European journal of general medicine最新文献_第10页

Viridans Group Streptococci and the Oral Ecosystem 翠绿菌群链球菌与口腔生态系统

European journal of general medicine Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1440

S. Dhotre, Namdev M. Suryawanshi, S. Selkar, B. Nagoba

引用次数: 2

Urinary System Infection Caused by Paecilomyces Variotti 变异拟青霉引起的泌尿系统感染

European journal of general medicine Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1472

S. Çolakoglu, S. Durmaz, H. Poyrazoğlu, F. F. Tekinsen, M. Atalay, A. Koç

引用次数: 2

The Predictive Role of Neutrophil to Lymphocyte ratio in Chronic Obstructive Pulmonary Disease 中性粒细胞与淋巴细胞比值在慢性阻塞性肺疾病中的预测作用

European journal of general medicine Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1554

B. Bilir, N. Altintas, M. Aydın, M. Oran, S. Ozsu, Umit Tutar

{"title":"The Predictive Role of Neutrophil to Lymphocyte ratio in Chronic Obstructive Pulmonary Disease","authors":"B. Bilir, N. Altintas, M. Aydın, M. Oran, S. Ozsu, Umit Tutar","doi":"10.15197/EJGM.1554","DOIUrl":"https://doi.org/10.15197/EJGM.1554","url":null,"abstract":"Objective:Recently neutrophil-to-lymphocyte ratio (NLR) -the level of neutrophil reflecting the severity of inflammation and lymphocyte occurring after physiological stress has been gaining popularity, which was, along with other inflammatory markers, commonly accepted as an accurate marker of the inflammatory status.In this multi-centered study, an early, rapid, and low-cost diagnosis method was investigated. To this end, the correlation between chronic obstructive pulmonary disease and inflammation was planned to be utilized and whether neutrophil-to-lymphocyte ratio can be used as a valid tool in the diagnosis of acute exacerbations of chronic obstructive pulmonary disease was investigated.Method:We retrospectively enrolled the 467 patients. Control group included sex and age-matched healthy people.C-Reactive protein, forced expiratory volume-1, forced vital capacity, complete blood count and clinical data A receiver-operating characteristic curve analysis was performed to determine the best cut-off value of N/L ratio and C-Reaktif protein to predict the exacerbation. Two-sided p values <0.05 were considered statistically significant.Results:By spearman\u0000analysis, there was a strong correlation between.C-Reactive protein\u0000and N/L ratio in both stable group (r=0.436, p<0.001) and exacerbation\u0000group (r=0.534, p=0.001).Conclusion:Neutrophil/lymphocyte ratio may bea useful predictor of inflammation in chronic obstructive pulmonary disease and acute exacarbation of chronic obstructive pulmonary disease patients.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85559207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Activity-Based Costing Management and Hospital Cost in Patients with Chronic Obstructive Pulmonary Disease 慢性阻塞性肺疾病患者作业成本管理与住院成本

European journal of general medicine Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1537

M. Ortakoylu, S. Altın, A. Bahadır, H. Urer, A. Kosar, Ali Coskun

{"title":"Activity-Based Costing Management and Hospital Cost in Patients with Chronic Obstructive Pulmonary Disease","authors":"M. Ortakoylu, S. Altın, A. Bahadır, H. Urer, A. Kosar, Ali Coskun","doi":"10.15197/EJGM.1537","DOIUrl":"https://doi.org/10.15197/EJGM.1537","url":null,"abstract":"Objective:Chronic obstructive pulmonary disease (COPD), one of the most important causes of morbidity and mortality worldwide, is an important economic burden due to hospitalizations, incapacity to work, and disability. The present study aimed to demonstrate one-year activity-based costing of services provided by service-providing centers of Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, which provides services for a wide region, and to present the share of COPD in this cost.Method:Income and expense cost sheets of the year 2011 of the hospital was reviewed. The activity-based costing system was used for calculations. After the identification of the main service centers's expenses of the hospital,the annual expenditure of each unit was calculated. The cost of COPD patients was calculated based on the expenditures of the units caring for COPD patients. The cost per unit of services like radiography, laboratory and pulmonary function tests was calculated and added to the cost of COPD patients.Results:Annual cost according to the activity-based costing system was\u0000found to be 3,839,788.32 US Dollars ($) for COPD patients examined and\u0000treated as inpatient (2,531,290.9 $ ) , or at emergency room (586,170.7\u0000$) , or at respiratory intensive care unit (419,282.11$) , or at polyclinics\u0000(303,044.5 . It accounted for 19.5% of one-year hospital cost (total\u0000annual hospital cost was 20,055,400.8 US Dollars).Conclusion:The rising economic burden of COPD corralates with acute exacerbations. As COPD is a high-cost disease, measures should be of priority to reduce economic burden of the disease.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83606369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Miscible Two Diseases in Old Age: Hypopituitarism and Pseudogout 老年可混种的两种疾病:垂体功能减退症和假性症

European journal of general medicine Pub Date : 2016-01-24 DOI: 10.15197/ejgm.01368

Huseyin Gulyer, Bülent Savut, M. Şahin, T. Gungor, A. Kucuk, M. Kulaksızoğlu, A. Kaya

引用次数: 0

Epithelial-Myoepithelial Carcinoma with High Grade Transformation of Nasal Cavity 鼻腔上皮-肌上皮癌伴高级别转化

European journal of general medicine Pub Date : 2016-01-16 DOI: 10.15197/EJGM.01447

F. Kılınç, Munire Çağın, Erkun Tuncer, D. Efe, S. Özen

{"title":"Epithelial-Myoepithelial Carcinoma with High Grade Transformation of Nasal Cavity","authors":"F. Kılınç, Munire Çağın, Erkun Tuncer, D. Efe, S. Özen","doi":"10.15197/EJGM.01447","DOIUrl":"https://doi.org/10.15197/EJGM.01447","url":null,"abstract":"High grade transformation in epithelial-myoepithelial carcino¬ma is a recently defined entity with only a few cases reported in the literature. We present a 59 years old female patient with a polypoid lesion in nasal cavity, together with clinical com¬plaints as recurrent epistaxis and stuffiness. Histological and immunohistochemical examination of the surgically excised le¬sion revealed a diagnosis of epithelialmyoepithelial carcino¬ma with high grade transformation. Epithelial-myoepithelial carcinoma originates from salivary glands, mainly parotid gland. Other affected sites are submandibular gland and minor sali¬vary glands. Epithelialmyoepithelial carcinoma is characterized by double layered duct-like structures. Greater cytologi¬cal atypia, higher mitotic rate, presence of necrosis and loss of the biphasic ductlike structures are features of high grade transformation. Local recurrence and cervical lymph node me¬tastases are seen with low incidence in classical epithelial-myoepithelial carcinoma, whereas epithelial-myoepithelial carcinoma with high grade transformation has high tendency for lymph node and distant metastases.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91304837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Asymptomatic Mediastinal Hematoma as a Complication of Ultrasound-Guided Internal Jugular Vein Catheterization 无症状纵隔血肿作为超声引导颈内静脉置管的并发症

European journal of general medicine Pub Date : 2016-01-16 DOI: 10.15197/EJGM.01452

F. Yıldırım, I. Kara, Büsra Yürümez, G. Aygencel, M. Turkoglu

引用次数: 2

Severe Hyoglycemic Attacks and Remission of Type 2 Diabetes and Psoriasis Due to Acitretin 阿维素对2型糖尿病和牛皮癣的严重低血糖发作和缓解

European journal of general medicine Pub Date : 2016-01-16 DOI: 10.15197/ejgm.01446

S. Shukurov, R. Erkoç, M. Ilhan, M. Ozdemir, M. Alay, E. Tasan

引用次数: 1

The Role of Ultrasonography for Differentiating and Management of Malignant Cervical Lymph Nodes 超声检查在颈部恶性淋巴结鉴别和治疗中的作用

European journal of general medicine Pub Date : 2016-01-16 DOI: 10.15197/EJGM.01416

S. Doğan, Afra Yıldırım, Refika Erbakirci, A. Okur, S. Çağlı, E. Mavili, İ. Yüce, E. Güney, M. Öztürk

{"title":"The Role of Ultrasonography for Differentiating and Management of Malignant Cervical Lymph Nodes","authors":"S. Doğan, Afra Yıldırım, Refika Erbakirci, A. Okur, S. Çağlı, E. Mavili, İ. Yüce, E. Güney, M. Öztürk","doi":"10.15197/EJGM.01416","DOIUrl":"https://doi.org/10.15197/EJGM.01416","url":null,"abstract":"Objective:To investigate the value of grey scale and Doppler ultrasonography in the assessment of metastatic and lymphomatous cervical lymph nodes.Methods:One hundred and nineteen malignant cervical lymph nodes in 119 patients diagnosed as malignant according to grey scale, color Doppler and spectral Doppler ultrasonography features were included in this study. The sizes, shape, echo pattern, echogenic hilus, nodal border, cystic necrosis and coagulation necrosis, vascular distribution pattern, resistivity and pulsatility index values of lymph nodes were noted. All patients had histopathological diagnosis.Results:The final diagnosis of the 42 lymph nodes was lymphoma, and of the 77 lymph nodes was carcinoma metastasis (33 thyroid carcinoma metastasis and 44 squamous cell carcinoma metastasis). While a hyperechoic pattern and calcification were detected in the lymph nodes originating from thyroid carcinoma as 39% and 33%, respectively, a reticular pattern (26%) and low resistive and pulsatility indices were detected in lymph nodes originating from lymphoma. These criteria were statistically significant for the differential diagnosis (p<0.05). Size, shape, hypoechoic echo pattern, absence of echogenic hilus, nodal border, cystic necrosis, coagulation necrosis and vascular distribution pattern were not found to be significant for the detection of a primary tumour.Conclusion:Hyperechoic echo pattern, reticular pattern, calcification, low resistivity and pulsatility indices are useful parameters for the differential diagnosis of malignant cervical lymph nodes. These ultrasonography critaria can be used for assesment and management of unknown primary malign neck nodes.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86912564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Rhinolith Associated with Pseudomonas Aeruginosa in a Diabetic Patient 糖尿病患者与铜绿假单胞菌相关的鼻石

European journal of general medicine Pub Date : 2016-01-16 DOI: 10.15197/EJGM.01461

M. Şentürk, Gültekin Övet, N. Alatas, Isa Azgin, O. Erdur

引用次数: 1