Van Medical Journal最新文献_第10页

Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions 薄层ct引导下支气管镜刷活检对周围性肺病变的诊断作用

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.26443

Esma Gezer Pekyen, Bunyamin Sertoğullarından

{"title":"Diagnostic Role of Bronchoscopic Brush Biopsy Guided by Thin Section Computed Tomography in Peripheral Pulmonary Lesions","authors":"Esma Gezer Pekyen, Bunyamin Sertoğullarından","doi":"10.5505/vtd.2022.26443","DOIUrl":"https://doi.org/10.5505/vtd.2022.26443","url":null,"abstract":"Introduction: Pulmonary lesionsin peripheral lung are considered as peripheral pulmonary lesions (PPL). Diagnosis of PPL is important because it can be malignant nature. Diagnostic approach to PPL has limitedsensitivity in the absence of a target-guiding tool in the bronchial labyrinth. Multiplanar reconstruction images created with thin multi-slice imaging of computed tomography (CT) have started to be used as an alternative guide for bronchoscopy of PPL. In this study, we aimed to examine the diagnostic efficiency of the guidance of multiplanar reconstruction images for PPL diagnosis. Materials and Methods: Patients have PPLwhounderwent a bronchoscopic brush biopsy by gidance of multiplanar reconstruction thin images on thorax CT scans were retrospectively analyzed. The distance of the lesion to the distal bronchus, presence of bronchial association and location and size of PPL were recorded from hospital image archive system. The diagnostic rate was recorded from the procedure record unit. Results : The study was conducted with 92 cases. The mean size of PPL was 40 ± 21 mm, and the average distal bronchial lesion distance was 27 ± 19 mm. Bronchial association was found in 49 (53.3%) patients. The diagnostic yield of the method was 48.9%. Diagnostic rate in patients with bronchial association (67.3%) was found to be significantly higher than those without (26.7%) (p = 0.001). In logistic regression analysis, the factors affecting the diagnosis were distal bronchial lesion distance, presence of bronchial association and localization of the lesion. Conclusion: The guidance of thin multi-slice CT reconstruction images for PPL diagnosis can be easily performed in patients with PPL that over 20 mm and have bronchial association in centers where there is no interventional radiology unit and other guidance tools.","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74508454","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

Evaluations of Antifungal Susceptibilities Have to Be According to Reference Guidelines: CLSI and EUCAST 抗真菌药物敏感性的评估必须根据参考指南:CLSI和EUCAST

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.60490

A. K. Sığ

引用次数: 0

Relationship between Non-Alcoholic Fatty Liver Disease and Cardiovascular and Metabolic Risk Indices 非酒精性脂肪性肝病与心血管及代谢危险指标的关系

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.76753

Şevin Demir, Huriye Ecem Subaşı

{"title":"Relationship between Non-Alcoholic Fatty Liver Disease and Cardiovascular and Metabolic Risk Indices","authors":"Şevin Demir, Huriye Ecem Subaşı","doi":"10.5505/vtd.2022.76753","DOIUrl":"https://doi.org/10.5505/vtd.2022.76753","url":null,"abstract":"Introduction : While non-alcoholic fatty liver disease (NAFLD) is linked to other metabolic dysfunction, it may also occur alone. In our study, we investigate the factors associated with NAFLD in subjects that do not have metabolic syndrome. Materials and Methods: The files of the patients that applied to our check-up outpatient clinic were evaluated retrospectively, and patients who met the criteria for admission to the study were divided into those with and without NAFLD (n=277 and n=280, respectively) with the age variable being adjusted. Anthropometric and biochemical values, fibrosis scores, cardiovascular and metabolic risk indices were compared between groups. Results: Between individuals with and without NAFLD there were statistically significant differences in terms of waist circumference (WC), waist-hip ratio (WHR), body mass index (BMI), ALT, AST/ALT, uric acid, smoking status, lipid levels, Triglyceride/HDL, hemoglobin, homeostasis model assessment insulin resistance (HOMA-IR), triglyceride-glucose index (TyG), visceral adiposity index (VAI) parameters (p<0.005). When people with BMI<25 kg/m 2 were considered, the difference between smoking, total and LDL cholesterol, ALT, AST/ALT, and HOMA-IR values lost their significance. In the group with BMI ≥ 25 kg/m 2 , significant differences remained only in terms of WC, WHR and BMI. It has been observed that hepatosteatosis has a positive correlation with the values of VAI, TyG, Triglyceride/HDL and AST-platelet ratio index and a negative correlation with AST/ALT. Conclusion: While cardiovascular and metabolic risk indicators were significantly increased in lean individuals with NAFLD, the increase in those risks in overweight individuals was independent of fatty liver.","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91166680","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

The Effect Of Air Temperature On Quality Of Sperm In Diyarbakir: An Analysis Over Six Years 6年来气温对迪亚巴克尔地区精子质量的影响

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.71598

Muhamet Afşin, A. Nursal

引用次数: 0

A Comparative Study of Trochanteric Fractures Treated With the Hip Hemiarthroplasty or the Proximal Femoral Nail 股骨近端钉与髋关节置换术治疗股骨粗隆骨折的比较研究

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.05025

Savaş Güner, B. Bozgeyik, K. İnce, O. Büyükbebeci, B. Karslı

引用次数: 0

May High Serum Triglyceride Levels be a Predictor of New Silent Ischemic Lesions Detected with DW-MRI After Carotid Stenting? 高血清甘油三酯水平可能是颈动脉支架植入术后DW-MRI检测到新的无症状缺血性病变的预测因子吗?

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.93824

E. Erdoğan, M. Çap, A. Karagöz, C. Doğan, Z. Bayram, S. Efe, T. Unkun, B. Güvendi Şengör, A. Karaduman, Ö. Akbal, Fatih Yılmaz, R. D. Acar, M. Velioglu, C. Kaymaz, Nihal Özdemir

引用次数: 0

Investigation of Molecular Mechanisms of Carbapenemase Producing Acinetobacter baumannii complex Isolates Isolated from Blood Cultures 产碳青霉烯酶鲍曼不动杆菌复合体血培养分离物分子机制的研究

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.04382

Gülşen ULUÇAM ATAY, Gülçin Bayramoğlu, R. Durmaz, İ. Tosun, N. Kaklıkkaya, F. Aydın

引用次数: 0

Diabetes Adversely Affects Respiratory Functions in Patients With COPD 糖尿病对慢性阻塞性肺病患者呼吸功能的不利影响

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.27880

M. H. Bilgin, A. Arısoy, Bunyamin Sertoğullarından

引用次数: 0

Tpe, Tpe Dispersion and Tpe/QT Ratio as Risk Indicators of Malign Ventricular Arrhythmia In Acute Cerebrovascular Event Tpe、Tpe离散度和Tpe/QT比值作为急性脑血管事件恶性室性心律失常的危险指标

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.57701

Nihal Tekinalp, Figen Güney, M. Tekinalp