Eurasian J Pulmonol: 2 (3)

Main Page Aims and Scope Editorial Board Instructions to Authors Contact

Eurasian J Pulmonol: 2 (3)

Volume: 2 Issue: 3 - July 2000

Hide Abstracts \| << Back
1.	Community acquired pneumonia: evaluation of our cases according to national concensus report Figen KADAKAL, P�nar YILDIZ, Erdo�an �ET�NKAYA, F�sun SOYSAL, Ali TEK�N, Veysel YILMAZ Pages 76 - 79 �al��mam�zda, toplum k�kenli pn�moni tan�s� ile hastaneye yat�r�lan 40 kad�n (ya� ort. 48.9�23.6 y�l) ve 60 erkek (ya� ort. 44.4�20.7 y�l), toplam 100 olgu (ya� ort. 46.22�21.89 y�l) retrospektif olarak de�erlendirilmi�tir. Ortalama yat�� s�resi 13.5�7.1 g�n olarak belirlendi. Sigara al��kanl�� olan 47 olgu (%47) saptand�. Daha �nce pn�moni ge�irme anamnezi olan 2'si kad�n 4'� erkek olmak �zere 6 olgu (% 6) mevcuttu. 48 (%48) olguda g��s a�r�s�, 79 olguda �ks�r�k (%79), 37 olguda nefes darl�� (%37), 7 olguda �ks�rmekle kan t�k�rme (%7) klinik semptomlar� mevcuttu. Olgular�m�z�n 11'inde kronik obstr�ktif akci�er hastal�� (%11), 9'unda diabetes mellitus (%9), 1'inde kronik b�brek yetmezli�i, 1'inde ast�m bron�iale, 1'inde ankilozan spondilit saptand� ( 23 olgu, %23). Olgular�n 5'i kaybedildi (mortalite %5). Birlikte ba�ka bir kronik hastal�� olanlar�n ya� ort. 60.6�17.0 y�l, olmayanlar�n ya� ort 39.1�20.6 y�l idi ve iki grup aras�nda anlaml� fark mevcuttu (p<0.05). Radyografik olarak en s�k tutulum sa� akci�erde (%52)iken, 19 olguda (%19) multilober tutulum mevcuttu. Yat�� kriterlerine ve tedavi rejimlerine uygunluk oran� 1999 y�l�nda di�er y�llara g�re y�ksek olarak belirlendi. Sonu� olarak, hastaneye yat�r�lan toplum k�kenli pn�moni olgular�nda, literat�rle kar��la�t�r�ld��nda, mortalite oran�m�z�n olduk�a d��k oldu�u g�r�lm��t�r. Toraks Derne�i Uzla�� raporunun yay�nlanarak hekimlerin bu konuda bilgilendirilmesinden sonra, klini�imizde hastaneye yat�� ve tedavi kriterlerinde de�i�iklik oldu�u saptanm��t�r. In this study, 100 patients ( 60 male, 40 female, mean age: 46.2�21.9 years) who were hospitalized with the diagnosis of community-acquired pneumonia were evaluated retrospectively. The mean duration of hospitalization was 13.5 � 7.1 days. Fourtyseven (47%) of patients were smoker. Six patients (6%) (4 male, 2 female) had past history of pneumonia. Clinical symptoms were cough (79%), pleuritic pain (48%), dyspnea (37%) and hemoptysis (7%). Comorbid diseases were detected in 23 patients; COPD in 11 , diabetes mellitus in 9 , chronic renal failure, astma bronchiale and spondilitis ankylopoetica in each of patients. 5 patients died ( mortality: %5). The mean ages of the patients with and without comorbid diseases were 60.6 + 17.0 and 39.1 + 20.6 years, respectively, (p<0.05). Pneumonic infiltration has been detected mostly on right side (52 %). Multilobar involvement was detected in 19 patients. Hospitalization criterias and compliance to therapy was better in 1999 compared to previous years. In conclusion, mortality in patients hospitalized due to community-acquired pneumonia was found to be quite low in comparison to data reported in the literature. After publication of acknowledging Turkish Thoracic Society Consensus report on community-acquired pneumonia, hospitalization criterias and treatment regimens were modified at our clinic. Abstract \| Full Text PDF

2.	Community-acquired pneumonia in the elderly Berna K�M�RC�O�LU, Melih B�Y�K��R�N, Banu �IKIRIK�IO�LU, I��n �ZTUNA, Kunter PER�M Pages 80 - 84 60 ve �zerindeki ya�lardaki, toplum k�kenli pn�moni (TKP)'li hastalar�n klinik, radyolojik, laboratuar bulgular�n� incelemek amac�yla 1997-1999 y�llar� aras�nda, hastanede pn�moni tan�s�yla yat�r�larak tedavi edilen 125 erkek hasta �al��maya al�nd�. Hastalar�n klinik takibinde, tedaviye yan�t ve prognozlar�n�n belirlenmesinde yol g�sterici olabilecek risk fakt�rleri belirlenmeye �al��ld�. Hastalar�n yak�nmalar�, performanslar�, e�lik eden hastal�klar�, laboratuar ve radyolojik bulgular� de�erlendirildi. Hastalar�n ya�lar�, 60- 96 aras�ndayd� (ortalama ya� 69.2). En s�k e�lik eden hastal�klar�; kronik obst�r�ktif akci�er hastal�� (KOAH) (% 32.8), aterosklerotik kalp hastal�� (ASKH) (%21.6), hipertansiyon (HT) (% 16), serebrovask�ler hastal�klar (SVA) (% 12.8), diabetes mellit�s (DM) (% 12.8), sekel t�berk�loz (%12)'du. �ks�r�k (%91.2), balgam ��karma (% 73.6), ate� (% 56.8) ve halsizlik (% 51.2) en s�k rastlanan klinik yak�nmalard�. Hastalar�n %40'�nda �ks�r�k, ate�, balgam ��karma ve dispne gibi tipik pn�moni bulgular�ndan en az birinin olmad�� tam olmayan (incomplet) klinik tablo izlendi. Hastalar�n %35'inde patojen ajan saptand�. En s�k izole edilen etkenler S.pneumoniae, H.influenzae ve gram negatif enterik basillerdi. Akci�er grafilerindeki radyolojik infiltrasyonlar en s�k interstisyel patern (%43.2) �eklindeydi. Hastalar�n ortalama hastanede yat�� s�resi 10.8 g�nd�. Hastalarda hipoksemi, ta�ipne, l�kositoz, d��k performans ve bilateral radyolojik infiltrasyon varl��n�n k�t� prognozla ili�kili oldu�u ve riskli hastalar� belirlemede yararl� olabilece�ini d��n�yoruz. To assess the clinical features, risk and prognostic factors of CAP in the patients over age 60 years, 125 hospitalized patients with ages ranging from 60 to 96 (mean was 69.2) years, between 1997-1999 were evaluated. Clinical complaints, comorbid diseases, performances, laboratory and clinical data were evaluated. The main comorbid diseases were chronic obstructive pulmonary diseases (COPD) (32.8%), atherosclerotic heart disease (21.6%), hypertension (16%), cerebrovasculer disease (12.8%), diabetes mellitus (DM) (12.8%), inactive tuberculosis (12%). Most frequent complaints were; cough (91.2%), sputum expectoration (73.6%), fever (56.8%), weakness (51.2%). One of the classical findings of CAP in the elderly of cough, fever, sputum and dispnea was absent in 50 (40%) of patients. A pathogen was identified in 35.2% of patients, most commonly S.pneumoniae, H.�nfluenzae and gram negative enteric bacilli. Most frequent radiolographic data was interstitial pattern (43.2 %). Mean time interval for staying in hospital was 10.8 days. According to the analysis we thought that patients would have a worse prognosis if they had hypoxemia, tachypnea (>30/min), increased leukocyte count (> 20.000/mm3), low performance status, bilateral radiographic infiltrate. Abstract \| Full Text PDF

3.	Analysis of patients who died from pulmonary tuberculosis in our hospital between 1977-1999 Zafer KARTALO�LU, Ahmet �LVAN, Erol KILI�, O�uzhan OKUTAN, Kamil CERRAHO�LU, Faruk ��FT�� Pages 85 - 90 �kibinli y�llara girerken akci�er t�berk�lozu mortalitesini belirlemek amac�yla hastanemiz kay�tlar�n�n d�k�m�n� yapt�k. Yirmi�� y�ll�k period i�erisinde toplam 22.651 akci�er t�berk�lozlu hasta yat�r�lm�� ve bunlar�n 133'� �lm��t�r (%0,587). �l�m oran�, 1977 - 1979 y�llar� aras�nda %0,636 iken 1995 -1999 y�llar�nda %0,511 olup anlaml� farkl�l�k yoktur. �len hastalar�n 117'si erkek, 16's� kad�n ve ya� ortalamalar� 41,50�20,72'dir. Hastanede ortalama yat�� s�releri 15,84�25,89 g�n olup y�llar i�erisinde yat�lan g�n say�s�nda anlaml� bir art�� oldu�u tespit edildi (p=0,004). Bu hastalar�n 49'unun kronik ve/veya yayg�n t�berk�lozlu oldu�unu ve 36's�nda e�lik eden ba�ka hastal�klar�n bulundu�unu belirledik. On��nde hematojen yay�m, 3'�nde �ok ilaca diren�li t�berk�loz, 3'�nde pn�montoraks, 2'sinde t�berk�loz ampiyem vard�. Bir hasta massif hemoptizi, bir hasta G�S kanamas�, bir hasta da lobektomi ameliyat� sonras� 4. g�n kaybedildi. Son 5 y�lda vefat eden 13 hastan�n 8'inde ka�eksi, 7'sinde yo�un sigara kullan�m�, 12'sinde radyolojik lezyonlar�n yayg�n oldu�u, 5'inde l�kositoz, 2'sinde l�kopeni, 8'inde anemi oldu�unu belirledik. Bu hastalar�m�z�n prognostik nutrisyonel indeksleri iyile�mi� t�berk�lozlu hastalara g�re anlaml� olarak d��kt� (p=0,025). Sonu� olarak, son 23 y�ld�r akci�er t�berk�lozundan �l�m oran� hastanemizde de�i�memi�tir. Gen� eri�kin ya� grubunda �l�me neden olan bir hastal�k olarak akci�er t�berk�lozunun ikibinli y�llarda da �lkemizin �nemli sa�l�k sorunlar�ndan birisi olarak devam edece�ini d��nmekteyiz. We documented our hospital data in order to determinate the mortality of pulmonry tu berculosis in the begining of 21th century. 22651 partients with pulmonary tuberculosis were admitted to our hospital from 1977 to 1999 and 133 of them had died. (0- 587%). Mortality rate was 0.636% between 1977- 1979 and 0.511% between 1995-1999. (p>0.05) of 133 patients who were died, 117 were male and 16 were female and the mean a�e was 41.50�20.72. Mean duration of hospitalization was 15.84�25.89 days and this was incieasing in recent years. (p=0.004). 49 patients had chronic and/or very advanced disease, 36 patients had comorbid diseases, 13 patients had miliary and/or meningeal tuberculosis 3 patients had mPD tuberculosis, 3 had pnx and 2 patients had empyema. One patient had died from massive hemoptysis and the other had died from gastrointestinal hemorrhage and one patient had died on 4th postoperative day after lobectomy. Of 13 patients who had died in the lost 5 years, 12 patients had advanced diseose, 8 patients had cachexia, 8 patients had onemia, 5 patients had levkocytosis and 2 partients had levkopenia and 7 patients were heavy smoker. These patients had significontly lower prognostic nutritional index than heafed patients with pulmonary tuberculosis. In conclusion, mortality rate of tuberculosis in our hospital hasn�t changed in the last 23 years. We suggested that pulmonary tuberculosis as a couse of death in young adults will continue to be on important health problem of our country in 2000s. Abstract \| Full Text PDF

4.	Purified protein derivate (PPD) test results in children of families immigrate from villages to centrial van K�r�at UZUN, Mehmet GENCER, Abdullah G�LS�N, Erkan CEYLAN, Filiz A�CA Pages 91 - 95 K�rsal kesimden Van ili merkezine g�� eden ailelerin �ocuklar�nda BCG a��lama oran�n�, t�berk�lin test sonu�lar�n�, t�berk�loz y�ll�k enfeksiyon riski oran�n� ve enfeksiyon prevalans�n� saptamak amac�yla G��er mahallesinde 377 �ocukta BCG taramas� ve t�berk�lin testi uygulanm��t�r. �ncelenen �ocuklar�n s�n�f, ya�, cinsiyet ve BCG skar durumlar� bir forma kaydedildikten sonra cilt i�ine 0.1 ml 5 TU PPD uyguland�. Test uyguland�ktan 72 saat sonra cetvel yard�m� ile de�erlendirildi. Bunlardan 351'inin t�berk�lin sonu�lar� okunabildi. �al��maya al�nan 351 �ocu�un 119'unda(%34) BCG skar� vard�. BCG skar� olan �ocuklar�n 98'inde tek skar, 21'inde ise 2 skar vard�. T�berk�lin sonucu 10 mm veya �st� pozitif kabul edildi�inde t�m �ocuklar�n 48'inde, BCG(+)'lerin 39'unda (%32.8), BCG(-)'lerin 9'unda (%3.9) PPD pozitif idi. �al��maya al�nan olgular 0-6, 7-9, 10-12 ve 13-17 ya� gruplar�na g�re enfeksiyon prevalans� 0-6 ya� grubunda 0, 7-9 ya� grubunda %0.9, 10-12 ya� grubunda %7.2 ve 13-17 ya� grubunda %6.5 olarak hesapland�. Y�ll�k enfeksiyon riski ise; 7-9 ya� grubunda %0.19, 10-12 ya� grubunda %1.15 ve 13-17 ya� grubunda %1.21 idi. Sonu� olarak g�� eden ailelerin �ocuklar�nda a��laman�n yetersiz oldu�u ve beklenenin aksine skar negatif �ocuklarda PPD poziti�i�inin daha az oldu�u g�zlendi. the results of tuberculin reactions, annual risk of tuberculous infection, and the prevalence of tuberculous, BCG screening and tuberculin skin test were performed in 377 children of immigrants from villages to Van city centre. For 351 students(187 male, 164 female) PPD results could be obtained. PPD (0.1ml/5TU) was injected intracutanously after recording of the grade of school, age, sex and number of BCG scares of children had completed. Tuberculin tests was evaluated 72 hours later by ruler. 119(34%) of these students had BCG scars; 98 had single scar, 21 had two scars. 48 of all students had positive reaction to PPD. In students with BCG scar PPD reactivity was 32.8% (n:39) whereas in students without BCG scar this ratio was only 3.9% (n:9). According to these data prevalence of tuberculosis infection for immigrants was found to be 0.9% for 7-9 age group, 7.2% for 10-12 age group and 6.5% for 13- 17 age group. Annual risk ratio was 0.19%, 1.15%, and 1.21% for these age groups respectively. In conclusion, BCG vaccination of immigrant children is insufficient and unexpectedly, rate of PPD positivity of BCG negative children was low. Abstract \| Full Text PDF

5.	Plasma malondialdehyde level and total sulphydryl content in patients with lung cancer Sibel �ZKURT, S�leyman DEM�R, Mehmet H. K�SEO�LU, Ya�ar ENL�, Diler ASLAN, Can SEV�N� Pages 96 - 99 Son y�llarda, serbest radikallerin neoplastik transformasyonlar�n ba�lama ve geli�me mekanizmalar�nda etkili oldu�unu �ne s�r�lmektedir. Serbest radikal d�zeyindeki art�� ya da antioksidan sistemdeki zay��aman�n t�m�r olu�umuna neden olabilece�i d��n�lmektedir. Bu nedenle biz de lipid peroksidasyonunun son �r�n� olan malondialdehit (MDA) ile antioksidan savunma sisteminin g�stergesi olarak plazma s�lfhidril grubu i�eri�ini akci�er kanserli hastalarda �l�meyi ama�lad�k. Ya� ortalamas� 56.2�7.4 y�l olan 35 akci�er kanserli erkek hasta ve ya� ortalamas� 44.4�8.8 y�l olan 26 sa�l�kl� ki�i kontrol grubu olarak �al��maya al�nd�. Hastalar�n plazma MDA d�zeyleri ve total s�lfhidril i�eri�i �l��ld�. Akci�er kanserli hastalar�n MDA d�zeyi (2.48�0.74 nmol/ml) histolojik tip ve evrelerinden ba��ms�z olarak kontrol grubuna (1.04�0.48 nmol/ml ) g�re anlaml� d�zeyde y�ksek bulunurken (p=0.001), total s�lfhidril i�eri�i i�in ayn� sonu� elde edilmedi (s�ras�yla, 18.6�2.8 Mmol/L, 18.4�3.2 mmol/L). Sonu� olarak akci�er kanserli hastalarda lipid peroksidasyonunda belirgin bir y�kselme oldu�u, fakat antioksidan durumun de�i�medi�i g�zlendi. Oksidan antioksidan dengeyi daha iyi anlamak amac�yla geni� kapsaml� ileri �al��malara gerek oldu�u d��n�ld�. In recent years, it is suggested that free radicals are blamed for the begining and development of neoplastic transformations. It is thought that increase of free radical level or decline in antioxidant levels may cause to development of tumor. In this study, we aimed to measure the malondialdehyde (MDA), the end product of lipid peroxidation, and the compounds containing sulphdryl group, an indicator of antioxidant status, in patients with lung cancer and their controls. Thirtyfive male patients with lung cancer, mean age 56.2�7.4 years, and 26 healty persons, mean age 44.4�8.8 years, as a control group were included in the study. Plasma MDA levels and total sulphydryl contents were measured. MDA levels in the group of patients (2.48�0.74 nmol/ml), independent from histological type and stage, were found significantly higher than those of the controls (1.04�0.48nmol/ml). There was no difference in the total sulphydryl contents in both groups ( 18.6�2.8mmol/L and 18.4�3.2mmol/L, respectively). As a result, it was observed that there was a significant increase of lipid peroxydation but the antioxidant status did not change in patients with lung cancer. It was thought that the more further studies are required to better understand the oxidant - antioxidant balance. Abstract \| Full Text PDF

6.	Development of posterior subcapsular cataract due to use of inhaled steroids in bronchial asthma Hakan G�NEN, Cem EVEREKL�O�LU, �zkan KIZKIN, Selim DO�ANAY Pages 100 - 103 �al��mam�zda uzun s�reli d��k doz inhale kortikosteroid (KS) kullanan bir grup hafif ast�ml� hastadaki Posterior Subkaps�ler Katarakt (PSK) insidans�n� saptamay� ama�lad�k. �al��maya 1000 mcg/g�n'den az dozda 5 y�ldan uzun s�redir inhale KS kullanan 45 hafif ast�ml� hasta dahil edildi. Hastalar 2 gruba ayr�ld�lar. Birinci grup (n=20) eldeki dosya kay�tlar� ve ila� anamnezleri ile hi� sistemik KS kullanmad�� sonucuna var�lan hastalardan; 2. grup (n=25) ise ara ara sistemik KS kullanan hastalardan olu�tu. Hastalar�n g�z muayeneleri slit-lamp y�ntemi ile g�z uzman�nca yap�ld�. Daha sonra g�z muayene bulgular� gruplar�n kendi aras�nda ve ya��a benzer sa�l�kl� 27 ki�iden olu�an kontrol grubununkiyle kar��la�t�r�ld�. G�z muayenesi sonu�lar�na g�re 1. gruptaki 1 (%5), 2. gruptaki 7 (%28) ve kontrol grubundaki 1 hastada (%3.7) PSK saptand�. 1. grupla kontrol grubu aras�nda fark saptanmazken (p>0.05), 2. gruptaki PSK insidans� her iki gruba g�re de anlaml� derecede fazla idi [(p<0.05) ve (p<0.01)]. �al��man�n sonucunda kontrol grubu ile kar��la�t�r�ld��nda uzun s�reli yaln�zca d��k doz inhale KS kullan�m�na ba�l� PSK insidans�nda art�� saptanmam��, ancak inhale KS kullan�m� ile birlikte arada sistemik KS kullanan ast�ml� hastalarda PSK insidans� y�ksek bulunmu�tur. Biz tedavilerinde zaman zaman sistemik KS kullan�lan ast�ml� hastalar�n belli aral�klarla g�z muayenesinden ge�irilerek PSK geli�imi ba�layanlarda sistemik KS ihtiyac�n� azaltacak tedavi alternati�erinin denenmesi gerekti�ini d��n�yoruz. In our study, we aimed to search for the incidence of posterior subcapsular cataract (PSC) in a group of mild asthmatic patients using low dose inhaled corticosteroids (CS) for along time. The study included mild asthmatic patients utilising an inhaled CS dose less than 1000 mcg/day for more than 5 years. Patients were grouped into two. The first group (n=20) comprised the patients who did not use any systemic CS according to their file records and drug history; the second group (n=25) comprised the patients who used systemic CS time by time. The patients� eye examination was performed with slit-lamp method by an ophtalmologist. Later on the findings from their examination were compared between each other and that of the control group including 27 age matched healthy people. Their eye examination revealed PSC in 1 patient (5%) in the first group, 7 patients (28%) in the second group and 1 patient (3.7%) in the control. There was no statistically significant difference between the first group and the control (p>0.05) but the incidence of PSC in the second group was significantly higher than both of the other two groups [ (p<0.05) and (p<0.01) ]. The results of the study revealed that the use of low dose inhaled CS alone for a long time did not increase the incidence of PSC in comparison with the control group but the incidence of PSC was found higher in asthmatic patients utilising systemic CS time by time together with inhaled CS. We think that the asthmatic patients, in the treatment of whom systemic CSs are used time by time, should be checked with eye examination in certain intervals and new treatment alternatives to be tried to decrease the need for systemic CS, if the initial changes due to PSC are detected. Abstract \| Full Text PDF

7.	Brainstem auditory evoked potentials in chronic obstructive pulmonary disease P�nar �EL�K, Hatice MAV�O�LU, Arzu YORGANCIO�LU, Serpil KARACA, T�lay KESK�N Pages 104 - 107 Kronik obstr�ktif akci�er hastal��(KOAH), olu�turdu�u akut ve kronik hipoksi ve hiperkapni ile �e�itli serebral fonksiyonlar� etkilemektedir. Beyinsap� i�itsel uyar�lm�� potansiyeller (BAEP), �e�itli etyolojilere ba�l� olarak ortaya ��kan beyinsap� disfonksiyonunu g�steren bir elektrofizyolojik tetkik y�ntemidir. Fokal ve sistemik iskemiye ba�l� BAEP patolojileri bir�ok hastal�kta bildirilmi�tir. Bu �al��mada, KOAH'l� hastalarda iskemik beyinsap� etkilenmesini ara�t�rmak ama�land�. Celal Bayar �niversitesi Hastanesi G��s Hastal�klar� Klini�i taraf�ndan izlenen, 11'i kad�n, 24'� erkek 35 stabil Evre I KOAH' l� hasta ve 9 kad�n, 16 erkek 25 sa�l�kl� kontrol olgusuna BAEP kay�tlamas�, hastalara ayr�ca klinik de�erlendirme, solunum fonksiyon testleri, arteriyel kan gazlar� analizi yap�ld�. Hasta ve kontrol grubu ya� ve cinsiyet y�n�nden benzer olgulardan se�ildi. BAEP' de I-III, III-V, I-V interpik latanslar de�erlendirildi, bu de�erler ile kan gazlar�, solunum fonksiyon parametreleri aras�nda bir ili�kinin varl�� ara�t�r�ld�. Hasta ve kontrol grubunun BAEP de�erleri aras�nda anlaml� bir fark g�zlenmedi (p>0.05). Bu de�erlerle solunum parametreleri ve kan gazlar� aras�nda da herhangi bir korelasyon saptanmad� (p>0.05). Sadece sigara paket y�l� ile I-V interpik latans� aras�nda do�ru orant�l� ancak zay�f bir ili�ki g�zlendi (p=0.03, r=0.38). Bu �al��mada anlaml� bozukluk saptanmamas� hasta grubumuzun erken evrede bulunmas� ve ciddi hipoksemi ve hiperkapninin olmamas�na ba�lanabilir. Daha ileri evre KOAH' l�larda benzer �al��ma yap�lmas� bu konuda daha fazla bilgi verecektir. Acute and chronic hypoxaemia and hypercapnia in COPD affect various cerebral functions. Brainstem auditory evoked potential (BAEP) is an electrophysiologycal test showing dysfunction of brainstem due to different etiologies. BAEP pathologies due to focal and systemic ischemia were reported in various diseases. This study is aimed to evaluate the influence of brainstem in COPD patients. 35 stable COPD patients in Stage I, confirmed with the criteria of American Thoracic Society, and 25 healthy controls matched in age and sex were evaluated in respect of clinical evaluation, pulmonary function parameters, blood gas analysis and BAEP. I-III, III-V, I-V interpeac latencies were evaluated in BAEP and their relation with pulmonary parameters were investigated using Mann- Whitney U and Pearson correlation tests. No significant difference was found between the BAEP values of the groups (p>0.05) and also any significant difference was not found between the pulmonary parameters and the BAEP values (p>0.05). But as slight poor correspondence between cigarette pocket year and I-V interpeak latency were also shown(p=0.03, r=0.38). This might be due to the fact that patients in this study were in early stage not having severe hypoxemia and hypercapnia and similar studies which would be planned in more advanced stages of disease may give more information about this. Abstract \| Full Text PDF

8.	Idiopathic hypereosinophilic syndrome with an exudative pleural effusion M�nire G�KIRMAK, Canan HASANO�LU, �smet AYDO�DU, Nurhan K�KSAL, Zeki YILDIRIM, Cemal TUNCER Pages 108 - 111 �dyopatik hipereozinofilik sendrom (HES) alt� aydan uzun s�reli hipereozinofili ve eozinofiliye ba�l� organ tutulumu ile karakterli etyolojisi bilinmeyen nadir bir hastal�kt�r. HES'a ba�l� olarak olu�an plevra s�v�lar� �o�unlukla transuda niteli�inde olup kalp tutulumu ve yetmezli�ine ba�l�d�r. Eksuda niteli�inde plevra s�v�s�yla ortaya ��kan olgumuz nadir bir HES olgusu olarak sunulmaktad�r. Idiopathic hypereosinophilic syndrome (HES) is a rare disorder of unknown etiology characterized by eosinophilia of at least six-month duration and organ involvement due to eosinophilia. Pleural effusions in HES are mostly transudates which are due to cardiac involvement and failure. This case of HES is reported as a rare one presenting with an exudative pleural effusion. Abstract \| Full Text PDF

Quick Search

In authors and institutes

In titles and abstracts

In keywords

In all

Bu web sitesi sa�l�k profesyonellerine y�neliktir. ��eri�indeki yaz�lar ve d�k�manlar hekim veya eczac� g�r�� yerine ge�mez. Sitenin kullan�m�yla ilgili her t�rl� sorumluluk kullan�c�ya/ziyaret�iye aittir.

LookUs & Online Makale