urological disorders. These innovations allow continuous, non-invasive, and patient friendly monitoring of bladder functions. In conditions such as urinary incontinence, neurogenic bladder, benign prostatic hyperplasia, and bladder outlet obstruction, conventional methods lack continuous tracking capabilities and may reduce patient comfort. This review assesses artificial intelligence integrated wearable systems, focusing on their technical features, clinical potential , accuracy , advantages , and limitations. Currently, systems using ultrasound, microwave, electrical bioimpedance, capacitive sensors, near-infrared spectroscopy (NIRS), electromyography (EMG), and optical sensors are under development. Integrated with artificial intelligencealgorithms, these technologies can track bladder filling, voiding time, and functional capacity with high accuracy in real time. This study systematically reviewed research from the past decade and compared devices based on clinical efficiency, usability, safety, and market availability. Ultrasound based devices are the most developed and commercially available among all technologies. Microwave and bioimpedance methods, however, remain experimental and require further validation. The analytical strength of artificial intelligence enhances the integration of these systems into clinical decision-making and supports personalized treatment approaches. Nevertheless, further prospective and randomized clinical studies are essential, particularly in pediatric, geriatric, and special patient populations. Ultrasound systems appear closest to clinical use, while microwave and bioimpedance technologies still demand more validation. artificial intelligence's data processing capabilities improve integration into clinical workflows and enable tailored patient care. Still, broader trials in varied patient groups are needed for widespread clinical implementation.