scholarly journals The relationship between disease severity and defense mechanisms in fibromyalgia syndrome

2020 ◽  
Vol 66 (1) ◽  
pp. 47-53
Author(s):  
Ejder Berk
Author(s):  
Aya Yassin ◽  
Maryam Ali Abdelkader ◽  
Rehab M. Mohammed ◽  
Ahmed M. Osman

Abstract Background Pulmonary embolism (PE) is one of the known sequels of COVID-19 infection. We aimed to assess the incidence of PE in patients with COVID-19 infection and to evaluate the relationship between the CT severity of the disease and the laboratory indicators. This was a retrospective study conducted on 96 patients with COVID-19 infection proved by positive PCR who underwent CT pulmonary angiography (CTPA) with a calculation of the CT severity of COVID-19 infection. Available patients’ complaint and laboratory data at the time of CTPA were correlated with PE presence and disease severity. Results Forty patients (41.7%) showed positive PE with the median time for the incidence of PE which was 12 days after onset of the disease. No significant correlation was found between the incidence of PE and the patients’ age, sex, laboratory results, and the CT severity of COVID-19. A statistically significant relation was found between the incidence of PE and the patients’ desaturation, hemoptysis, and chest pain. A highly significant correlation was found between the incidence of PE and the rising in the D-dimer level as well as the progressive CT findings when compared to the previous one. Conclusion CT progression and the rising in D-dimer level are considered the most important parameters suggesting underlying PE in patients with positive COVID-19 infection which is commonly seen during the second week of infection and alert the use of CT pulmonary angiography to exclude or confirm PE. This is may help in improving the management of COVID-19 infection.


2019 ◽  
Vol 55 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Miguel Ángel Martinez-Garcia ◽  
Rodrigo Athanazio ◽  
Giorgina Gramblicka ◽  
Mónica Corso ◽  
Fernando Cavalcanti Lundgren ◽  
...  

2003 ◽  
Vol 93 (7) ◽  
pp. 790-798 ◽  
Author(s):  
Pablo H. Rosso ◽  
Everett M. Hansen

Swiss needle cast (SNC), caused by the fungus Phaeocryptopus gaeumannii, is producing extensive defoliation and growth reduction in Douglas-fir forest plantations along the Pacific Northwest coast. An SNC disease prediction model for the coastal area of Oregon was built by establishing the relationship between the distribution of disease and the environment. A ground-based disease survey (220 plots) was used to study this relationship. Two types of regression approaches, multiple linear regression and regression tree, were used to study the relationship between disease severity and climate, topography, soil, and forest stand characteristics. Fog occurrence, precipitation, temperature, elevation, and slope aspect were the variables that contributed to explain most of the variability in disease severity, as indicated by both the multiple regression (r 2 = 0.57) and regression tree (RMD = 0.27) analyses. The resulting regression model was used to construct a disease prediction map. Findings agree with and formalize our previous understanding of the ecology of SNC: warmer and wetter conditions, provided that summer temperatures are relatively low, appear to increase disease severity. Both regression approaches have characteristics that can be useful in helping to improve our understanding of the ecology of SNC. The prediction model is able to produce a continuous prediction surface, suitable for hypothesis testing and assisting in disease management and research.


Author(s):  
Furkan Kaya ◽  
Petek Şarlak Konya ◽  
Emin Demirel ◽  
Neşe Demirtürk ◽  
Semiha Orhan ◽  
...  

Background: Lungs are the primary organ of involvement of COVID-19, and the severity of pneumonia in COVID-19 patients is an important cause of morbidity and mortality. Aim: We aimed to evaluate the visual and quantitative pneumonia severity on chest computed tomography (CT) in patients with coronavirus disease 2019 (COVID-19) and compare the CT findings with clinical and laboratory findings. Methods: We retrospectively evaluated adult COVID-19 patients who underwent chest CT, clinical scores, laboratory findings, and length of hospital stay. Two independent radiologists visually evaluated the pneumonia severity on chest CT (VSQS). Quantitative CT (QCT) assessment was performed using a free DICOM viewer, and the percentage of the well-aerated lung (%WAL), high-attenuation areas (%HAA) at different threshold values, and mean lung attenuation (MLA) values were calculated. The relationship between CT scores and the clinical, laboratory data, and length of hospital stay were evaluated in this cross-sectional study. The student's t-test and chi-square test were used to analyze the differences between variables. The Pearson correlation test analyzed the correlation between variables. The diagnostic performance of the variables was assessed using receiver operating characteristic (ROC) analysis was used. Results: The VSQS and QCT scores were significantly correlated with procalcitonin, d-dimer, ferritin, and C-reactive protein levels. Both VSQ and QCT scores were significantly correlated with disease severity (p<0.001). Among the QCT parameters, the %HAA-600 value showed the best correlation with the VSQS (r=730,p<0.001). VSQS and QCT scores had high sensitivity and specificity in distinguishing disease severity and predicting prolonged hospitalization. Conclusion: The VSQS and QCT scores can help manage the COVID-19 and predict the duration of hospitalization.


2012 ◽  
Vol 15 (7) ◽  
pp. A481
Author(s):  
E. Fogarty ◽  
C. Walsh ◽  
S. Grehan ◽  
S. Schmitz ◽  
C. McGuigan ◽  
...  

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