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Transcatheter aortic valve implantation： a revolution in the therapy of elderly and high-risk patients with severe aortic stenosis

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Journal of Geriatric Cardiology 2017年第3期14卷 204-217页

作者： Teoman Kilic irem yilmaz Invasive Cardiology Research and Application Unit Department of Cardiology Kocaeli University Kocaeli Turkey Department of Cardiology Kocaeli University Kocaeli Turkey

Transcatheter aortic valve implantation （TAV1） represents a real revolution in the field of interventional cardiology for the treatment of elderly or high-risk surgical patients with severe symptomatic aortic valve stenosis. Today, TAVI seems to play a key and a reliable role in the treatment of intermediate and maybe low-risk patients with severe aortic stenosis. TAVI has also evolved from a complex and hazardous procedure into an effective and safe therapy by the development of new generation devices. This article aims to review the background and future of TAVI, elinieal trials and registries with old and new generation TAVI devices and to focus on some open issues related to post-procedural outcomes.

关键词： High risk patients The elderly Transcatheter aortic valve implantation

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Acute Traumatic Primary Patella Dislocation in Children and Adolescents:A Detailed Evaluation of the Impact upon the Results

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Open Journal of Orthopedics 2018年第3期8卷 102-115页

作者： Baris yilmaz Evrim Sirin Güzelali Ozdemir Esin Derin Cicek Ozgün Karakus Ahder irem Demir Hasan Hilmi Muratli Department of Orthopedic Surgery and Traumatology Fatih Sultan Mehmet Education and Research HospitalIstanbulTurkey Department of Orthopedic Surgery and Traumatology Marmara University HospitalIstanbulTurkey Department of Orthopedic Surgery and Traumatology Ankara Numune Education and Research HospitalAnkaraTurkey Department of Radiology Fatih Sultan Mehmet Education and Research HospitalIstanbulTurkey Department of Orthopedic Surgery and Traumatology Nigde State HospitalNigdeTurkey

Background and Aim: Through accurate assessment of the risk factors and structural characteristics of children presenting with acute patella dislocation, this study aimed to evaluate the probability of recurrence and the effects on treatment. Materials and Methods: Demographic and radiological evaluation was made of each case. Contributory factors to patellofemoral instability were investigated. Surgical treatment was applied to 4 (15.39%) patients and conservative treatment to 22 (84.61%). Functional status before and after treatment was evaluated using the Kujala patellofemoral scoring system. Results: The patients comprised 8 (30.77%) males and 18 (69.23%) females with a mean age of 13.46 years. In 15 (57.69%) cases, there were patellofemoral complaints before the dislocation. The Kujala score was determined as mean 54.27 pre-treatment and 84.81 post-treatment in the conservative treatment group and mean 48.00 preoperatively and 75.25 postoperatively in the surgically treated group. No recurrence of patella dislocation was observed in any patient during the follow-up of both groups. Conclusions: Although it seems to be simple surgical intervention, as patella dislocation surgery can involve several complications, the surgical program must be very well planned and only applied to cases where necessary. With case-by-case assessment, the probability of recurrence of patella dislocation will be removed.

关键词： Patellofemoral Joint Acute Patella Dislocation Kujala Scoring

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Role of serological rapid antibody test in the management of possible COVID-19 cases

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World Journal of Experimental Medicine 2021年第4期11卷 44-54页

作者： Fatma Yıldırım Pinar Yildiz Gulhan Ozlem Ercen Diken Aylin Capraz Meltem Simsek Berna Botan Yildirim Muhammet Ridvan Taysi Sakine yilmaz Ozturk Nurcan Demirtas Julide Ergil Adem Dirican Tugce Uzar irem Karaman Sevket Ozkaya Department of Pulmonary and Critical Care Medicine University of Health Sciences Diskapi Yildirim Beyazit Research and Education HospitalAnkara 06110Turkey Department of Pulmonary Medicine Düzce UniversityFaculty of MedicineDüzce 81100Turkey Department of Chest Diseases Adana Research and Education HospitalUniversity of Health SciencesAdana 01230Turkey Department of Pulmonary Medicine Amasya University Sabuncuoglu Serefeddin Research and Education HospitalAmasya 05200Turkey Medical Intensive Care Unit University of Health Sciences Diskapi Yildirim Beyazit Research and Education HospitalAnkara 06110Turkey Department of Pulmonology Research and Education Hospital of Baskent UniversityKonya 42030Turkey Department of Infectious and Clinical Microbiology University of Health Sciences Diskapi Yildirim Beyazit Research and Education HospitalAnkara 06110Turkey Department of Pulmonary Medicine Vezirkopru State HospitalSamsun 55090Turkey Department of Pulmonary Medicine Kumluca State HospitalAntalya 07070Turkey Department of Anaesthesiology and Reanimation Diskapi Yildirim Beyazit Research and Education HospitalUniversity of Health SciencesAnkara 06110Turkey Department of Pulmonary Medicine Samsun Medicalpark HospitalSamsun 55090Turkey irem Karaman Medical Student/InternBahcesehir University Faculty of MedicineIstanbul 34734Turkey Department of Pulmonary Medicine Bahcesehir UniversityFaculty of MedicineIstanbul 34734Turkey

Although the detection of viral particles by reverse transcription polymerase chain reaction(RT-PCR)is the gold standard diagnostic test for coronavirus disease 2019(COVID-19),the false-negative results constitute a big *** To examine a group of patients diagnosed and treated as possible COVID-19 pneumonia whose multiple nasopharyngeal swab samples were negative for severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)by RT-PCR but then serological immunoglobulin M/immunoglobulin G(IgM/IgG)antibody against SARS-CoV-2 were detected by rapid antibody *** Eighty possible COVID-19 patients who had at least two negative consecutive COVID-19 RT-PCR test and were subjected to serological rapid antibody test were evaluated in this *** The specific serological total IgM/IgG antibody against SARS-CoV-2 was detected in twenty-two *** mean age of this patient group was 63.2±13.1-yearsold with a male/female ratio of 11/*** was the most common symptom(90.9%).The most common presenting chest computed tomography findings were bilateral ground glass opacities(77.2%)and alveolar consolidations(50.1%).The mean duration of time from appearance of first symptoms to hospital admission,to hospital admission,to treatment duration and to serological positivity were 8.6 d,11.2 d,7.9 d,and 24 d,*** with reference laboratory values,serologically positive patients have shown increased levels of acute phase reactants,such as C-reactive protein,ferritin,and procalcitonin and higher inflammatory markers,such as erythrocyte sedimentation rate,lactate dehydrogenase enzyme,and fibrin end-products,such as D-dimer.A left shift on white blood cell differential was observed with increased neutrophil counts and decreased *** Our study demonstrated the feasibility of a COVID-19 diagnosis based on rapid antibody test in the cases of patients whose RT-PCR samples were *** of antibodies against SARS-CoV-2 with

关键词： COVID-19 Rapid antibody test Reverse transcription polymerase chain reaction High resolution computed tomography Serology Pneumonia

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