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    Case Series: Pericardial Gossypibomas Detected After Cardiovascular Surgery: Imaging Findings
    (2012) Erol, Cengiz.; Koplay, Mustafa.; Paksoy, Yahya.; Kanat, Fikret.
    We present the chest radiograph, computed tomography (CT), and magnetic resonance imaging (MRI) findings of three pericardial gossypibomas, which are rarely reported and an exceptional complication of cardiovascular surgery. The diagnosis is usually possible with surgical history, high clinical suspicion, and awareness of variable imaging findings. Usage of sponges with radiopaque markers facilitates early detection by chest radiographs and CT. In case of radiolucent gossypibomas, specific MRI features help to differentiate this pathology from other masses and diffusion-weighted images can be used to distinguish it from an abscess.
  • Küçük Resim
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    Effect of low-intensity pulmonary rehabilitation program on quality of life and pulmonary functions in patients with stable chronic obstructive pulmonary disease
    (WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2019) Çilekar, Sule.; Tülek, Baykal.; Kanat, Fikret.; Süerdem, Mecit.; Levendoglu, Funda.; Taşpınar, Ibrahim Tugrul.
    OBJECTIVES: The effectiveness of low-intensity pulmonary rehabilitation program applied patients with chronic obstructive pulmonary disease (COPD) in terms of exercise capacity, dyspnea scale, life quality and respiratory muscle strength. METHODS: The study included 30 patients with COPD. The program was 3 days in a week, for a 6 weeks period between December 1st 2012 and August 31st 2013. Arterial blood gas (ABG), 6 minute walking test (SMWT), respiratory function tests and respiratory muscle strength were evaluated before and after treatment. St George's breathing questionnaire (SGRQ) was used to assess quality of life. The dyspnea scores were assessed by the Modified Medical Research Council (mMRC) and the COPD Assessment Test (CAT). Patient approvals were obtained for the study. For analysis of results kolmogorov smirnov test, shapiro - wilk test, wilcoxon test and sample ttest were used. RESULTS: Of 30 patients participated in our study, 26 completed the treatment program. There were increases in SMWT distance (P = 0.049), forced expiratory volume in one second, and forced expiratory flow (FEF 25-75) value (P < 0.05); and decreases in mMRC dyspnea scale score (P = 0.001), CAT score (p = 0.003) and SGRQ score (P <= 0.001). Maximum inspiratory pressure and maximum expiratory pressure values and ABG parameters did not show significant change. CONCLUSION: Low intensity pulmonary rehabilitation therapy has positive effects on exercise capacity, dyspnea scale, walking distance, and quality of life. Patient compliance was high in this treatment modality so according to our study results, low intensity pulmonary rehabilitation treatment can be prefer to high intensity pulmonary rehabilitation treatment in COPD.
  • Küçük Resim
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    Plevra sıvılarında CRP düzeyinin tanısal değeri
    (2005) Arıkan, Veysel.; Gök, Mehmet.; Kanat, Fikret.; Yosunkaya, Şebnem.; Uzun, Kürşat.; İmecik, Oktay.
    Amaç: Çalışmaya 78 plevral efüzyonlu hasta ile kontrol grubu olarak 20 sağlıklı birey alındı. Gereç ve Yöntem: Hastaların 53'ü erkek 25'i kadındı ve 46'sı sigara içerken 32'si sigara içmeyenlerden oluşuyordu. Kontrol grubu ise 10 erkek ve 10 kadın bireyden oluşmaktaydı. Bulgular: Ortalama serum CRP düzeyleri transuda grubu dışında diğer hastalık gruplarında kontrol grubundan anlamlı derecede yüksekti. Ortalama plevra CRP düzeyleri transuda grubuna göre eksu-da grubunda, maligniteye göre tüberküloz grubunda anlamlı olarak yüksekti. Sınır değere göre serum ve plevra sıvısında CRP 15 mg/1 alındığında eksu-da transuda ayırımında sensitivite %84.8 ve %95.2 ve spesifıte ise %58.3 ve %41.6 bulundu Sonuç: Bu çalışmada plevra sıvısı CRP düzeylerinin belirlenmesinin taransuda-eksuda ve tüberküloz-malignite ayırıcı tanıda kullanılabilecek yardımcı bir yöntem olabileceği kanısına vardık.