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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 | Melena:A rare complication of duodenal metastases from primary carcinoma of the lung显示文摘Small bowel metastases from primary carcinoma of the lung are very uncommon and occur usually in patients with terminal stage disease. These metastases are usually asymptomatic, but may present as perforation, obstruction, malabsorption, or hemorrhage. Hemorrhage as a first presentation of small bowel metastases is extremely rare and is related to very poor patient survival. We describe a case of a 61- year old patient with primary adenocarcinoma of the lung, presenting with melena as the first manifestation of small bowel metastasis. Both primary tumor and metastatic lesions were diagnosed almost simultaneously. Upper gastrointestinal endoscopy performed with a colonoscope revealed active bleeding from a metastatic tumor involving the duodenum and the proximal jejunum. Histological examination and immunohistochemical staining of the biopsy specimen strongly supported the diagnosis of metastatic lung adenocarcinoma, suggesting that small bowel metastases from primary carcinoma of the lung occur usually in patients with terminal disease and rarely produce symptoms. Gastrointestinal bleeding from metastatic small intestinal lesions should be included in the differential diagnosis of gastrointestinal blood loss in a patient with a known bronchogenic tumor. | Chrysoula Kostakou Lubna Khaldi Andrew Flossos Andreas N Kapsoritakis Spiros P Potamianos | 2007 | World Journal of Gastroenterology2007，13，8： | 2 |
| 3 | 3D monitoring of active tectonic structures显示文摘 | Stemberk J Kostak B Vilimek V | 2003 | Journal of Geodynamics2003，36，： | 1 |
| 4 | The Swiss lithoclast: an ideal intra-cosporeal lithotriptor显示文摘 | Kostak opoulos A Stavropoulos N J Prcramenos D | 1995 | Urol int1995，55，： | 1 |
| 5 | Fa- milial hypercholesterolemia and triglyceride metabo- lism 显示文摘 | Kolovou GD Kostakou PM Anagnostopoulou KK | 2011 | Int J Cardiol2011，147，3： | 1 |
| 6 | Pharmacogenetic study of cholesteryl ester transfer protein gene and simvastatin treatment in hypercholesterolaemic subjects显示文摘 | Anagnostopoulou K Kolovou G Kostakou P | | 0，，15： | 1 |
| 7 | Boreal-tethyan correlation of the Jurassic-Cretaceous boundary interval by magneto- and biostratigraphy显示文摘 | V. Hou?a P. Pruner V. A. Zakharov M. Kostak M. Chadima M. A. Rogov S. ?lechta M. Mazuch | 2007 | Stratigraphy and Geological Correlation2007，，3： | 1 |
| 8 | Boreal-tethyan correlation of the Jurassic-Cretaceous boundary interval by magneto- and biostratigraphy显示文摘 | V. Hou?a P. Pruner V. A. Zakharov M. Kostak M. Chadima M. A. Rogov S. ?lechta M. Mazuch | 2007 | Stratigraphy and Geological Correlation2007，，3： | 1 |
| 9 | Body mass index,lipid metabolism and estrogens:their impact on coronary heart disease显示文摘 | Kolovou GD Kolovou V Kostakou PM | 2014 | Curr Med Chem2014，21，30： | 1 |
| 10 | Strength distribution in hard rock显示文摘 | Kostak B Bielenstein H U | 1971 | International Journal of Rock Mechanics and Mining Sciences1971，8，4： | 1 |
| 11 | Efficacy of simvastatin or ezetimibe on tissue factor, yon Wille- brand's factor and C-reactive protein in patients with hy- percholesterolaemia显示文摘 | Kostakou P Kolovou G Anagnostoponlou K | 2010 | Arch Cardiovasc Dis2010，103，1： | 1 |
| 12 | Effect of prostacyclin on fibrinolytic activity in patients with arteriosclerosis obliterans 显示文摘 | DEMBINSKA KIEC A KOSTAK TRABKA E GRYG- LEWSKI RJ | 1982 | Thromb Haemost1982，47，2： | 1 |
| 13 | Combined effect of MAP and thyme essential oil on the mi- crobiological, chemical and sensory attributes of organically / aquacuhured sea bass (Dicentrarchus labrax) fillets显示文摘 | KOSTAK! M GIATRAKOU V SAVVAIDIS I N | 2009 | Food Microbiology2009，26，5： | 1 |
| 14 | Body mass in- dex, lipid metabolism and estrogens: their impact on coronary heart disease显示文摘 | Kolovou G D Kolovou V Kostakou P M | 2014 | Curr Med Chem2014，21，30： | 1 |
| 15 | Familial hypercholesterolemia and triglyceride metabolism显示文摘 | Kolovou GD Kostakou PM Anagnostopoulou KK | 2011 | Int J Cardiol2011，147，3： | 1 |
| 16 | Experiences of nursing students in caring for pediatric cancer patients显示文摘 | Kostak M A Mutlu A Bilsel A | 2014 | Asian Pac J Cancer Prev2014，15，5： | 1 |
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