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Öğe Differences in evaluation between geriatric and adult patients requiring pulmonary consultation(Springer Heidelberg, 2015) Karadeniz, Gulistan; Demir, Melike; Kaya, Halide; Yesil, Yusuf; Degerli, Semih; Yenibertiz, DeryaThe main aim of the study was to investigate the effects of age in pulmonary consultation and to evaluate differences between geriatric and adult patients. Consultation referrals to the clinic of chest diseases for patients from emergency, inpatient and outpatient clinics of a tertiary care general hospital between December 2010 and April 2011 were examined retrospectively. The patients were divided into two groups, namely those aged 65 years and over (geriatric patients) and those under the age of 65 years (adults). Out of 272 patients 135 (49.6 %) were geriatric patients and 137 (50.4 %) were adult patients. The mean age of the geriatric patients and adults was 75.6 +/- 7.1 years and 49.7 +/- 11.8 years, respectively. While the geriatric patients showed a significantly higher presence of pathologies in chest radiography, respiratory complaints and concomitant diseases compared to the adult group, the respiratory function test results were lower. The complaint of shortness of breath was higher in the geriatric group compared to the adult group (71 % in geriatric patients and 59.1 % in adults). The most common diagnosis was chronic obstructive pulmonary disease (COPD, 37 %) in the geriatric patients and asthma (27.7 %) in the adult patients. As to the results of consultations, treatment-oriented recommendations were given for 63 (46.6 %) geriatric patients and approval for operation was given for 75 (54.7 %) adult patients. Consultants should take the age of patients into consideration during evaluation in order to achieve the most appropriate treatment plan for these patients and reduce the potential postoperative complications to a minimum.Öğe Evaluation of mean platelet volume and platelet distribution width in patients with chronic obstructive pulmonary disease(European Respiratory Soc Journals Ltd, 2015) Karadeniz, Gulistan; Aktogu, Serir; Erer, Onur Fevzi; Kir, Serpil Bulac; Doruk, Sibel; Demir, Melike[Abstract Not Available]Öğe The evaluation of the factors that affects the smoking behaviours in a group of high school students in Turkey(European Respiratory Soc Journals Ltd, 2015) Demir, Melike; Karadeniz, Gulistan; Demir, Fikri; Karadeniz, Cem; Kaya, Halide; Yenibertiz, Derya; Aylan, Mahsuk T.[Abstract Not Available]Öğe EVALUATION OF TPEAK-TEND INTERVAL AND TPEAK-END/QT RATIO IN PATIENTS WITH SARCOIDOSIS(Mattioli 1885, 2016) Ucsular, Fatma; Karadeniz, Gulistan; Karadeniz, Cem; Yalniz, Enver; Demir, MelikeBackground: Tp-e interval which represents the interval between the peak and the end of the T-wave on electrocardiogram (ECG), can be used as a marker of transmural dispersion of repolarization. Also, Tp-e/QT and Tp-e/QTc ratios are used as an index of arrhythmogenesis. Prolonged Tp-e interval and Tp-e/QT ratio was found associated with sudden cardiac death in different clinical conditions. Novel ventricular repolarization parameters, Tp-e interval, Tp-e/QT and Tp-e/QTc ratios have not been evaluated in patients with sarcoidosis without cardiac symptoms previously. Therefore, we investigated Tp-e interval in patients with pulmonary sarcoidosis. Methods: Sixty-one consecutive patients diagnosed with biopsy-proven pulmonary sarcoidosis were retrospectively reviewed. The 12-lead ECG examinations were performed at speed of 25 mm/s while the patients were in supine position. QT dispersion, Tp-e intervals and Tp-e/QT ratio were measured. Results: Comparison of ECG parameters between two groups showed a significantly higher average heart rate (p<0.05) in the patients with sarcoidosis than controls. QT dispersion was higher in patients group. Tp-e interval was significantly prolonged in the study group compared to the control group (92+/-21 ms and 85+/-14 ms, respectively; p<0.05). Tp-e/QT and Tp-e/QTc ratios were significantly higher in patients with sarcoidosis compared to control subjects (all p values < 0.05). Conclusions: The novel repolarization parameters Tp-e interval, Tp-e/QT and Tp-e/QTc ratios are increased in patients with sarcoidosis without any cardiac symptoms. These parameters might be used as a marker for predicting the ventricular arrhythmias and sudden cardiac death in patients with sarcoidosis.Öğe Evaluation of ventricular arrhythmogenesis in patients with sarcoidosis(European Respiratory Soc Journals Ltd, 2015) Ucsular, Fatma; Karadeniz, Gulistan; Karadeniz, Cem; Yalniz, Enver; Demir, Melike[Abstract Not Available]Öğe The impact of anti-smoking laws on high school students in Ankara, Turkey(Soc Brasileira Pneumologia Tisiologia, 2015) Demir, Melike; Karadeniz, Gulistan; Demir, Fikri; Karadeniz, Cem; Kaya, Halide; Yenibertiz, Derya; Taylan, Mahsuk[Abstract Not Available]Öğe Predictive value of platelet-to-lymphocyte ratio in exacerbation of chronic obstructive pulmonary disease(Future Medicine Ltd, 2016) Karadeniz, Gulistan; Aktogu, Serir; Erer, Onur Fevzi; Kir, Serpil Bulac; Doruk, Sibel; Demir, Melike; Sonat, KubraAim: We aimed to assess the platelet-to-lymphocyte ratio (PLR) and platelet parameters in patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 60 stable COPD patients, 50 acute exacerbation COPD patients and 50 healthy controls were enrolled in this study. Results: The platelet distribution width and PLR were higher and the mean platelet volume was lower in the COPD patients during acute exacerbation compared with the stable patients and controls. The PLR was negatively correlated with the forced expiratory volume in 1 s. Conclusion: The PLR may be used as a useful and easily accessible tool for evaluating the ongoing inflammation during stable period and the disease severity during acute exacerbations in COPD patients.Öğe A rare complication of acupuncture: pneumothorax(Turkish Assoc Tuberculosis & Thorax, 2014) Demir, Melike; Oruc, Menduh; Dalli, Ayse; Kaya, Halide; Karadeniz, Gulistan[Abstract Not Available]