Investigation of Thyroid Metabolism Diseases in Kütahya Region

Aim: The study was performed on the sera sent for other diagnostic purposes like thyroid function tests (thyroid-stimulating hormone, total triiodothyronine and total thyroxin) to the Laboratory of Kütahya Hıfzısıhha Institute. Material and Method: Patients visiting 13 health care centers province and districts of Kütahya province were included in this study. The study popula-tion consisted of 320 patients. Serum levels of cholesterol, trigliserid, HDL-cholesterol, LDL-cholesterol and lipid were measured. Results: The results of our study showed 250 individuals (78.12%) to be within normal ranges, 42 (13.12%) as hypothyroid, and 28 (8.75%) were hyperthyroid. Hypothyroid pa-tients had significantly higher levels of cholesterol, LDL-cholesterol, lipid and thyroid-stimulating hormone levels (p<0.05). While hyperthyroid patients had significantly lower levels of cholesterol, LDL-cholesterol and lipid levels when compared with patients with normal thyroid hormone levels (p<0.05); Thyroxin levels were significantly higher (p<0.05). Discussion: The results of this study showed that the population under study was at risk of goiter diseases

New Stratigraphic and Palaeogeographic Results from the Palaeozoic and Early Mesozoic of the Middle Pontides (Northern Turkey) in the Azdavay, Devrekani, Küre and Inebolu Areas: Implications for the Carboniferous-Early Cretaceous Geodynamic Evolution and Some Related Remarks to the Karakaya Oceanic Rift Basin

The Küre Complex of the Middle Pontides, northern Turkey, is not a remnant of the Palaeotethys but consists of three different units with differing geological history, the Küre Ridge Unit, the Küre Ocean Unit and the Çalça Unit. The Küre Ridge Unit consists of the Serveçay Group, a pre-Permian, low-grade metamorphic Variscan oceanic sequence, and the Sirçalik Group, a Lower and Middle Triassic shallow-water sequence of North Alpine facies and event succession which disconformably overlies the Serveçay Group. Following a hiatus, the Sirçalik Group is overlain by marginal parts of the Akgöl Group with olistoliths of local origin which were derived mainly from the Sirçalik Group. The Küre Ocean Unit consists mostly of the Akgöl Group (siliciclastic turbidites and olistostromes of the Karadagtepe Formation, which is a middle Carnian to Middle Jurassic accretionary complex from the southern, active margin of the Küre Ocean, and mainly Middle Jurassic molasse type shallow-water sandstones, siltstones and shales of an unnamed formation) and of thick oceanic basalts (Ipsinler Basalt). Tectonic slices of Middle Triassic to lower Carnian ophiolites and basalts are also present. The Karadagtepe Formation contains numerous Middle Triassic exotic olistoliths and blocks of shallow-water and predominantly slope and basinal limestones, ocean-floor deep-sea sediments (shales and radiolarites), basalts and small clasts of ophiolites or ophiolitic detritus. The Çalça Unit consists of deposits from the northern, passive margin of the Küre ocean with many Pelsonian to upper Norian Hallstatt Limestones and Rhaetian-Lower Jurassic (?Middle Jurassic) deep-water shales and marls. All three units are overlain following a period of non deposition by the Upper Jurassic Bürnük Formation (red conglomerate, sandstone) and Inalti Formation (shallow-water platform carbonates). The Küre Ridge Unit was split away from the Variscan Sakarya Continent by the opening of the Karakaya oceanic rift basin during latest Permian (Dorashamian) and became a continental splinter between the Karakaya oceanic rift basin and the Küre Ocean (opened during the late Scythian). Southward subduction began in the Küre Ocean during the middle Carnian (beginning of the Karadagtepe siliciclastic turbidites), whereas at the northern passive margin the deposition of Hallstatt Limestones continued until the latest Norian. The deposition of siliciclastic turbidites and olistostromes (Diskaya Unit) began in the entire Karakaya oceanic rift basin during the middle Carnian, and ocean basin deposits (radiolarites, pelagic limestones) and slope deposits form the passive margin (e.g., Hallstatt Limestones) are no more present in the Karakaya oceanic rift basin indicating that this basin was very narrow (only a few hundreds of kilometres). During the late Norian, the Karakaya oceanic rift basin closed, whereas subduction at the southern (active margin) of the Küre ocean continued. At the northern margin of the (Upper Triassic?) Jurassic-Lower Cretaceous Beykoz-Çaglayan turbidite basin (north of the Küre Complex) the accretionary complex of an older ocean, the Late Palaeozoic Paphlagonian Ocean, was exposed that yielded clasts in the Beykoz-Çaglayan turbidite basin. Among these clasts Carboniferous to Middle Permian (Capitanian) pelagic rocks (pelagic limestones, radiolarites) could be dated. A Middle to Late Permian southward-directed subduction is assumed for the Paphlagonian Ocean. Its closure occurred either at the end of the Permian or during the Scythian

Diagnostic errors in clinical FDG-PET/CT

Purpose: To determine the frequency, types, and determinants of diagnostic errors in clinical FDG-PET/CT, based on addenda to the original report. Materials and Methods: This retrospective study included 4,099 consecutive clinical FDG-PET/CT scans with corresponding reports that were made at a tertiary care center in an 18-month period. FDG-PET/CT reports were scrutinized for the presence of an addendum enclosing a diagnostic error. Results: 90 of 4,099 FDG-PET/CT reports (2.2%) contained an addendum enclosing a diagnostic error. The distribution of perceptual and cognitive errors among these 90 diagnostic errors was 54 (60.0%)/36 (40.0%). On multivariate logistic regression analysis, only low-dose FDG-PET/CT combined with concomitantly acquired and interpreted full-dose contrast-enhanced CT remained as significantly and independently associated with the presence of a diagnostic error, relative to low-dose FDG-PET/CT without concomitantly acquired and interpreted full-dose contrast-enhanced CT (odds ratio: 2.79 [95% confidence interval: 1.61-4.851, P <0.001). Patient age, gender, hospital status, indication for FDG-PET/CT scanning, single vs. double reading (i.e. two medical imaging specialists), reader experience, and reading by a nuclear medicine physician only vs. reading by both a nuclear medicine physician and a radiologist, were not significantly and independently associated with the presence of a diagnostic error. Conclusion: Diagnostic errors in clinical FDG-PET/CT based on addenda to the original report are relatively infrequent, though certainly non-negligible. Perceptual errors are slightly more frequent than cognitive errors. The availability of a concomitantly acquired and interpreted full-dose contrast-enhanced CT seems to increase diagnostic error rate. These data can be used for quality improvement and benchmarking purposes

Serum IGF-1 Affects Skeletal Acquisition in a Temporal and Compartment-Specific Manner

Insulin-like growth factor-1 (IGF-1) plays a critical role in the development of the growing skeleton by establishing both longitudinal and transverse bone accrual. IGF-1 has also been implicated in the maintenance of bone mass during late adulthood and aging, as decreases in serum IGF-1 levels appear to correlate with decreases in bone mineral density (BMD). Although informative, mouse models to date have been unable to separate the temporal effects of IGF-1 depletion on skeletal development. To address this problem, we performed a skeletal characterization of the inducible LID mouse (iLID), in which serum IGF-1 levels are depleted at selected ages. We found that depletion of serum IGF-1 in male iLID mice prior to adulthood (4 weeks) decreased trabecular bone architecture and significantly reduced transverse cortical bone properties (Ct.Ar, Ct.Th) by 16 weeks (adulthood). Likewise, depletion of serum IGF-1 in iLID males at 8 weeks of age, resulted in significantly reduced transverse cortical bone properties (Ct.Ar, Ct.Th) by 32 weeks (late adulthood), but had no effect on trabecular bone architecture. In contrast, depletion of serum IGF-1 after peak bone acquisition (at 16 weeks) resulted in enhancement of trabecular bone architecture, but no significant changes in cortical bone properties by 32 weeks as compared to controls. These results indicate that while serum IGF-1 is essential for bone accrual during the postnatal growth phase, depletion of IGF-1 after peak bone acquisition (16 weeks) is compartment-specific and does not have a detrimental effect on cortical bone mass in the older adult mouse

Systematic Review and Meta-Analysis on the Value of Chest CT in the Diagnosis of Coronavirus Disease (COVID-19):Sol Scientiae, Illustra Nos

OBJECTIVE. The purpose of this article is to systematically review and meta-analyze the diagnostic accuracy of chest CT in detecting coronavirus disease (COVID-19). MATERIALS AND METHODS. MEDLINE was systematically searched for publications on the diagnostic performance of chest CT in detecting COVID-19. Methodologic quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool. Meta-analysis was performed using a bivariate random-effects model. RESULTS. Six studies were included, comprising 1431 patients. All six studies included patients at high risk of COVID-19, and five studies explicitly reported that they included only symptomatic patients. Mean prevalence of COVID-19 was 47.9% (range, 27.6–85.4%). High or potential risk of bias was present throughout all QUADAS-2 domains in all six studies. Sensitivity ranged from 92.9% to 97.0%, and specificity ranged from 25.0% to 71.9%, with pooled estimates of 94.6% (95% CI, 91.9–96.4%) and 46.0% (95% CI, 31.9–60.7%), respectively. The included studies were statistically homogeneous in their estimates of sensitivity (p = 0.578) and statistically heterogeneous in their estimates of specificity (p < 0.001). CONCLUSION. Diagnostic accuracy studies on chest CT in COVID-19 suffer from methodologic quality issues. Chest CT appears to have a relatively high sensitivity in symptomatic patients at high risk of COVID-19, but it cannot exclude COVID-19. Specificity is poor. These data, along with other local factors such as COVID-19 prevalence, available real-time reverse transcriptase–polymerase chain reaction tests, staff, hospital, and CT scanning capacity, can be useful to healthcare professionals and policy makers to decide on the utility of chest CT for COVID-19 detection in the hospital setting

The value of prebiopsy FDG-PET/CT in discriminating malignant from benign vertebral bone lesions in a predominantly oncologic population

Purpose: To determine the value of prebiopsy 18F-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET)/computed tomography (CT) in discriminating malignant from benign vertebral bone lesions. Materials and methods: This retrospective study included 53 patients with 55 vertebral bone lesions that underwent FDG-PET/CT before CT-guided biopsy. Pathologic examination of the biopsy sample and a minimum follow-up of 1 year were used as reference standard. Results: Sensitivity, specificity, positive predictive value, and negative predictive value of visual FDG-PET analysis (with lesion FDG uptake higher than liver FDG uptake as threshold for malignancy) in discriminating malignant from benign vertebral bone lesions were 91.3% (42/46), 22.2% (2/9), 85.7% (42/49), and 33.3% (2/6), respectively. The semiquantitative FDG-PET metrics SUVmax and SUVpeak achieved areas under the receiver operating characteristics curve of 0.630 and 0.671, respectively. Malignant lesions demonstrated bone lysis more frequently than benign lesions (60.9% (28/46) vs. 22.2% (2/9)), and this difference was nearly significant (P = 0.064). All other clinical and conventional imaging characteristics (including patient age, gender, previous diagnosis of malignancy, bone pain, weight loss, any CT abnormality, sclerosis, cortical destruction, bone marrow replacement, associated extraosseous soft tissue mass, and accompanying vertebral height loss, multiple bone lesions on FDG-PET/CT, and suspicious extraosseous lesions on FDG-PET/CT) were not significantly different (P = 0.143 to 1.000). Conclusion: FDG-PET/CT may steer the diagnosis (particularly thanks to a relatively high PPV and value of semiquantitative measurements), but cannot always classify vertebral bone lesions as malignant or benign with sufficient certainty. In these cases, biopsy and/or follow-up remain necessary to establish a final diagnosis

Classical generalized constant coupling model for geometrically frustrated antiferromagnets

A generalized constant coupling approximation for classical geometrically frustrated antiferromagnets is presented. Starting from a frustrated unit we introduce the interactions with the surrounding units in terms of an internal effective field which is fixed by a self consistency condition. Results for the magnetic susceptibility and specific heat are compared with Monte Carlo data for the classical Heisenberg model for the pyrochlore and kagome lattices. The predictions for the susceptibility are found to be essentially exact, and the corresponding predictions for the specific heat are found to be in very good agreement with the Monte Carlo results.Comment: 4 pages, 3 figures, 2 columns. Discussion about the zero T value of the pyrochlore specific heat correcte

Chest CT Imaging Signature of Coronavirus Disease 2019 Infection In Pursuit of the Scientific Evidence:in pursuit of the scientific evidence

BACKGROUND: Chest CT may be used for the diagnosis of coronavirus disease 2019 (COVID-19), but clear scientific evidence is lacking. Therefore, we systematically reviewed and meta-analyzed the chest CT imaging signature of COVID-19.RESEARCH QUESTION: What is the chest CT imaging signature of COVID-19 infection?STUDY DESIGN AND METHODS: A systematic literature search was performed for original studies on chest CT imaging findings in patients with COVID-19. Methodologic quality of studies was evaluated. Pooled prevalence of chest CT imaging findings were calculated with the use of a random effects model in case of between-study heterogeneity (predefined as I-2 =50); otherwise, a fixed effects model was used.RESULTS: Twenty-eight studies were included. The median number of patients with COVID-19 per study was 124 (range, 50-476), comprising a total of 3,466 patients. Median prevalence of symptomatic patients was 99% (range, &gt;76.3%-100%). Twenty-seven of the studies (96%) had a retrospective design. Methodologic quality concerns were present with either risk of or actual referral bias (13 studies), patient spectrum bias (eight studies), disease progression bias (26 studies), observer variability bias (27 studies), and test review bias (14 studies). Pooled prevalence was 10.6% for normal chest CT imaging findings. Pooled prevalences were 90.0% for posterior predilection, 81.0% for ground-glass opacity, 75.8% for bilateral abnormalities, 73.1% for left lower lobe involvement, 72.9% for vascular thickening, and 72.2% for right lower lobe involvement. Pooled prevalences were 5.2% for pleural effusion, 5.1% for lymphadenopathy, 4.1% for airway secretions/tree-in-bud sign, 3.6% for central lesion distribution, 2.7% for pericardial effusion, and 0.7% for cavitation/cystic changes. Pooled prevalences of other CT imaging findings ranged between 10.5% and 63.2%.INTERPRETATION: Studies on chest CT imaging findings in COVID-19 suffer from methodologic quality concerns. More high-quality research is necessary to establish diagnostic CT criteria for COVID-19. Based on the available evidence that requires cautious interpretation, several chest CT imaging findings appear to be suggestive of COVID-19, but normal chest CT imaging findings do not exclude COVID-19, not even in symptomatic patients.</p