Aim: To determine the knowledge levels, attitudes, and behaviors of pregnant women who come to the obstetrics clinic in a university hospital about prenatal screening tests.
Method: It is a descriptive cross-sectional study. The population consists of approximately 900 pregnant women who are 28 weeks and beyond, who applied to …….. University Faculty of Medicine, Obstetrics and Gynecology outpatient clinic between October-December 2021. The research questionnaire was applied face to face to those who agreed to participate in the study. The data form consisting of 21 questions included questions about the descriptive characteristics and obstetric histories of pregnant women.
Results: 254 people participated. The mean gestational week of the participants was 34.9±3.9 (min:28-max:41). The most common screening tests were detailed ultrasound (80.7%) and double screening tests. Those who received information from their obstetrician had a significantly higher rate of having the test. When the participants' knowledge scores about prenatal screening tests are evaluated, respectively; Detailed ultrasound knowledge score was 5.6±0.9, Double test 5.0±1.3, Oral Glucose Tolerance Test 4.8±1.1, and Triple test 4.7±1.2(min:2-max:7). When the reasons for not having prenatal screening tests were questioned, the most common answer for all screening tests was "I don't think the test is necessary". For the OGTT, the second most common reason for not having it done was because they heard from the media that the test was harmful. The fact that the pregnant women had a double and triple screening, went to regular controls and had a high double-triple test knowledge score had a significant effect. Amniocentesis was recommended for 3.5% of the pregnant women based on prenatal test results, but none of them had amniocentesis. In case of unfavorable prenatal test results, the majority of pregnant women were considering continuing the pregnancy.
Conclusion: In this study, we found that the rate of testing increased with the increasing knowledge level of pregnant women and physician counseling. In this context, health professionals should provide women with the necessary education about screening and diagnostic tests to enable them to make informed decisions.
{"title":"KNOWLEDGE LEVELS, ATTITUDES, AND BEHAVIORS OF PREGNANTS ABOUT PRENATAL SCREENING TESTS: A SECTIONAL STUDY","authors":"Seher KARAHAN, Dilay KARADEMİR, Ezgi AĞADAYI","doi":"10.7197/cmj.1344696","DOIUrl":"https://doi.org/10.7197/cmj.1344696","url":null,"abstract":"Aim: To determine the knowledge levels, attitudes, and behaviors of pregnant women who come to the obstetrics clinic in a university hospital about prenatal screening tests.
 Method: It is a descriptive cross-sectional study. The population consists of approximately 900 pregnant women who are 28 weeks and beyond, who applied to …….. University Faculty of Medicine, Obstetrics and Gynecology outpatient clinic between October-December 2021. The research questionnaire was applied face to face to those who agreed to participate in the study. The data form consisting of 21 questions included questions about the descriptive characteristics and obstetric histories of pregnant women.
 Results: 254 people participated. The mean gestational week of the participants was 34.9±3.9 (min:28-max:41). The most common screening tests were detailed ultrasound (80.7%) and double screening tests. Those who received information from their obstetrician had a significantly higher rate of having the test. When the participants' knowledge scores about prenatal screening tests are evaluated, respectively; Detailed ultrasound knowledge score was 5.6±0.9, Double test 5.0±1.3, Oral Glucose Tolerance Test 4.8±1.1, and Triple test 4.7±1.2(min:2-max:7). When the reasons for not having prenatal screening tests were questioned, the most common answer for all screening tests was \"I don't think the test is necessary\". For the OGTT, the second most common reason for not having it done was because they heard from the media that the test was harmful. The fact that the pregnant women had a double and triple screening, went to regular controls and had a high double-triple test knowledge score had a significant effect. Amniocentesis was recommended for 3.5% of the pregnant women based on prenatal test results, but none of them had amniocentesis. In case of unfavorable prenatal test results, the majority of pregnant women were considering continuing the pregnancy.
 Conclusion: In this study, we found that the rate of testing increased with the increasing knowledge level of pregnant women and physician counseling. In this context, health professionals should provide women with the necessary education about screening and diagnostic tests to enable them to make informed decisions.","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136025529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACT
Objective: The aim of the study is to screen for Type 2 Diabetes Mellitus (DM), to determine the risk of DM and to evaluate the factors affecting it.
Method: It is a descriptive study. The population of the research consisted of people over the age of 18 living in Sivas who were not diagnosed with diabetes. The sample of the research consisted of individuals over the age of 18 who did not have diabetes and participated in the event, which was organized as part of the 14 November 2022 “World Diabetes Day” event, which continued between 08.00-17.00. In order to reach the universe, a stand was set up in the city center in the square where the people are concentrated. Capillary blood glucose measurement, a questionnaire including height, weight, demographic characteristics and Finnish Diabetes Risk Questionnaire (FINDRISK) were applied to the patients. FINDRISK consists of 8 questions. It determines an individual's risk of developing diabetes in the next ten years. Results are shown as frequencies, mean±standard deviation. Pearson correlation analysis, Student-T test and One way ANOVA test were applied. P
{"title":"TYPE 2 DIABETES MELLITUS SCREENING: THE SAMPLE OF SİVAS","authors":"Seher KARAHAN","doi":"10.7197/cmj.1338902","DOIUrl":"https://doi.org/10.7197/cmj.1338902","url":null,"abstract":"ABSTRACT
 Objective: The aim of the study is to screen for Type 2 Diabetes Mellitus (DM), to determine the risk of DM and to evaluate the factors affecting it.
 Method: It is a descriptive study. The population of the research consisted of people over the age of 18 living in Sivas who were not diagnosed with diabetes. The sample of the research consisted of individuals over the age of 18 who did not have diabetes and participated in the event, which was organized as part of the 14 November 2022 “World Diabetes Day” event, which continued between 08.00-17.00. In order to reach the universe, a stand was set up in the city center in the square where the people are concentrated. Capillary blood glucose measurement, a questionnaire including height, weight, demographic characteristics and Finnish Diabetes Risk Questionnaire (FINDRISK) were applied to the patients. FINDRISK consists of 8 questions. It determines an individual's risk of developing diabetes in the next ten years. Results are shown as frequencies, mean±standard deviation. Pearson correlation analysis, Student-T test and One way ANOVA test were applied. P","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136025530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Hyperemesis gravidarum (HG) has severe and dramatic consequences, and the cause of this severe disease has not yet been determined clearly. It is known that hormonal, metabolic, immunological, and inflammatory agents may be effective in their etiology. Our study aimed to investigate the possible role of vitamin D, Lactate Dehydrogenase (LDH), Procalcitonin (PCT), and C- reactive Protein (CRP) in the etiology of HG.
Method: In this retrospective study, between June 1, 2021, and January 1, 2022, 110 pregnant women between the ages of 18 and 35 were admitted to the Obstetrics and Gynecology Polyclinic of the Sivas Cumhuriyet University Faculty of Medicine. Fifty-five patients diagnosed with HG were taken as a study group, and fifty-five healthy pregnant women not diagnosed with HG were taken as a control group. Obstetric data and serum vitamin D, LDH, PCT, and CRP values of pregnant women were detected retrospectively.
Results: When the groups with and without HG were compared, although the CRP and LDH levels were high in the HG group, they were not statistically significant (p = 0.084, p = 0.546). Vitamin D and PCT were significantly higher in the HG group than in the control group (p = 0.001, p = 0.047).
Conclusion: Our study found that vitamin D and PCT levels were high in pregnant women with HG. Further studies with more participants are needed before these inflammatory markers can be used to diagnose HG.
{"title":"The Impact of Vitamin D and Acute Phase Proteins in the Diagnosis of Hyperemesis Gravidarum","authors":"Dilay KARADEMİR, Nazan YURTÇU","doi":"10.7197/cmj.1347700","DOIUrl":"https://doi.org/10.7197/cmj.1347700","url":null,"abstract":"Objective: Hyperemesis gravidarum (HG) has severe and dramatic consequences, and the cause of this severe disease has not yet been determined clearly. It is known that hormonal, metabolic, immunological, and inflammatory agents may be effective in their etiology. Our study aimed to investigate the possible role of vitamin D, Lactate Dehydrogenase (LDH), Procalcitonin (PCT), and C- reactive Protein (CRP) in the etiology of HG. 
 
 Method: In this retrospective study, between June 1, 2021, and January 1, 2022, 110 pregnant women between the ages of 18 and 35 were admitted to the Obstetrics and Gynecology Polyclinic of the Sivas Cumhuriyet University Faculty of Medicine. Fifty-five patients diagnosed with HG were taken as a study group, and fifty-five healthy pregnant women not diagnosed with HG were taken as a control group. Obstetric data and serum vitamin D, LDH, PCT, and CRP values of pregnant women were detected retrospectively. 
 
 Results: When the groups with and without HG were compared, although the CRP and LDH levels were high in the HG group, they were not statistically significant (p = 0.084, p = 0.546). Vitamin D and PCT were significantly higher in the HG group than in the control group (p = 0.001, p = 0.047).
 
 Conclusion: Our study found that vitamin D and PCT levels were high in pregnant women with HG. Further studies with more participants are needed before these inflammatory markers can be used to diagnose HG.","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136025531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Interscalene brachial plexus (ISB) block is widely used in shoulder and humerus surgeries, especially in patients that have high risk for general anesthesia. Increased intracranial pressure (ICP) is not among the complications of this block because there is no data about this issue in the literature. In this traumatic case report, a patient with headache and with a known meningioma in his right temporo occipital region is gonna have a proximal humerus fracture surgery with ISB block under repetitive optic nerve sheath diameter measurements. The result of this case report can add a unique information to the ISB literature.
{"title":"Does interscalene block increase intracranial pressure?","authors":"Oğuz Gündoğdu, Onur Avcı","doi":"10.7197/cmj.1125237","DOIUrl":"https://doi.org/10.7197/cmj.1125237","url":null,"abstract":"Interscalene brachial plexus (ISB) block is widely used in shoulder and humerus surgeries, especially in patients that have high risk for general anesthesia. Increased intracranial pressure (ICP) is not among the complications of this block because there is no data about this issue in the literature. In this traumatic case report, a patient with headache and with a known meningioma in his right temporo occipital region is gonna have a proximal humerus fracture surgery with ISB block under repetitive optic nerve sheath diameter measurements. The result of this case report can add a unique information to the ISB literature.","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87635709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PFAPA syndrome, which also includes aphthous stomatitis, pharyngitis, and adenitis, is the most common type of recurrent fever in children. Usually happens before the age of five. This syndrome is characterized by attacks lasting 3-7 days, recurring every 2-8 weeks with high fever (39 C and above) accompanied by at least one of the signs of aphthous stomatitis, pharyngitis, and/or cervical adenitis. Between attacks, the child is completely healthy.PFAPA is a benign disease that regresses with age. Steroids are used in the treatment of attacks. Colchicine is often preferred in prophylactic treatment. However, if there is no response to medical treatment, surgery (tonsillectomy) can be performed. Genetic and environmental factors are considered in the etiology. Genetic susceptibility concentrated on the genes for Familiar Mediterranean Fever (FMF, MEFV), TNF-Receptor-Associated Periodic Syndrome (TRAPS, gene TNFRF1A), HyperIgDSyndrome (HIDS, gene MVK), and Cryopyrin-Associated Periodic Syndrome (CAPS, gene NLRP3). But its etiology is still unknown.
{"title":"PERIODIC FEVER, APHTHOUS STOMATITIS, PHARYNGITIS, (PFAPA) SYNDROME AND NLRP3 GENE ASSOCIATION","authors":"Gülşah Ünsal","doi":"10.7197/cmj.1310396","DOIUrl":"https://doi.org/10.7197/cmj.1310396","url":null,"abstract":"PFAPA syndrome, which also includes aphthous stomatitis, pharyngitis, and adenitis, is the most common type of recurrent fever in children. Usually happens before the age of five. This syndrome is characterized by attacks lasting 3-7 days, recurring every 2-8 weeks with high fever (39 C and above) accompanied by at least one of the signs of aphthous stomatitis, pharyngitis, and/or cervical adenitis. Between attacks, the child is completely healthy.PFAPA is a benign disease that regresses with age. Steroids are used in the treatment of attacks. Colchicine is often preferred in prophylactic treatment. However, if there is no response to medical treatment, surgery (tonsillectomy) can be performed. Genetic and environmental factors are considered in the etiology. Genetic susceptibility concentrated on the genes for Familiar Mediterranean Fever (FMF, MEFV), TNF-Receptor-Associated Periodic Syndrome (TRAPS, gene TNFRF1A), HyperIgDSyndrome (HIDS, gene MVK), and Cryopyrin-Associated Periodic Syndrome (CAPS, gene NLRP3). But its etiology is still unknown.","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81925432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
İntroduction Covid 19 (C19) disease causes mortal complications due to both respiratory system involvement and extrapulmonary involvement. C19 patients may present with gastrointestinal symptoms such as nausea-vomiting, diarrhea and loss of appetite, as well as serious conditions such as acute mesenteric ischemia. C19 disease is a proinflammatory condition that causes thrombus formation. Material method The first group (G1) was treated with 21 mesenteric ischemia cases operated in the General Surgery Department of Aksaray Training and Research Hospital in approximately two years between March 2020 and February 2022, and the second group (G2), in a two-year period between 2018-2020 before the pandemic, in the same department. The information of 11 mesenteric ischemia cases who underwent surgery were analyzed from the hospital information system. Statistically, the predisposing diseases, demographic data, intestinal lengths removed during the operation, and survival of the patients in both groups were compared. Results When the number of patients who were operated on in G1 and G2 were compared, it was seen that more patients were operated in G1. The probability of mesenteric ischemia in a 24-month period was found to be 0.875 in G1 and 0.458 in G2. These rates were statistically different (p=0.002). When the mean age, length of the removed bowel, and postoperative mortality of both groups were compared, no significant difference was found. Conclusion Although the exact mechanism by which the Covid 19 disease causes mesenteric ischemia is not understood, we observed a statistically significant increase in mesenteric ischemia cases during the pandemic period compared to the pre-pandemic return. Considering the Physiopathology of C19, it is known that the diseases in the body generally occur on the basis of vasculitis. When C19 infection is detected, we recommend anticoagulant treatment for at least 3 months during the infection and for the prevention of other complications related to vasculitis, especially mesenteric ischemia.
{"title":"Did Covid 19 disease increase mesenteric ischemia cases?","authors":"Hüsnü Çağrı Genç, K. Gemici","doi":"10.7197/cmj.1278581","DOIUrl":"https://doi.org/10.7197/cmj.1278581","url":null,"abstract":"İntroduction \u0000Covid 19 (C19) disease causes mortal complications due to both respiratory system involvement and extrapulmonary involvement. C19 patients may present with gastrointestinal symptoms such as nausea-vomiting, diarrhea and loss of appetite, as well as serious conditions such as acute mesenteric ischemia. C19 disease is a proinflammatory condition that causes thrombus formation. \u0000Material method \u0000The first group (G1) was treated with 21 mesenteric ischemia cases operated in the General Surgery Department of Aksaray Training and Research Hospital in approximately two years between March 2020 and February 2022, and the second group (G2), in a two-year period between 2018-2020 before the pandemic, in the same department. The information of 11 mesenteric ischemia cases who underwent surgery were analyzed from the hospital information system. Statistically, the predisposing diseases, demographic data, intestinal lengths removed during the operation, and survival of the patients in both groups were compared. \u0000Results \u0000When the number of patients who were operated on in G1 and G2 were compared, it was seen that more patients were operated in G1. The probability of mesenteric ischemia in a 24-month period was found to be 0.875 in G1 and 0.458 in G2. These rates were statistically different (p=0.002). When the mean age, length of the removed bowel, and postoperative mortality of both groups were compared, no significant difference was found. \u0000Conclusion \u0000Although the exact mechanism by which the Covid 19 disease causes mesenteric ischemia is not understood, we observed a statistically significant increase in mesenteric ischemia cases during the pandemic period compared to the pre-pandemic return. Considering the Physiopathology of C19, it is known that the diseases in the body generally occur on the basis of vasculitis. When C19 infection is detected, we recommend anticoagulant treatment for at least 3 months during the infection and for the prevention of other complications related to vasculitis, especially mesenteric ischemia.","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85777274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: We aimed to evaluate the prognostic role of preoperative serum cancer antigen 125 (CA-125) in endometrioid endometrial cancer for determining the cut-off values for clinicopathological factors. Study design: 161 patients were included in the study. The inclusion criteria were histopathological confirmation of endometrioid endometrial cancer and patients with CA-125 levels measured at most ten days before surgery. The association between CA-125 value and clinicopathological variables were analyzed. Receiver operating characteristic curve statistical tests with clinicopathological factors were used to determine the cut-off values and the prognostic role of CA-125. Results: The median value of CA-125 level was 15.4 (3, 2-577) IU/L. These CA-125 cut-off values ranged from 14.30 to 18.67 IU/L (sensitivity 53%– 100%, specificity 30%–59%). The statistical analysis showed a significant relation between CA-125 value and stage and pelvic-paraaortic lymph nodes metastasis. The average life expectancy of patients with CA-125 ≥15.4 was 102.8±5.9 months, whereas that of patients with CA-125
{"title":"The predictive role of CA- 125 value in early stage endometrioid endometrial cancer","authors":"Begum Kurt, İ. Küçükyıldız, A. Yanik","doi":"10.7197/cmj.1299893","DOIUrl":"https://doi.org/10.7197/cmj.1299893","url":null,"abstract":"Objective: We aimed to evaluate the prognostic role of preoperative serum cancer antigen 125 (CA-125) in endometrioid endometrial cancer for determining the cut-off values for clinicopathological factors. \u0000Study design: 161 patients were included in the study. The inclusion criteria were histopathological confirmation of endometrioid endometrial cancer and patients with CA-125 levels measured at most ten days before surgery. The association between CA-125 value and clinicopathological variables were analyzed. Receiver operating characteristic curve statistical tests with clinicopathological factors were used to determine the cut-off values and the prognostic role of CA-125. \u0000Results: The median value of CA-125 level was 15.4 (3, 2-577) IU/L. These CA-125 cut-off values ranged from 14.30 to 18.67 IU/L (sensitivity 53%– 100%, specificity 30%–59%). The statistical analysis showed a significant relation between CA-125 value and stage and pelvic-paraaortic lymph nodes metastasis. The average life expectancy of patients with CA-125 ≥15.4 was 102.8±5.9 months, whereas that of patients with CA-125","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80148521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACT Objective: The aim of our study was to determine the specificity and sensitivity criteria of parotid fine needle aspiration biopsy in the diagnosis of parotid gland masses in our instution, and guide the physician by using FNAB before surgery. Study design: Retrospective chart review Methods: Retrospective analysis was conducted by comparing the fine needle aspiration biopsy results of 80 patients with complete data and postoperative histopathological diagnoses of 90 patients who underwent fine needle biopsy in our clinic between 2015 and 2022 and were subsequently operated. Correlation of preoperative FNB results to final surgical pathology was performed and measures of diagnostic accuracy computed. Results: Of all patients, 56.3% were male and 43.7 were female. The mean age was 48 (range 19-87). 56.2% of them were right-sided and 43.8% were left-sided. When the fine needle aspiration biopsies of the patients were examined, 47 were reported as benign (58.8%), 2 as malignant (2.5%), 21 as suspicious (26.3%), and 10 as insufficient (12.5%). Of 80 patients, 34 were diagnosed as pleomorphic adenoma, 14 as whartin tumor, and 7 as sialoadenitis. Conclusion: FNAB is one of the most important diagnostic tools in the diagnosis of parotid gland masses when applied knowing its advantages and given treatment without ignoring the deficiencies. It should be kept in mind that subtyping with FNAB in cases with malignant histopathological diagnosis will reduce the secondary surgical needs of the cases.
{"title":"Fine needle aspiration biopsy as a diagnostic method that guides the clinician and affects the treatment in parotid gland masses","authors":"Adem Bora, Barış Şapci","doi":"10.7197/cmj.1282269","DOIUrl":"https://doi.org/10.7197/cmj.1282269","url":null,"abstract":"ABSTRACT \u0000Objective: The aim of our study was to determine the specificity and sensitivity criteria of parotid fine needle aspiration biopsy in the diagnosis of parotid gland masses in our instution, and guide the physician by using FNAB before surgery. \u0000Study design: Retrospective chart review \u0000Methods: Retrospective analysis was conducted by comparing the fine needle aspiration biopsy results of 80 patients with complete data and postoperative histopathological diagnoses of 90 patients who underwent fine needle biopsy in our clinic between 2015 and 2022 and were subsequently operated. Correlation of preoperative FNB results to final surgical pathology was performed and measures of diagnostic accuracy computed. \u0000Results: Of all patients, 56.3% were male and 43.7 were female. The mean age was 48 (range 19-87). 56.2% of them were right-sided and 43.8% were left-sided. When the fine needle aspiration biopsies of the patients were examined, 47 were reported as benign (58.8%), 2 as malignant (2.5%), 21 as suspicious (26.3%), and 10 as insufficient (12.5%). Of 80 patients, 34 were diagnosed as pleomorphic adenoma, 14 as whartin tumor, and 7 as sialoadenitis. \u0000Conclusion: FNAB is one of the most important diagnostic tools in the diagnosis of parotid gland masses when applied knowing its advantages and given treatment without ignoring the deficiencies. It should be kept in mind that subtyping with FNAB in cases with malignant histopathological diagnosis will reduce the secondary surgical needs of the cases.","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83886060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hatice Terzi, M. İnanir, Hüseyin Yilmaz, İlkay Yurtsever, M. Sencan
Background: Blood transfusion is a life-saving but high-risk procedure in various medical conditions as it is not a simple fluid infusion but an organ transplant. Although blood transfusions save lives, they may cause serious, life-threatening reactions. Nowadays, the number of reactions has decreased significantly with the reduction of leucocyte content of blood products or their irradiation. Materials and Method: A total of 5582 patients who received irradiated blood products in our hospital between 14/08/2020 and 17/02/2023 were included in the present study. Erythrocyte suspension, platelet apheresis, and pooled platelet suspension were irradiated at doses of 25–30 Gy. Results: A total of 5582 blood products including 4990 erythrocyte suspensions, 282 pooled platelet suspensions, and 310 platelet apheresis were irradiated in the present study. No transfusion-associated Graft Versus Host Disease was identified in any patient included in the present study and there were only mild allergic reactions and febrile non-hemolytic transfusion reactions. Conclusions: Based on the data obtained here from, it was concluded that irradiation of blood products can prevent the highly fatal transfusion-related Graft Versus Host Disease.
{"title":"EVALUATION OF POSSIBLE COMPLICATIONS OF IRRADIATION OF BLOOD PRODUCTS ON PATIENTS","authors":"Hatice Terzi, M. İnanir, Hüseyin Yilmaz, İlkay Yurtsever, M. Sencan","doi":"10.7197/cmj.1310755","DOIUrl":"https://doi.org/10.7197/cmj.1310755","url":null,"abstract":"Background: Blood transfusion is a life-saving but high-risk procedure in various medical conditions as it is not a simple fluid infusion but an organ transplant. Although blood transfusions save lives, they may cause serious, life-threatening reactions. Nowadays, the number of reactions has decreased significantly with the reduction of leucocyte content of blood products or their irradiation. \u0000Materials and Method: A total of 5582 patients who received irradiated blood products in our hospital between 14/08/2020 and 17/02/2023 were included in the present study. Erythrocyte suspension, platelet apheresis, and pooled platelet suspension were irradiated at doses of 25–30 Gy. \u0000Results: A total of 5582 blood products including 4990 erythrocyte suspensions, 282 pooled platelet suspensions, and 310 platelet apheresis were irradiated in the present study. No transfusion-associated Graft Versus Host Disease was identified in any patient included in the present study and there were only mild allergic reactions and febrile non-hemolytic transfusion reactions. \u0000Conclusions: Based on the data obtained here from, it was concluded that irradiation of blood products can prevent the highly fatal transfusion-related Graft Versus Host Disease.","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87725666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ş. Kaya, Ayhan Senol, Fatma Şule KUTLAR DURSUN, Serkan Çeli̇kgün
Objectives: For optimal histomorphological examination, adequacy of kidney biopsy tissue should be obtained. In this study, the effect of a pathologist informing the radiologist about tissue adequacy during the biopsy procedure on obtaining tissue adequacy was examined. Furthermore, we aimed to determine the criteria that the pathologist considered in determining tissue adequacy and the conditions affecting the decision to increase the number of core biopsies, as these have not been previously examined in the literature. Materials and Methods: Tissues containing less than 10 glomeruli were considered inadequate. In some patients, a pathologist accompanied the radiologist during the procedure. Tissue adequacy ratios and biopsy sample numbers were calculated between the two conditions. In the samples taken with the pathologist, the factors affecting the locality decision of the pathologist (cortex/medulla amount, presence of glomerular pathology(global, segmental, crescentic glomeruli) presence of tubular injury, proteinuria; interstitial inflammation and interstitial fibrosis/tubular atrophy ratios, account of normal glomeruli) were examined. Results: Giving tissue adequacy information during the biopsy procedure had a positive effect on tissue adequacy. The amount of cortex is one of the qualification criteria for the pathologist. The presence of proteinuria and 50% or more inflammation in tissues with sufficient cortex increased the number of biopsy samples. Conclusion: Determination of tissue adequacy during kidney biopsy is an important and necessary method. The amount of cortex is one of the important parameters in tissue adequacy.
{"title":"How does the presence of the pathologist affect the tissue adequacy and what are the factors affecting the pathologist in proficiency assessment, during percutaneous kidney biopsy?","authors":"Ş. Kaya, Ayhan Senol, Fatma Şule KUTLAR DURSUN, Serkan Çeli̇kgün","doi":"10.7197/cmj.1316057","DOIUrl":"https://doi.org/10.7197/cmj.1316057","url":null,"abstract":"Objectives: For optimal histomorphological examination, adequacy of kidney biopsy tissue \u0000should be obtained. In this study, the effect of a pathologist informing the radiologist about \u0000tissue adequacy during the biopsy procedure on obtaining tissue adequacy was examined. \u0000Furthermore, we aimed to determine the criteria that the pathologist considered in determining \u0000tissue adequacy and the conditions affecting the decision to increase the number of core \u0000biopsies, as these have not been previously examined in the literature. \u0000Materials and Methods: Tissues containing less than 10 glomeruli were considered \u0000inadequate. In some patients, a pathologist accompanied the radiologist during the procedure. \u0000Tissue adequacy ratios and biopsy sample numbers were calculated between the two \u0000conditions. In the samples taken with the pathologist, the factors affecting the locality \u0000decision of the pathologist (cortex/medulla amount, presence of glomerular pathology(global, \u0000segmental, crescentic glomeruli) presence of tubular injury, proteinuria; interstitial \u0000inflammation and interstitial fibrosis/tubular atrophy ratios, account of normal glomeruli) \u0000were examined. \u0000Results: Giving tissue adequacy information during the biopsy procedure had a positive \u0000effect on tissue adequacy. The amount of cortex is one of the qualification criteria for the \u0000pathologist. The presence of proteinuria and 50% or more inflammation in tissues with \u0000sufficient cortex increased the number of biopsy samples. \u0000 \u0000Conclusion: Determination of tissue adequacy during kidney biopsy is an important and \u0000necessary method. The amount of cortex is one of the important parameters in tissue \u0000adequacy.","PeriodicalId":10750,"journal":{"name":"Cumhuriyet medical journal","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78504256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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