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Implementation of lung ultrasound in the triage of pregnant women during the SARS-CoV-2 pandemics

Artificial Intelligence in Medical Imaging 2021年第3期2卷 56-63页

作者： arzu bilge tekin Murat Yassa Department of Obstetrics and Gynecology Sancaktepe Sehit Prof.Dr.Ilhan Varank Training and Research HospitalIstanbul 34785SancaktepeTurkey

Lung ultrasound(US)has been shown that it is able to detect interstitial lung disease,subpleural consolidations and acute respiratory distress syndrome in clinical and physical studies that assess its role in upper respiratory *** is used worldwide in the coronavirus disease 2019(COVID-19)outbreak and the effectiveness has been assessed in several *** diagnosis of COVID-19 is essential in deciding for patient isolation,clinical care and reducing *** the lung and pleura by ultrasound is efficient,cost-effective,and safe and it is recognized as rapid,repeatable,and *** are already using the US and are quite proficient in doing *** the pandemic,performing lung US(LUS)right after the fetal assessment until reverse transcription polymerase chain reaction results are obtained,particularly in settings that have a centralized testing center,was found feasible for the prediction of the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)*** use of LUS is efficient in the triage and monitoring of pregnant *** dealing with pregnant women should consider LUS as the first-line diagnostic tool in pregnant women during the SARS-CoV-2 pandemic.

关键词： COVID-19 pandemics Lung Ultrasound imaging Pregnancy SARS-CoV-2 Triage

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Cost of illness among patients with diabetic foot ulcer in Turkey

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World Journal of Diabetes 2016年第18期7卷 462-469页

作者： Ergun Oksuz Simten Malhan bilge Sonmez Rukiye Numanoglu tekin Department of Family Medicine Faculty of Medicine Baskent University 06770 Ankara Turkey Faculty of Health Sciences Baskent University 06770 Ankara Turkey Emir Karatekin Family Health Center Cankiri Karatekin University 18100 Cankiri Turkey Faculty of Health Sciences Baskent University 6770 Ankara Turkey

AIM To evaluate the annual cost of patients with Wagner grade 3-4-5 diabetic foot ulcer(DFU) from the public payer's perspective in *** This study was conducted focused on a time frame of one year from the public payer's perspective. Cost-ofillness(COI) methodology, which was developed by the World Health Organization, was used in the generation of cost data. By following a clinical path with the COI method, the main total expenses were reached by multiplying the number of uses of each expense item, the percentage of cases that used them and unit costs. Clinical guidelines and real data specific to Turkey were used in the calculation of the direct costs. Monte Carlo Simulation was used in the study as a sensitivity *** The following were calculated in DFU treatment from the public payer's perspective: The annual average per patient outpatient costs $579.5(4.1%), imaging test costs $283.2(2.0%), laboratory test costs $284.8(2.0%), annual average per patient cost of intervention, rehabilitation and trainings $2291.7(16.0%), annual average per patient cost of drugs used $2545.8(17.8%)and annual average per patient cost of medical materials used in DFU treatment $735.0(5.1%). The average annual per patient cost for hospital admission is $7357.4(51.5%). The average per patient complication cost for DFU is $210.3(1.5%). The average annual per patient cost of DFU treatment in Turkey is $14287.70. As a result of the sensitivity analysis, the standard deviation of the analysis was $5706.60(n = 5000, mean = $14146.8, 95%CI: $13988.6-$14304.9). CONCLUSION The health expenses per person are $-PPP 1045 in 2014 in Turkey and the average annual per patient cost for DFU is 14-fold of said amount. The total health expense in 2014 in Turkey is $-PPP 80.3 billion and the total DFU cost has a 3% share in the total annual health expenses for Turkey. Hospital costs are the highest component in DFU disease costs. In order to prevent DFU, training of the patients at

关键词： Diabetic foot Diabetes complications Cost of illness Burden of illness Amputation

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New parameter in diagnosis of acute appendicitis:Platelet distribution width

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World Journal of Gastroenterology 2015年第6期21卷 1821-1826页

作者： Bulent Dinc Alten Oskay Selcan Enver Dinc bilge Bas Sabri tekin Department of General Surgery Ataturk State Hospital Department of Emergency Denizli State Hospital Department of Emergency Isparta State Hospital Department of Gastroenterology Ataturk State Hospital Department of Surgery Medical Park Hospitals

AIM:To investigate the diagnostic accuracy of the mean platelet volume and platelet distribution width in acute ***:This retrospective,case-controlled study compared 295 patients with acute appendicitis(Group?Ⅰ),100 patients with other intra-abdominal infections(GroupⅡ),and 100 healthy individuals(GroupⅢ)between January 2012 and January *** age,gender,and white blood cell count,neutrophil percentage,mean platelet volume,and platelet distribution width values from blood samples were compared among the *** analyses were performed using SPSS for Windows 21.0 *** addition,the sensitivity,specificity,positive and negative predictive values and likelihood ratios,and diagnostic accuracy were ***:The mean ages of patients were 29.9±12.0years for Group?Ⅰ,31.5±14.0 years for GroupⅡ,and30.4±13.0 years for GroupⅢ.Demographic features such as age and gender were not significantly different among the *** blood cell count,neutrophil percentage and platelet distribution width were significantly higher in Group?Ⅰ?compared to groupsⅡandⅢ(P<0.05).Diagnostically,the sensitivity,specificity and diagnostic accuracy were 73.1%,94.0%,and 78%for white blood cell count,70.0%,96.0%,and 76.0%for neutrophil percentage,29.5%,49.0%,and 34.0%for mean platelet volume,and 97.1%,93.0%,and 96.0%for platelet distribution width,*** highest diagnostic accuracy detected was for platelet distribution width between Group?Ⅰ?and GroupⅢ(P<0.01).CONCLUSION:Platelet distribution width analysis can be used for diagnosis of acute appendicitis without requiring additional tests,thus reducing the cost and loss of time.

关键词： Appendicitis Diagnosis Platelet function test Plat

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