Journal of Pulmonology and Intensive Care最新文献

{"title":"Comparison of the computed tomography COVID-19 pneumonia severity scores in vaccinated and unvaccinated individuals without comorbidities","authors":"A. Çil","doi":"10.51271/jopic-0014","DOIUrl":"https://doi.org/10.51271/jopic-0014","url":null,"abstract":"Aims: The aim of this study to investigate the effect of vaccines on pneumonia severity by comparing the computed tomography pneumonia scores of vaccinated and unvaccinated individuals with COVID-19 without known comorbidities.\u0000Methods: Between January 2020 and January 2022. A total of 270 patients, 133 vaccinated and 137 unvaccinated, with positive polymerase chain reaction test and without any significant co-morbidity were included in the study. Computed tomography pneumonia scores, demographic characteristics, and vaccination information were evaluated through the hospital’s electronic registry system.\u0000Results: Mean pneumonia scores of individuals vaccinated for 1 dose were higher than individuals vaccinated for 2 or more doses. The shortest duration of infection after vaccination was determined in the group with 1 dose of vaccine, and the longest in the group with 2 doses of vaccine. There was no significant difference between mean pneumonia scores of vaccinated and unvaccinated individuals (P > 0.05). Pneumonia scores were found to be significantly lower in individuals over 70 years of age in vaccinated compared to unvaccinated individuals. A statistically significant positive correlation was found between the age of the patients and the pneumonia scores (Rho = 0.293).\u0000Conclusion: There is no significant difference in the pneumonia scores of vaccinated and unvaccinated Covid 19 pneumonia patients without comorbidities, except for patients over 70 years of age. There is a significant correlation between pneumonia score and age.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126904308","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}

{"title":"General approach to dry cough","authors":"Gülden Bilgin","doi":"10.51271/jopic-0015","DOIUrl":"https://doi.org/10.51271/jopic-0015","url":null,"abstract":"Dry cough is a common health problem and upper airway cough syndrome, asthma and gastroesophageal reflux disease are the most common causes of dry cough in adults. Diagnostic approach and algorithms are defined according to the American Academy of Chest Diseases cough guideline updated in 2006.The initial evaluation should start with history taking, physical examination, radiologic and spirometric assessment. Antihistaminic and decongestant agent combinations, inhaled corticosteroid and bronchodilator combinations, leukotriene receptor antagonists, and when necessary oral steroids are used in the treatment depending on the etiology. Treatments based on etiology and if needed evaluation with further tests are essential.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130690752","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}

{"title":"The effect of deep and superficial serratus anterior plane block on postoperative acute pain for thoracoscopic surgery patients; a prospective randomized trial","authors":"Musa Zengin, H. Sazak, O. Kaybal, Ramazan Baldemir, Gülay Ülger, Dilara Arican, A. Alagöz","doi":"10.51271/jopic-0006","DOIUrl":"https://doi.org/10.51271/jopic-0006","url":null,"abstract":"Aims: In recent years, video-assisted thoracoscopic surgery (VATS) is increasingly preferred over open thoracotomy. Serratus anterior plane block (SAPB) is the preferred analgesic technique in VATS interventions. This study, it was aimed to compare the postoperative analgesic efficacy of superficial SAPB (SSAPB) and deep SAPB (DSAPB) in patients undergoing lung resection with VATS. \u0000Methods: The study was conducted with a prospective, randomized, single-blind design. The ethics committee approval was obtained for the study. The patients, in the age range of 18 to 65 years, with the American Society of Anesthesiologists (ASA) physical status of I-III, and body mass index (BMI) of 18-30 kg/m2, and undergoing lung resection with VATS were included in the study. Patients were informed about the study, and their written consent was obtained. Patients were assigned to DSAPB (Group 1) and SSAPB (Group 2) groups according to the analgesia protocol.\u0000Results: After obtaining ethical committee approval, 60 patients were included in the study. Eight patients who converted from VATS to thoracotomy were excluded from the study. There was no statistically significant difference between the groups in terms of demographic characteristics, surgical features, side effects, morphine consumption, and additional analgesic use (p > 0.05). When the groups were evaluated in terms of the duration of the block procedure, it was found to be statistically significantly longer in the SSAPB group than in the DSAPB group (p < 0.001).\u0000Conclusion: Both DSAPB and SSAPB were effective and had similar analgesic actions. The shorter block procedure time in DSAPB may be an advantage when considering similar analgesic effects.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128061126","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}

{"title":"Lung cancer in a welder: case report","authors":"S. Özgün, Gulden Sari, A. Koyuncu, Cebrail Şimşek, F. Demirağ","doi":"10.51271/jopic-0011","DOIUrl":"https://doi.org/10.51271/jopic-0011","url":null,"abstract":"There are more than one million deaths due to lung cancer every year. Occupational exposure is thought to be responsible for 10% of lung cancer cases. A 51-year-old male patient applied to our clinic with complaints of weakness and rapid fatigue that have been going on for 1 month. In his professional history, it was learned that he has been working as welder for 24 years. On the thoracic computed tomography, a nodular lesion of approximately 5 cm in size with irregular borders and approximately 1.7 cm in size with irregular borders in the anterior left upper lobe, surrounding the hilar vascular structures, was observed in the left hilar region. On the PET-CT scan, there was intense metabolic activity uptake in interactions in cells. Biopsy taken from the endobronchial lesion detected in fiberoptic bronchoscopy was reported as adenocarcinoma. Here, we presented a occupatşonal lung cancer case related to the welding fumes.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131872449","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}

{"title":"A current approach to acute mediastinitis","authors":"S. Üçer","doi":"10.51271/jopic-0009","DOIUrl":"https://doi.org/10.51271/jopic-0009","url":null,"abstract":"Acute mediastinitis is still among the major causes of high mortality despite advances in antibiotic therapies, intensive care support, and novel diagnostic techniques. Mediastinitis may develop due to esophageal perforation, by a downward spread of neck infection, or after cardiothoracic surgery. While computed tomography is the most preferred imaging technique in diagnosis, broad-spectrum antibiotic therapy and surgical debridement are the mainstay of the treatment. It is essential to combine multiple interventions, such as appropriate antimicrobial prophylaxis, minimization of contamination, elimination of preoperative nasal S. aureus carriage, and the adoption of relevant surgical techniques, to prevent particularly postoperative mediastinitis.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130132451","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}

{"title":"Evaluation of human neutrophil gelatinase-associated lipocalin level in asthma-COPD overlap syndrome of elderly patients","authors":"Serap Duru, F. Uçar","doi":"10.51271/jopic-0008","DOIUrl":"https://doi.org/10.51271/jopic-0008","url":null,"abstract":"Aims: Human neutrophil gelatinase-associated lipocalin (NGAL) is a protein considered as a noninvasive prognostic\u0000biomarker in Asthma-COPD overlap syndrome (ACO). In this study we aimed to show the usability of NGAL as a biomarker\u0000in ACO characterized with airway inflammation in over 65 years old.\u0000Methods: Three patient groups (Group I: COPD, n: 50, Group II: Asthma, n:50, Group III: ACO, n:50) and a healhty non\u0000smoker group (Group IV, n:50) are taken into study. The serum NGAL levels of groups are compared. In Group I, II, III the\u0000level of serum NGAL is compared with the age, duration of smoking (pocket/year), number of attack per year, respiratory\u0000function values, serum C reaktive protein (CRP, mg/dL), serum IgE (IU/mL) and blood neutrophil-to-lymphocyte rate and\u0000atopy.\u0000Results: In patients having ACO when the maximum level of serum exist, it is observed that serum NGAL level is increased as\u0000the number of attacks is increased (p<0.002). On the other hand in the patients having ACO there was also positive correlation between NLR and serum NGAL level (p<0.05).\u0000Conclusion: The increase in serum NGAL levels in chronic inflammatory lung diseases suggests that serum NGAL levels can\u0000be used as a biomarker to assess inflammation severity","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127551583","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}

{"title":"The evaluation of asthma by gender and age groups in Turkey, in 1990-2019: incidence, prevalence, mortality, and disability-adjusted life years","authors":"Metin Dinçer, M. Kocakaya, M. Akyol","doi":"10.51271/jopic-0007","DOIUrl":"https://doi.org/10.51271/jopic-0007","url":null,"abstract":"Aims: The aim of this study was to evaluate the incidence and prevalence of asthma, asthma-related DALYs and deaths, and\u0000risk factors for asthma by genders and age groups during the study years in Turkey.\u0000Methods: The data used in the study were obtained from the estimation data prepared by the Institute for Health Metrics and Evaluation on asthma for Turkey by the global burden of disease study covering the years 1990-2019. During the study years period, death from asthma and Disability-Adjusted Life Years (DALYs) were used as dependent variables. In addition, the effects of Occupational Asthmagens (OA), Smoking (SM), and High Body Mass Index (HBMI), which are known as risk factors for asthma-related deaths and DALYs, were investigated. Comparisons of the variables according to gender and age groups were made with the Mann-Whitney test. The relationships between the variables were examined with the Spearman rank correlation coefficient (Rho).\u0000Results: A statistically significant difference was found between the mean rank of total prevalence number, total incidence\u0000number, total number of deaths and DALYs scores by gender. Asthma-related deaths due to risk factors (OA, HBMI, SM)\u0000were found to be correlated with DALYs and the total number of asthma deaths. Total asthma deaths, and asthma-related\u0000deaths because of HBMI and DALYs because of HBMI-induced asthma in women; deaths from asthma because of OA, SM, and DALYs from asthma because of OA and SM were found to be higher in males.\u0000Conclusion: HBMI in women and SM and OA in men stand out as risk factors. Therefore, as a result of a detailed investigation of the risk factors leading to the development of asthma, policies should be developed for gender and age groups, and necessary precautions should be taken.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124737839","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}

{"title":"Pulmonary hypertension rapidly leading to mortality in a patient with interstitial pneumonia with autoimmune features","authors":"Esma Zenbilli, Kerem Ensarioglu, Tuğçe Şahin Özdemirel, Berna Akıncı Özyürek","doi":"10.51271/jopic-0012","DOIUrl":"https://doi.org/10.51271/jopic-0012","url":null,"abstract":"Interstitial Pneumonia with Autoimmune Features (IPAF) is a newly defined connective tissue disease (CTD) related pulmonary involvement in 2015 by the European Respiratory Society and American Thoracic Society. It is used to define the subgroup of patients with no known CTD history. In this case report, we present a patient with IPAF diagnosis, who had rapid clinical deterioration after a COVID-19 infection, which was attributed to a newly diagnosed pulmonary hypertension.\u0000\u0000A 69-year-old male patient with chronic obstructive pulmonary disease (COPD) diagnosis was on the routine follow-up for a duration of five years. He had been diagnosed with type 2 diabetes mellitus and gout, with under constant follow-up for a known cardiovascular arterial disease history. During a routine pulmonary evaluation, the patient had stated a worsening exercise capacity and an increase in coughing. The requested high-resolution computed tomography showed emphysema at the upper lobes and a reticular pattern at the lower lobes, with honeycombing, traction bronchiectasis, and ground-glass findings. After a rheumatology consultation, which excluded the presence of an underlying rheumatological disease, the patient was diagnosed with IPAF. Under immunosuppressive treatment, the patient complained of increased dyspnea at a routine follow-up after a COVID infection in 2021, and antifibrotic treatment was initiated due to the progression of pulmonary fibrosis. During routine follow-up, further limitation in exercise capacity was evident, for which extra-pulmonary involvement was investigated. Pulmonary hypertension (PH) diagnosis was confirmed with vasoreactivity positivity; however, due to both progression in IPAF and concurrent PH, the patient was lost during the follow-up.\u0000\u0000As seen in this case, despite being stable for years, the addition of another comorbidity may rapidly worsen a patient’s otherwise stable clinical condition. While antifibrotic regimens may be used on a case-by-case basis, their effect on disease progression may not be sufficient to control an already present comorbidity, such as pulmonary hypertension.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130605548","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}

{"title":"An overview of the concept of medical intervention and informed consent according to Turkish law","authors":"Ramazan Baldemir","doi":"10.51271/jopic-0010","DOIUrl":"https://doi.org/10.51271/jopic-0010","url":null,"abstract":"Medical intervention refers to any action taken against the physical and mental structure of the person for the purpose of treatment by an authorized person in the medical field. Medical interventions without legal compliance conditions constitute a crime legally. In order for the intervention to be lawful; The person performing the medical intervention must be a physician, there must be the necessary indication for medical intervention, the patient must have informed consent, and the physician must perform a meticulous medical intervention in accordance with the requirements of medical science. According to our constitution, people have the right to determine their own future. Therefore, the physician must obtain the consent of the patient before intervening in the patient's bodily integrity. The aim of the physician to heal the patient does not give any privilege to the physicians in this regard. According to the legislation, it can be stated that it is more appropriate to make the enlightenment verbally, but it would be more beneficial to put the verbal clarification in writing in terms of proof of the clarification. In order for the patient's consent to be valid, the patient must have a good grasp of the subject to which he or she gave consent. For this reason, the patient should be fully illuminated.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114470035","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}

{"title":"Tuberculosis with isolated atelectasis: a case report","authors":"Ayşe Demirkaya, B. Kurt, Kerem Ensarioglu","doi":"10.51271/jopic-0005","DOIUrl":"https://doi.org/10.51271/jopic-0005","url":null,"abstract":"Introduction\u0000Tuberculosis is a significant health issue in developing countries, with the World Health Organization reporting over 10 million cases worldwide in 2014. While methods exist for rapid investigation of Mycobacterium tuberculosis, radiological imaging may lead to an earlier suspicion, such as presence of cavitation. In this case report, a patient with only radiological finding being atelectasis will be presented.\u0000Case Presentation\u0000An 18 years old female patient with no specific medical background history had been evaluated at an outpatient clinic with complaints of cough and exertional dyspnea. After a fluoroquinolone treatment for 7 days given for a pericardiac density in chest radiography, patient was admitted due to limited clinical response. A chest tomography was performed while the patient was under wide spectrum antibiotics and atelectasis in right lower lobe was observed. Repeated Acid-Fast Bacilli smears and sputum samples were found negative and bronchoscopy sampling did not show any findings of obstruction. Mycobacterium tuberculosis complex DNA was later detected in the lavage samples for which antituberculosis treatment was initiated with a regimen of isoniazid 5 mg/kg, pyrazinamide 25 mg/kg, ethambutol 15 mg/kg, and rifampin 10mg/kg.\u0000Discussion\u0000The diagnosis of tuberculosis, in this case, was probably masked during the AFB smear testing due to a treatment regimen of fluoroquinolone. The general radiological definition of tuberculosis primarily consists of older studies, with the expected presentation being a combination of cavitation and infiltration. Normal lung imaging results had also been described for tuberculosis regarding chest radiography, and studies have reported the presence of atelectasis in patients with tuberculosis, as seen in tomography case series; however, the isolation of atelectasis had not been specified in the studies.\u0000Conclusion\u0000Pulmonary tuberculosis may present itself with a myriad of radiological findings. This presentation often complicates the diagnostic process; however, differential diagnosis can be achieved via a combination of clinical symptoms and rapid culture sampling.","PeriodicalId":409345,"journal":{"name":"Journal of Pulmonology and Intensive Care","volume":"598 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116072234","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}