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    CAN DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING DIFFERENTIATE BETWEEN INFLAMMATORY-INFECTIOUS AND MALIGNANT PLEURAL EFFUSIONS?
    (Assoc Royal Soc Scientifiques Medicales Belges, 2015) Karatag, O.; Alar, T.; Kosar, S.; Ocakoglu, G.; Yildiz, Y.; Gedik, E.; Gonlugur, U.
    Aim: To assess exudative pleural effusions with diffusion-weighted magnetic resonance imaging (DW-MRI) in order to determine non-invasive differentiation criteria for inflammatory-infectious and malignant effusions. Materials and methods: Thirty-two patients with pleural effusions underwent DW-MRI with 4 different b values (10, 500, 750 and 1000 s/mm(2)). ADC maps were generated automatically. Signal intensity and ADC values were measured. Following MRI, pleural fluid of 10-15 ml was obtained and analyzed. AUC values were compared for different diffusion levels of ADC and SI measurements. The relationship between ADC values and pleural effusion LDH and total protein levels was examined. Results: The cut-off values obtained from signal intensity and ADC measurements to differentiate exudates with malignant pathology were not found to be statistically significant. In the inflammatory-infectious group, a significant negative correlation was observed between ADC values and pleural fluid LDH measurements in all b values. In the malignant group, a significant positive correlation was observed between ADC values and pleural fluid total protein measurements in b values of 500 and 1000. Conclusion:Infectious/inflammatory and malignant effusions overlap strongly and cannot therefore be differentiated using DW MRI.
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    Depression-Anxiety Symptoms Have Negative Effect On Quality Of Life In Older Cases And Patients With Moderate COPD
    (Amer Thoracic Soc, 2013) Mirici, A.; Yildiz, M.; Oyekcin, D. G.; Gonlugur, U.
    [Anstract Not Available]
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    FREQUENCY OF EXACERBATION - THE RESULTS FROM REAL LIFE: RECORDS OF SOCIAL SECURITY SYSTEM IN TURKEY
    (Wiley-Blackwell, 2014) Mirci A, Akbas B.; Gonlugur, U.
    [Anstract Not Available]
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    RELATIONSHIP BETWEEN METEOROLOGICAL CONDITIONS AND COPD EXACERBATIONS
    (Wiley-Blackwell, 2014) Akbas, B.; Mirici, A.; Gonlugur, U.
    [Anstract Not Available]
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    The Retrospective Annual Surgical Incidence of Cystic Echinococcosis in Sivas, Turkey
    (Wiley-Blackwell Publishing, Inc, 2009) Gonlugur, U.; Ozcelik, S.; Gonlugur, T. E.; Arici, S.; Celiksoz, A.; Elagoz, S.; Cevit, R.
    Cystic echinococcosis is an important public health problem in our region. The aim of this study was to assess the surgical incidence of cystic echinococcosis in Sivas, Turkey. A retrospective follow-up study was carried out between 1997 and 2004. The mean age of 124 men (39.2%) and 192 women was 36.4 years. The liver was the primary site of cyst development (76.6%), followed by the lungs (19.9%), the spleen (5.4%), the kidneys (3.5%) and the peritoneal cavity (3.2%). Mean annual surgical incidence was 6.4 per 100 000 inhabitants for a 7-year period. The most common site of recurrence was the liver. Hepatic cysts were more frequently infected than pulmonary cysts (P < 0.05). In those patients with an infected cyst, the mean circulating eosinophil level was significantly lower than in those without. Rupture and infection were more common in men (P < 0.01). In conclusion, serious structural, legislative, surveillance, prevention and control measures for echinooccus should be undertaken in our region.