January 2021

Original Research

Evaluation of geriatric patients with carbon monoxide ıntoxication presenting to the emergency department

Geriatric patients with carbon monoxide intoxication

Hüseyin Uzunosmanoğlu, Seda Dağar, Şeref Kerem Çorbacıoğlu, Yunsur Çevik

Department of Emergency Medicine, Kecioren Training and Research Hospital, Ankara, Turkey

DOI:10.4328/ECAM.10025 Received : 2020-10-21 Accepted : 2020-11-21 Published Online : 2020-12-03 Printed Online : 2021-01-01

Abstract

Aim: In this study, we aimed to evaluate geriatric patients admitted to the emergency department with CO intoxication with regard to their demographic and epidemiological factors, and to assess changes in their inflammatory parameters.
Material and Methods: This was a retrospective study enrolling patients aged 65 years or older with a carboxy- hemoglobin [COHb] level above 5%. The patients were grouped into 2 groups as mild to moderate/severe intox- ication groups. Demographic, epidemiological data and inflammatory parameters were evaluated. A p-value of less than p<0.05 was considered statistically significant.

Results: This study included 95 patients. The mean COHb level of the patients was 24. Among the study popula- tion, 63.2% presented with mild intoxication and 36.8% with moderate-severe intoxication. A comparison of the inflammatory parameters with respect to intoxication severity and cardiac involvement revealed a significantly lower platelet-lymphocyte ratio [p<0.001], but significantly higher [p<0.05] other parameters in patients with moderate-severe intoxication and cardiac involvement.

Discussion: In the present study, in which we aimed to investigate CO intoxication in the geriatric age group, we found that CO intoxication in elderly patients had characteristics similar to those of the general population. Also, we observed significant changes in all systemic inflammatory parameters in moderate-severe intoxication cases compared to mild intoxication cases.

Keywords: Geriatric; Carbon monoxide intoxication; Inflammation

Corresponding Author: Hüseyin Uzunosmanoğlu, Kecioren Training and Research Hospital, Department of Emergency Medicine, Ankara, Turkey. GSM: +90 5058908090 • P.: +90 312 356 90 00 • F.: +90 312 3569002 • E-Mail: huzunosmanoglu@gmail.com • Corresponding Author ORCID ID: https://orcid.org/0000-0002-4370-1283

How to cite this article: Hüseyin Uzunosmanoğlu, Seda Dağar, Şeref Kerem Çorbacıoğlu, Yunsur Çevik. Evaluation of geriatric patients with carbon monoxide ıntoxication presenting to the emergency department. Eu Clin Anal Med 2021; 9(1): 1-5

Thermography applications in breast imaging and comparison with the conventional systems

Thermography applications

Fuat Nurili1, Cem Demirkiran2, Ezgi Aydin2, Ozgur Kursat Sener3

1Department of Radiology, Memorial Sloan Ketteting Cancer Center, Interventional Radiology, New York, USA.

2Department of Radiology, Acibadem M.A.A. University Medical School, Istanbul, Turkey.

3Department of Radiology, Istanbul Gelisim University, Istanbul, Turkey.

DOI:10.4328/ECAM.10026 Received : 2021-01-26 Accepted : 2021-01-31 PublishedOnline : 2021-02-01 PrintedOnline : 2021-01-01

Abstract

Aim: The objective of this study was to determine the sensitivity and specificity of DITI in a series of women undergoing biopsy of benign and malignant breast lesions presenting through the symptomatic clinic. Material and Methods: Selected symptomatic patients attending a single station breast clinic underwent DITI. In order to assure consistency in the reporting of the thermal images, a breast thermal imaging scale was developed based on the color gradient between adjacent areas and the differences between the two breasts. Results: In total, 130 breasts of 65 patients were examined. As the thermographic grading of T3 would essentially instigate further diagnostic tests, this grading was deemed positive for the calculation of the sensitivity, spec- ificity, positive and negative diagnostic values. The sensitivity was calculated as 28 %, specificity 84%, positive predictive value 83%, and negative predictive value 30 %. Excluding T3 thermograms as positive results, sensitiv- ity was calculated as 23 %, specificity 83%, positive predictive value 84 %, and negative predictive value 21 %. For the same group of patients, ultrasound had a sensitivity of 88%, a specificity of 91%, a positive predictive value of 79%, and a negative predictive value of 95%. Discussion: At present DITI should not be offered as a screening test for breast cancer in the absence of proof of efficacy. It can be used as a complement to other tests such as mammography or ultrasonography.

Keywords: Breast cancer; DITI; Mammography; Ultrasonography; Sensitivity

Corresponding Author: Fuat Nurili, Department of Radiology, Interventional Radiology, Memorial Sloan Ketteting Cancer Center, 1275 York Avenue New York, NY 10065, New York, NY, USA. E-Mail: fuatnurili@gmail.com P: +90 542 518 07 03
Corresponding Author ORCID ID: https://orcid.org/0000-0002-0413-9363

How to cite this article: Fuat Nurili, Cem Demirkiran, Ezgi Aydin, Ozgur Kursat Sener. Thermography applications in breast imaging and comparison with the conventional systems. Eu Clin Anal Med 2021; 9(1): 6-10