Quantitative determination of pulmonary emphysema in follow-up LD-CTs of patients with COVID-19 infection.

PURPOSE: To evaluate the association between the coronavirus disease 2019 (COVID-19) and post-inflammatory emphysematous lung alterations on follow-up low-dose CT scans. METHODS: Consecutive patients with proven COVID-19 infection and a follow-up CT were retrospectively reviewed. The severity of pulmonary involvement was classified as mild, moderate and severe. Total lung volume, emphysema volume and the ratio of emphysema/-to-lung volume were quantified semi-automatically and compared inter-individually between initial and follow-up CT and to a control group of healthy, age- and sex-matched patients. Lung density was further assessed by drawing circular regions of interest (ROIs) into non-affected regions of the upper lobes. RESULTS: A total of 32 individuals (mean age: 64 ± 13 years, 12 females) with at least one follow-up CT (mean: 52 ± 66 days, range: 5-259) were included. In the overall cohort, total lung volume, emphysema volume and the ratio of lung-to-emphysema volume did not differ significantly between the initial and follow-up scans. In the subgroup of COVID-19 patients with > 30 days of follow-up, the emphysema volume was significantly larger as compared to the subgroup with a follow-up < 30 days (p = 0.045). Manually measured single ROIs generally yielded lower attenuation values prior to COVID-19 pneumonia, but the difference was not significant between groups (all p > 0.05). CONCLUSION: COVID-19 patients with a follow-up CT >30 days showed significant emphysematous lung alterations. These findings may help to explain the long-term effect of COVID-19 on pulmonary function and warrant validation by further studies.

Online teaching in radiology as a pilot model for modernizing medical education: results of an international study in cooperation with the ESR.

BACKGROUND: Due to the outbreak of the coronavirus disease 2019 (COVID-19), it proved necessary to rapidly change medical education from on-site to online teaching. Thus, medical educators were forced to rethink the purpose of teaching and the best form of transmission of knowledge. In cooperation with the European Society of Radiology (ESR), we investigated the attitudes of radiologists in Europe and North America toward innovative online teaching concepts. METHODS: In total, 224 radiologists from 31 different countries participated in our cross-sectional, web-based survey study. On a 7-point Likert scale, participants had to answer 27 questions about the online teaching situation before/during the pandemic, technical and social aspects of online teaching and the future role of online teaching in radiology. RESULTS: An overwhelming majority stated that radiology is particularly well-suited for online teaching (91%), that online teaching should play a more prominent role after the pandemic (73%) and that lecturers should be familiar with online teaching techniques (89%). Difficulties include a higher workload in preparing online courses (59%), issues with motivating students to follow online courses (56%) and the risk of social isolation (71%). Before the pandemic, only 12% of teaching was provided online; for the future, our participants deemed a proportion of approximately 50% online teaching appropriate. CONCLUSION: Our participants are open-minded about online teaching in radiology. As the best way of transferring knowledge in medical education is still unclear, online teaching offers potential for innovation in radiology education. To support online teaching development, a structured, framework-based "online curriculum" should be established.

Analyzing the service quality priorities in cargo transportation before and during the Covid-19 outbreak.

The aim of this study is to find out the most critical service quality priorities in cargo transportation before the Covid-19 and during the Covid-19 outbreak by applying the Fuzzy Importance-Performance-Impact Analysis (FIPIA) method. At the same time, it is also aimed to decide the best resource allocation in cargo services and to show the differences between both periods. This is the first study using the FIPIA method in determining the service quality priorities of consumers using cargo service. A total of 723 participants responded to the questionnaire consisting of 341 participants before the Covid-19 and 382 participants during the Covid-19 period. This study also examined whether there is a relationship between the sectors most frequently used in cargo service in both periods and service quality priorities and found the differences in consumers' sectors most frequently. According to data found in the study, the application of promotion and courteousness, and politeness of the personnel had the highest value in all service quality priorities before the Covid-19 outbreak. According to results, "evaluation of customer complaints in a short time" and "fast delivery" had the highest value in all service quality priorities after the Covid-19 outbreak. Evaluation of customer complaints in a short time and fast delivery had high importance values while performance and impact had relatively low importance, presenting a need to concentrate on these three-service qualities.

How Covid-19 pandemic and partial lockdown decisions affect air quality of a city? The case of Istanbul, Turkey.

The world is currently struggling with a new type of coronavirus (2019-nCoV) pandemic that first appeared in Wuhan, China, and then spread to almost all countries. As in other countries of the world, public authorities in Turkey are implementing many preventive and mitigating partial lockdown (PL) actions against the virus's effects. Some decisions and policies implemented before and after March 11, 2020, when the first virus case has been identified, have reduced people and traffic circulation, which has also turned into some improvements in air quality. At this point, this study aims to investigate how this pandemic affects the air quality of a metropolis. A case study of the city of Istanbul, the most affected city with more than half of Turkey's cases, is performed. In our analysis, we observe, compare, and discuss the impact of the COVID-19 pandemic and PL decisions on Istanbul city's air quality. We consider the particulate matter (PM10), sulfur dioxide (SO2), carbon monoxide (CO), nitrogen dioxide (NO2), nitrogen oxide (NO), nitrogen oxides (NOx), and ozone (O3) concentrations. We used data from 19 air monitoring stations (AMSs) and obtained improvements in the air quality for the pandemic period. In summary, the concentration levels in PM10, NO2, NO, and NOx result in a clear decline in pandemic times compared to the normal times in Istanbul. On the other hand, a non-homogenous trend for SO2 and CO concentrations is observed for different AMSs. A partial increase in O2 concentration is obtained in the comparison of before and during the PL period.

Outcomes of the Ophthalmic Examinations in Patients Infected by SARS-CoV-2.

Purpose: To evaluate ophthalmic examination results which were performed with slit-lamp biomicroscope, in patients with laboratory-confirmed SARS-CoV-2 infection.Methods: In the present study, 50 patients with laboratory-confirmed SARS-CoV-2 infection, were enrolled. Ophthalmic examination with slit-lamp biomicroscopy was performed and the results were evaluated.Results: The mean age of 50 patients (24 females, 26 males) included in this study, was 58,26 ± 18,91 years. In nine patients, bilateral acute follicular conjunctivitis was present. In two patients, acute anterior uveitis was seen. Optic disc and macula were normal in all patients. Preauricular lymphadenopathy (LAP) was found in 6 (12%) patients. Of these six patients, five had follicular conjunctivitis, and one had anterior uveitis.Conclusion: Acute follicular conjunctivitis with preauricular LAP and anterior uveitis were detected and no fundus pathologies were found in detailed ophthalmic examination in patients with laboratory-confirmed SARS-CoV-2 virus infection.

The Effect of the Presence of Lower Urinary System Symptoms on the Prognosis of COVID-19: Preliminary Results of a Prospective Study.

PURPOSE: To investigate the effectiveness of benign prostatic hyperplasia (BPH)-related lower urinary tract symptoms (LUTS), which occur as a natural result of aging and androgen exposure, in predicting disease prognosis in male patients diagnosed with COVID-19. METHODS: The study was planned prospectively. The study included 63 male patients over 40 years of age diagnosed with COVID-19. The patients were diagnosed with COVID-19 based on the results of reverse transcription polymerase chain reaction tests of oropharyngeal and nasopharyngeal swabs obtained as per the World Health Organization guidelines. The presence of LUTS was assessed by the International Prostate Symptom Score (I-PSS), a subjective assessment, and the I-PSS was filled for the patients included in the study. The patients were divided into three groups based on their scores in the I-PSS survey: group 1: mild (0-7), group 2: moderate (8-19), and group 3: severe (20-35). The data of all three groups were statistically analyzed. RESULTS: In the assessment performed between the groups, it was identified that for patients in group 3, the length of hospital stay was longer, intensive care requirement was more frequent, and their mortality rates were numerically higher. In the evaluation made regarding the time to intensive care admittance, this was identified to be the shortest in group 3. CONCLUSION: As a result of our study, we think that in patients with COVID-19, BPH-related LUTS can guide clinicians in predicting prognosis.