Browsing by Author "Dusak, Abdurrahim"

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The Diagnostic Value of Bladder-Wall Thickness and Arfi Elastography of Bladder Wall Amongst Patients With Bph
(Duzce Univ, Fac Medicine, 2022) Alan, Bircan; Goya, Cemil; Utangac, Mazhar; Dusak, Abdurrahim
Objective: The present study identified bladder-wall thickness and, through the use of ARFI elastography, bladder-wall elasticity values amongst patients with benign prostate hyperplasia (BPH), then examined their relationship with the disease diagnosis and progression. Methods: The study included 60 patients with BPH (patient group) and 50 healthy volunteers (control group). All members of the patient and control groups were measured for bladder-wall thickness (BWT) and bladder-wall mean shear-wave velocity (BW mean SWV) values, as well as for uroflowmetry parameters. The patient group was divided into the sub-groups of mild-medium and severe BPH, according to the International Prostate Symptom Score (IPSS). The patient and control groups and their sub-groups were compared amongst themselves. Results: Whilst the BPH group indicated a mean wall thickness of 6.3 +/- 2 mm (range: 3-12 mm), the control group yielded a result of 2.8 +/- 0.7 mm (range: 2-5 mm), which led to the conclusion that there was a significant difference between these groups (p<0.01). The BWmeanSWV value was 1.39 +/- 0.5 m/s (range: 0.60-2.65 m/s) for the BPH group and 1.01 +/- 0.2 m/s (range: 0.60-1.50 m/s) for the control group, and this also indicated the presence of a significant difference between the groups (p<0.01). According to the IPSS, BWT was observed to be significantly higher in the severe sub-group when compared to the mild-medium BPH group [(5.07 +/- 1 mm; range: 3-7 mm), (6.8 +/- 2 mm; range: 4-12 mm), p<0.01). Conclusions: When compared to the control group, patients with BPH showed significantly higher BWT and BWmeanSWV values; these two parameters may provide an additional method in the diagnosis of bladder outlet obstruction secondary to BPH. BWT, increasing in parallel with the severity of BPH, may be utilised in the follow-up for BPH progression.
The Role of Initial Radiologic and Clinical Manifestations in Predicting the Prognosis for Pneumonia Caused by H1n1 Influenza Virus
(Ame Publishing Company, 2014) Goya, Cemil; Yavuz, Alpaslan; Hamidi, Cihad; Cetincakmak, Mehmet Guli; Teke, Memik; Hattapoglu, Salih; Dusak, Abdurrahim
Objective: The aim of this study is to investigate the prognostic values of initial radiologic findings and preexisting medical conditions in pneumonia caused by H1N1 influenza virus that were obtained during the novel swine-origin influenza A (H1N1) virus (S-OIV) pandemic spread. Methods: Thirty-nine patients hospitalized due to H1N1 infection between September and December 2009 were retrospectively evaluated regarding the radiologic and clinical aspects. The thoracic computed tomography (CT) findings of all patients were assessed and accompanying conditions that may raise the morbidity were stated. The patients were divided into two groups as those who needed the intensive care unit administration and those treated with brief hospitalization; initial radiologic findings and preexisting medical situations of patients were compared among both groups respectively in terms of their prognostic value. Results: In 39 patients with H1N1 infection (21 males and 18 females; mean age of 53.9 +/- 14 in range between 19 and 99 years); the necessity of intensive care was significantly higher in patients with solely chronic obstructive pulmonary disease (COPD) (P=0.008, Odds ratio: 27) or co-existence of COPD and malignity (Odds ratio: 13); however, no statistically significant difference between two groups was observed regarding the radiologic facts or other combinations of accompanying medical conditions in terms of any effects to the prognosis. Conclusions: In the H1N1 (S-OIV) pandemic, we observed that merely the contribution to the diagnostic process; the radiologic features have no significance as being prognostic indicator. Additionally; the superposition of H1N1 infection in patients with either COPD or COPD by malignity was stated to be a potential risk factor in terms of increased morbidity.