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.
{"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}
{"title":"Evaluations of Antifungal Susceptibilities Have to Be According to Reference Guidelines: CLSI and EUCAST","authors":"A. K. Sığ","doi":"10.5505/vtd.2022.60490","DOIUrl":"https://doi.org/10.5505/vtd.2022.60490","url":null,"abstract":"","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77493599","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}
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.
{"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}
{"title":"The Effect Of Air Temperature On Quality Of Sperm In Diyarbakir: An Analysis Over Six Years","authors":"Muhamet Afşin, A. Nursal","doi":"10.5505/vtd.2022.71598","DOIUrl":"https://doi.org/10.5505/vtd.2022.71598","url":null,"abstract":"","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90814867","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}
Savaş Güner, B. Bozgeyik, K. İnce, O. Büyükbebeci, B. Karslı
{"title":"A Comparative Study of Trochanteric Fractures Treated With the Hip Hemiarthroplasty or the Proximal Femoral Nail","authors":"Savaş Güner, B. Bozgeyik, K. İnce, O. Büyükbebeci, B. Karslı","doi":"10.5505/vtd.2022.05025","DOIUrl":"https://doi.org/10.5505/vtd.2022.05025","url":null,"abstract":"","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77206637","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}
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
{"title":"May High Serum Triglyceride Levels be a Predictor of New Silent Ischemic Lesions Detected with DW-MRI After Carotid Stenting?","authors":"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","doi":"10.5505/vtd.2022.93824","DOIUrl":"https://doi.org/10.5505/vtd.2022.93824","url":null,"abstract":"","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80729301","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}
Gülşen ULUÇAM ATAY, Gülçin Bayramoğlu, R. Durmaz, İ. Tosun, N. Kaklıkkaya, F. Aydın
{"title":"Investigation of Molecular Mechanisms of Carbapenemase Producing Acinetobacter baumannii complex Isolates Isolated from Blood Cultures","authors":"Gülşen ULUÇAM ATAY, Gülçin Bayramoğlu, R. Durmaz, İ. Tosun, N. Kaklıkkaya, F. Aydın","doi":"10.5505/vtd.2022.04382","DOIUrl":"https://doi.org/10.5505/vtd.2022.04382","url":null,"abstract":"","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80438658","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}
M. H. Bilgin, A. Arısoy, Bunyamin Sertoğullarından
{"title":"Diabetes Adversely Affects Respiratory Functions in Patients With COPD","authors":"M. H. Bilgin, A. Arısoy, Bunyamin Sertoğullarından","doi":"10.5505/vtd.2022.27880","DOIUrl":"https://doi.org/10.5505/vtd.2022.27880","url":null,"abstract":"","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":"83192324","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":"Tpe, Tpe Dispersion and Tpe/QT Ratio as Risk Indicators of Malign Ventricular Arrhythmia In Acute Cerebrovascular Event","authors":"Nihal Tekinalp, Figen Güney, M. Tekinalp","doi":"10.5505/vtd.2022.57701","DOIUrl":"https://doi.org/10.5505/vtd.2022.57701","url":null,"abstract":"","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"126 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75594148","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}
Kan gruplarının dağılımı dünya genelinde coğrafi bölgeye, etnik gruba ve alt popülasyonlara göre farklılık gösterir. Günümüzde, International Society of Blood Transfusion (ISBT) tarafından toplam 36 kan grubu sistemi ve 360 kan grubu antijeni bildirilmiştir (1). AB0 sistemine ait antijenler; eritrosit ve trombositlerin yüzeyinde membran antijeni olarak, vasküler, intestinal, servikal ve meme epitelyum hücrelerinde ve çözünmüş halde plazma, tükrük, süt, idrar ve gaitada bulunur. Bunun haricinde eritrosit yüzeyinde bulunmayan antijenlere karşı serumda kuvvetli reaktif antikorlar bulunmaktadır. Bu nedenle ABO ve Rh kan gruplama sistemi, kan, kan ürünü nakli ve doku naklinde en önemli kan grubu sistemidir (2). Ayrıca kan ve kan ürünlerinin güvenle transfüzyonunun yapılabilmesi için toplumlarda kan grubunun bilinmesi gerekir. Kan ve kan grubu ile ilgili yaptığımız araştırmalarda bulduğumuz ilk çalışma 1875 yılında Landois Özet
{"title":"Examination Of The Distribution Of AB0, Rh Blood Groups And Rh Subgroups İn Şanlıurfa Province","authors":"İ. Di̇ki̇ci̇","doi":"10.5505/vtd.2022.85530","DOIUrl":"https://doi.org/10.5505/vtd.2022.85530","url":null,"abstract":"Kan gruplarının dağılımı dünya genelinde coğrafi bölgeye, etnik gruba ve alt popülasyonlara göre farklılık gösterir. Günümüzde, International Society of Blood Transfusion (ISBT) tarafından toplam 36 kan grubu sistemi ve 360 kan grubu antijeni bildirilmiştir (1). AB0 sistemine ait antijenler; eritrosit ve trombositlerin yüzeyinde membran antijeni olarak, vasküler, intestinal, servikal ve meme epitelyum hücrelerinde ve çözünmüş halde plazma, tükrük, süt, idrar ve gaitada bulunur. Bunun haricinde eritrosit yüzeyinde bulunmayan antijenlere karşı serumda kuvvetli reaktif antikorlar bulunmaktadır. Bu nedenle ABO ve Rh kan gruplama sistemi, kan, kan ürünü nakli ve doku naklinde en önemli kan grubu sistemidir (2). Ayrıca kan ve kan ürünlerinin güvenle transfüzyonunun yapılabilmesi için toplumlarda kan grubunun bilinmesi gerekir. Kan ve kan grubu ile ilgili yaptığımız araştırmalarda bulduğumuz ilk çalışma 1875 yılında Landois Özet","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76893096","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}
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