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| 1 | Clinical probability and risk analysis of patients with suspected pulmonary embolism显示文摘BACKGROUND: Pulmonary embolism(PE) is one of the most frequent diseases that could be missed in overcrowded emergency departments as in Turkey. Early and accurate diagnosis could decrease the mortality rate and this standard algorithm should be defi ned. This study is to fi nd the accurate, fast, non-invasive, cost-effective, easy-to-access diagnostic tests, clinical scoring systems and the patients who should be tested for clinical diagnosis of PE in emergency department.METHODS: One hundred and forty patients admitted to the emergency department with the fi nal diagnosis of PE regarding to anamnesis, physical examination and risk factors, were included in this prospective, cross-sectional study. The patients with a diagnosis of pulmonary embolism, acute coronary syndrome or infection and chronic obstructive pulmonary disease(COPD) were excluded from the study. The demographics, risk factors, radiological fi ndings, vital signs, symptoms, physicallaboratory fi ndings, diagnostic tests and clinical scoring systems of patients(Wells and Geneva) were noted. The diagnostic criteria for pulmonary emboli were: fi lling defect in the pulmonary artery lumen on spiral computed tomographic angiography and perfusion defect on perfusion scintigraphy.RESULTS: Totally, 90(64%) of the patients had PE. Age, hypotension, having deep vein thrombosis were the risk factors, and oxygen saturation, shock index, BNP, troponin and fi brinogen levels as for the biochemical parameters were signifi cantly different between the PE(+) and PE(–) groups(P<0.05).The Wells scoring system was more successful than the other scoring systems.CONCLUSION: Biochemical parameters, clinical findings, and scoring systems, when used altogether, can contribute to the diagnosis of PE. | Gulden Ozeren Yetgin Sule Akkose Aydin Ozlem Koksal Fatma Ozdemir Dilek Kostak Mert Gokhan Torun | 2014 | World Journal of Emergency Medicine2014，5，4： | 20 |
| 2 | A case of solid pseudopapillary tumor of the pancreas显示文摘We present ultrasound, computed tomography and magnetic resonance imaging findings in a case with pancreatic solid pseudopapillary tumor and their correlations with histopathology. Ultrasound revealed a hypoechogenic mass, and computed tomography revealed a hypodense mass at the pancreatic head minimally enhanced after intravenous contrast agent administration. Magnetic resonance imaging showed a hypointense mass on unenhanced T1-weighted images including a hyperintense focus representing the hemorrhage. The lesion was hyperintense on T2- weighted images. On the postcontrast images the lesion showed peripheral thin contrast enhancement in arterial phase and enhanced slightly diffusely in venous and equilibrium phases. The patient underwent elective resection of the mass and pancreatoduodenectomy with jejunostomy tube placement. A final diagnosis of solid pseudopapillary tumor was made histopathologically. Solid pseudopapillary tumor is a rare pancreatic tumor. It is important to make the diagnosis preoperatively because with an adequate surgical resection the prognosis is good. A multimodalitary approach, especially magnetic resonance imaging can suggest the diagnosis without the need for biopsy. | Ozan Karatag Gulden Yenice Huseyin Ozkurt Muzaffer Basak Can Basaran Banu Yilmaz | 2006 | World Journal of Gastroenterology2006，12，38： | 4 |
| 3 | Disc-condyle Relationships during Class II Treatment with the Functional Mandibular Advancer (FMA) 显示文摘 | Kinzinger G Gulden N Roth A | 2006 | J Orofac Orthop2006，67，5： | 1 |
| 4 | Integrating envi ronmental,social and economic systems:A dynamic model of tourism in Dominica显示文摘 | Trista Patterson Tim Gulden Ken Cousins And Egor Kraev | 2004 | Ecological Modelling2004，175，2： | 1 |
| 5 | Homocysteine and blood pressure显示文摘 | Van Guldener C Nanayakkara PW Stehouwer CD | 2003 | Curr Hypertens Rep2003，5，1： | 1 |
| 6 | Impaired renal function is associated with markers of endothelial dysfunction and increased inflammatory activity显示文摘 | Stam F van Guldener C Schalkwijk CG | 2003 | Nephrol Dial Transplant2003，18，5： | 1 |
| 7 | Disc--condyle re- lationships during Class II treatment with the functional mandibular advancer (FMA)显示文摘 | Kinzinger G Gulden N Roth A | 2006 | J Orofac Orthop2006，67，5： | 1 |
| 8 | Integrating en- vironmental, social and economic systems: A dynamic model of tourism in dominica 显示文摘 | PATTERSON T GULDEN T COUSINS K | 2004 | Ecological Modelling2004，175，2： | 1 |
| 9 | Periodontal ligament cel s cultured under steady-flow environments demonstrate potential for use in heart valve tissue engineering显示文摘 | Martinez C Rath S Van Gulden S | | 0，，3： | 1 |
| 10 | Integrating environmental, social and economic systems: a dynamic model of tourism in Dominica显示文摘 | Trista Patterson Tim Gulden Ken Cousins Egor Kraev | 2003 | Ecological Modelling2003，，2： | 1 |
| 11 | Integrating envi- ronmental, social and economic systems:a dynamic model of tourism in Dominica显示文摘 | Patterson T Gulden T Cousins K | 2004 | Ecological Modelling2004，175，： | 1 |
| 12 | Genetic diversity of feral alfalfa ( Medicago sativa L.) populations occurring in Manitoba, Canada and comparison with alfalfa cultivars: an analysis using SSR markers and phenotypic traits显示文摘 | M. V. Bagavathiannan B. Julier P. Barre R. H. Gulden R. C. Acker | 2010 | Euphytica2010，，3： | 1 |
| 13 | Does homocysteine cause hypertension显示文摘 | Stehouwer CD van Guldener C | 2003 | Clin Chem Lab Med2003，41，： | 1 |
| 14 | Wireless Local Positionin显示文摘 | Vossiek M Wiebking L Gulden P | 2003 | IEEE Microwave magazine2003，，： | 1 |
| 15 | Work environment and prostate cancer risk 显示文摘 | Gulden JW Kolk J J Verbeek AL | 1995 | Prostate1995，27，5： | 1 |
| 16 | No net renal extraction of homocysteine in fasting humans显示文摘 | van Guldener C Donker AJ Jakobs C | 1998 | Kidney Int1998，54，： | 1 |
| 17 | Response to Abscisic Acid Application and Hormone Profiles in Spring Brassica Napus Seed in Relation to Secondary Dormancy显示文摘 | GULDEN R H CHIWOCHA S ABRAMS S | 2004 | Canadian Journal of Botany2004，82，： | 1 |
| 18 | Homocysteine metabolism in renal failure显示文摘 | Van Guldener C Stam F Stehouwer CD | 2001 | Kidney Int Suppl2001，78，： | 1 |
| 19 | Penieillium bilaii inoculation increases root-hair production in field pea显示文摘 | Gulden R H Vessey J K | 2000 | Canadian Journanl of Plant science2000，80，4： | 1 |
| 20 | Roundup Ready soybean gene concentrations in field soil aggregate size classes 显示文摘 | Levy- Booth D J Gulden R H Campbell R G | 2009 | FEMS Microbiology Let- ters2009，291，2： | 1 |
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