Objective: Cervical cancer (CC) screening ends at the age of 65 in Turkey, as in many countries. However, about a quarter of CCs occurs in women over the age of 65. Persistent high-risk human papillomavirus(HR-HPV) infection is the most important factor leading to CC. In this study, we aimed to investigate the prevalence of cervical HR-HPV and cytological abnormalities in Turkish women aged 65 and over. Patients and Methods: A total of 467 women between the ages of 66-84 who were referred to the gynecology outpatient clinics for any reason between January 2010 and December 2021 were included in the study. Pap smears (liquid-based) of patients were screened for HPV DNA typing using the COBAS test system and evaluated cytopathologicaly. Results: The mean age of women was 72.4 years. The prevalence of HR – HPV was 5.1% (n = 24), HPV-16 and HPV-18 subtypes constituted 58.4% of all positive cases. The rate of cervical HR-HPV and cytological abnormalities were not statistically different between age groups. Of the women with a positive HR-HPV test in Pap smear, cytological abnormalities were found to be more frequent when compared to HR-HPV negatives (95.8%, n=23 vs 4.3%, n=19, p
目的:宫颈癌(CC)筛查结束在65岁在土耳其，因为在许多国家。然而，大约四分之一的cc发生在65岁以上的女性身上。持续高危人乳头瘤病毒(HR-HPV)感染是导致CC的最重要因素。在本研究中，我们旨在调查65岁及以上土耳其妇女宫颈HR-HPV的患病率和细胞学异常。患者和方法:2010年1月至2021年12月期间因任何原因转诊至妇科门诊的467名年龄在66-84岁之间的女性被纳入研究。采用COBAS检测系统对患者宫颈抹片(液基)进行HPV DNA分型筛查，并对细胞病理学进行评估。结果:女性平均年龄72.4岁。HR - HPV患病率为5.1% (n = 24)， HPV-16和HPV-18亚型占所有阳性病例的58.4%。宫颈HR-HPV及细胞学异常的发生率在不同年龄组间无统计学差异。在宫颈抹片HR-HPV检测阳性的女性中，与HR-HPV阴性的女性相比，细胞学异常更为频繁(95.8%，n=23 vs 4.3%， n=19, p
{"title":"Prevalence of cervical high-risk human papillomavirus and cytological abnormalities in elderly Turkish women","authors":"C. Yalçınkaya","doi":"10.5472/marumj.1186851","DOIUrl":"https://doi.org/10.5472/marumj.1186851","url":null,"abstract":"Objective: Cervical cancer (CC) screening ends at the age of 65 in Turkey, as in many countries. However, about a quarter of CCs \u0000occurs in women over the age of 65. Persistent high-risk human papillomavirus(HR-HPV) infection is the most important factor \u0000leading to CC. In this study, we aimed to investigate the prevalence of cervical HR-HPV and cytological abnormalities in Turkish \u0000women aged 65 and over. \u0000Patients and Methods: A total of 467 women between the ages of 66-84 who were referred to the gynecology outpatient clinics for any \u0000reason between January 2010 and December 2021 were included in the study. Pap smears (liquid-based) of patients were screened for \u0000HPV DNA typing using the COBAS test system and evaluated cytopathologicaly. \u0000Results: The mean age of women was 72.4 years. The prevalence of HR – HPV was 5.1% (n = 24), HPV-16 and HPV-18 subtypes \u0000constituted 58.4% of all positive cases. The rate of cervical HR-HPV and cytological abnormalities were not statistically different \u0000between age groups. Of the women with a positive HR-HPV test in Pap smear, cytological abnormalities were found to be more \u0000frequent when compared to HR-HPV negatives (95.8%, n=23 vs 4.3%, n=19, p","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47062921","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: Thymic cysts are rare mediastinal cystic pathologies and have two subtypes namely unilocular and multilocular. This study aims to investigate the clinicopathological characteristics of thymic cysts and to compare the clinical and histopathologic features of multilocular thymic cysts (MTCs) and unilocular thymic cysts (UTCs). Patients and Methods: Twenty-three patients with the diagnosis of thymic cyst between 2012 and 2020 were included. We compared the clinicopathological characteristics of unilocular and multilocular thymic cysts. Results: The mean age of patients was 43 years, ranging from 6 to 80 years. Fourteen cases were UTCs and 9 cases were MTCs. MTCs were found to be statistically more common in younger patients, and have much more histomorphological changes pointing to the complicated cysts (p
{"title":"Unilocular and multilocular thymic cysts: A study on the possible histomorphological and/or clinical differences","authors":"E. Bozkurtlar","doi":"10.5472/marumj.1192193","DOIUrl":"https://doi.org/10.5472/marumj.1192193","url":null,"abstract":"Objective: Thymic cysts are rare mediastinal cystic pathologies and have two subtypes namely unilocular and multilocular. This study \u0000aims to investigate the clinicopathological characteristics of thymic cysts and to compare the clinical and histopathologic features of \u0000multilocular thymic cysts (MTCs) and unilocular thymic cysts (UTCs). \u0000Patients and Methods: Twenty-three patients with the diagnosis of thymic cyst between 2012 and 2020 were included. We compared \u0000the clinicopathological characteristics of unilocular and multilocular thymic cysts. \u0000Results: The mean age of patients was 43 years, ranging from 6 to 80 years. Fourteen cases were UTCs and 9 cases were MTCs. MTCs \u0000were found to be statistically more common in younger patients, and have much more histomorphological changes pointing to the \u0000complicated cysts (p","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43115027","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}
Nusret Ok, R. Şavkın, Nihal Buker, M. Oztop, Y. Yuce
Objective: The rapidly increasing cases of coronavirus disease 2019 (COVID-19) in Turkey required the reorganization of the health system. The first response to the pandemic in our university hospital was to stop elective surgery on March 30, 2020, minimize outpatient consultations and reduce the number of patients in the wards. To determine the change in the number of patients admitted to our hospital, we examined the data during the pandemic process and compared them with the data of the previous year. Methods: The number of patients admitted to Pamukkale University Orthopedics and Traumatology Outpatient Clinic and Emergency Service for orthopedic and trauma injuries between March 1, 2020 and October 31, 2020 was documented and compared with the data of the same period in 2019. Results: During the pandemic period, the number of emergency and outpatient orthopedics and traumatology admissions decreased significantly by 15% and 42.93% respectively (p
{"title":"Change in orthopaedics and traumatology admissions during the COVID-19 pandemic at a university hospital in Turkey","authors":"Nusret Ok, R. Şavkın, Nihal Buker, M. Oztop, Y. Yuce","doi":"10.5472/marumj.1192292","DOIUrl":"https://doi.org/10.5472/marumj.1192292","url":null,"abstract":"Objective: The rapidly increasing cases of coronavirus disease 2019 (COVID-19) in Turkey required the reorganization of the health \u0000system. The first response to the pandemic in our university hospital was to stop elective surgery on March 30, 2020, minimize \u0000outpatient consultations and reduce the number of patients in the wards. To determine the change in the number of patients admitted \u0000to our hospital, we examined the data during the pandemic process and compared them with the data of the previous year. \u0000Methods: The number of patients admitted to Pamukkale University Orthopedics and Traumatology Outpatient Clinic and Emergency \u0000Service for orthopedic and trauma injuries between March 1, 2020 and October 31, 2020 was documented and compared with the \u0000data of the same period in 2019. \u0000Results: During the pandemic period, the number of emergency and outpatient orthopedics and traumatology admissions decreased \u0000significantly by 15% and 42.93% respectively (p","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44513007","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: Objective: We aimed to evaluate correct facemask usage prevalence among the general public in marketplaces in Denizli, Turkey and also aimed to determine the effects of the announcement of asymptomatic coronavirus disease 2019 (COVID-19) cases and curfew decisions on compliance rates of appropriate mask use. Materials and Methods: In this population-based study, a total of 6749 observations were made in the 8 different marketplaces between 22 November – 3 December 2020. Multiple logistic regression analysis was used to assess the effect of age, gender, observation time, and intervention type (announcement of asymptomatic COVID-19 case numbers and, announcement of nationwide curfew decisions) on correct facemask use prevalence. Results: Correct facemask usage prevalence in customers and sellers was 84.3% and 46.3%, respectively. The announcement of the number of asymptomatic COVID-19 cases had no statistically significant effect on correct facemask usage prevalence both among customers and sellers (p>0.05). After the announcement of the curfew decisions, correct facemask usage prevalence increased among customers (OR:1.24 (1.02-1.52)) and sellers (OR:1.64 (1.32-2.03)). Conclusion: The correct use of facemasks is not sufficient, especially among sellers. The announcement of curfew decisions has increased the correct use of masks although, the announcement of asymptomatic COVID-19 case numbers has no effect.
{"title":"Prevalence of correct face mask usage among general public during COVID-19 pandemic in Denizli, Turkey","authors":"S. U. Uzun, Ozgür Sevinç, A. Ergin","doi":"10.5472/marumj.1191644","DOIUrl":"https://doi.org/10.5472/marumj.1191644","url":null,"abstract":"Objective: Objective: We aimed to evaluate correct facemask usage prevalence among the general public in marketplaces in Denizli, \u0000Turkey and also aimed to determine the effects of the announcement of asymptomatic coronavirus disease 2019 (COVID-19) cases \u0000and curfew decisions on compliance rates of appropriate mask use. \u0000Materials and Methods: In this population-based study, a total of 6749 observations were made in the 8 different marketplaces between \u000022 November – 3 December 2020. Multiple logistic regression analysis was used to assess the effect of age, gender, observation \u0000time, and intervention type (announcement of asymptomatic COVID-19 case numbers and, announcement of nationwide curfew \u0000decisions) on correct facemask use prevalence. \u0000Results: Correct facemask usage prevalence in customers and sellers was 84.3% and 46.3%, respectively. The announcement of the \u0000number of asymptomatic COVID-19 cases had no statistically significant effect on correct facemask usage prevalence both among \u0000customers and sellers (p>0.05). After the announcement of the curfew decisions, correct facemask usage prevalence increased among \u0000customers (OR:1.24 (1.02-1.52)) and sellers (OR:1.64 (1.32-2.03)). \u0000Conclusion: The correct use of facemasks is not sufficient, especially among sellers. The announcement of curfew decisions has \u0000increased the correct use of masks although, the announcement of asymptomatic COVID-19 case numbers has no effect.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45691640","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}
Onur Tuğçe Poyraz Fındık, V. Çeri, N. Perdahlı Fiş
Objective: The aim of this study was to investigate anxiety and post-traumatic stress symptoms (PTSS) and their possible associated factors among youths, comparing to their older adult counterparts. Patients and Methods: This cross-sectional online study assessed 1493 participants in Turkey. Beck Anxiety Inventory (BAI) and the Post-traumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5) were used. Results: The Youths (15-24 years) reported to experience more anxiety and PTSS than Adults (25-59 years). There were weak correlations between BAI, PCL-5 scores and duration of recovery and isolation in Adults infected with corona virus disease 19 (COVID-19), but not in Youths. Younger age and lower economic status were common factors for severe anxiety and PTSS, additionally history of mental health needs and loss of an acquaintance due to COVID-19 were specific predictors for anxiety, and having a medical condition was predictor for PTSS in Youths. In Adults, female, lower economic status, having a medical condition, history of mental health needs, and loss of an acquaintance due to COVID-19 were common factors for worsening both PTSS and anxiety, additionally younger age for PISS and being infected by COVID-19 for anxiety were specific predictors. Conclusion: Pandemic might have a greater impact on mental well-being of youths than adults. Identification of risk factors can shed light on planning, prevention and intervention strategies.
{"title":"Factors associated with anxiety and post-traumatic stress symptomatology during the COVID-19 pandemic in Turkey: A comparison of youths and adults","authors":"Onur Tuğçe Poyraz Fındık, V. Çeri, N. Perdahlı Fiş","doi":"10.5472/marumj.1121368","DOIUrl":"https://doi.org/10.5472/marumj.1121368","url":null,"abstract":"Objective: The aim of this study was to investigate anxiety and post-traumatic stress symptoms (PTSS) and their possible associated factors among youths, comparing to their older adult counterparts. Patients and Methods: This cross-sectional online study assessed 1493 participants in Turkey. Beck Anxiety Inventory (BAI) and the Post-traumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5) were used. Results: The Youths (15-24 years) reported to experience more anxiety and PTSS than Adults (25-59 years). There were weak correlations between BAI, PCL-5 scores and duration of recovery and isolation in Adults infected with corona virus disease 19 (COVID-19), but not in Youths. Younger age and lower economic status were common factors for severe anxiety and PTSS, additionally history of mental health needs and loss of an acquaintance due to COVID-19 were specific predictors for anxiety, and having a medical condition was predictor for PTSS in Youths. In Adults, female, lower economic status, having a medical condition, history of mental health needs, and loss of an acquaintance due to COVID-19 were common factors for worsening both PTSS and anxiety, additionally younger age for PISS and being infected by COVID-19 for anxiety were specific predictors. Conclusion: Pandemic might have a greater impact on mental well-being of youths than adults. Identification of risk factors can shed light on planning, prevention and intervention strategies.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45109053","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}
A. Ucuncu Kefeli, Aysegul UNAL KARABEY, Umut Efe Dokurlar, B. Tirpanci, G. Ajlan Ozkan, A. Konuk, M. G. Aksu
{"title":"Which radiotherapy technique is better for neoadjuvant treatment of rectal cancer: A dosimetric comparison","authors":"A. Ucuncu Kefeli, Aysegul UNAL KARABEY, Umut Efe Dokurlar, B. Tirpanci, G. Ajlan Ozkan, A. Konuk, M. G. Aksu","doi":"10.5472/marumj.1120583","DOIUrl":"https://doi.org/10.5472/marumj.1120583","url":null,"abstract":"","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46969398","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}
Firuz Mammadov, Ş. Olgun Yıldızeli, D. Kocakaya, H. Arıkan, A. Çınar, E. Eryuksel, B. Ceyhan
{"title":"The role of procalcitonin as a biomarker for acute pulmonary exacerbation in subjects with cystic fibrosis and non-cystic fibrosis bronchiectasis","authors":"Firuz Mammadov, Ş. Olgun Yıldızeli, D. Kocakaya, H. Arıkan, A. Çınar, E. Eryuksel, B. Ceyhan","doi":"10.5472/marumj.1114952","DOIUrl":"https://doi.org/10.5472/marumj.1114952","url":null,"abstract":"","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43257427","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}
{"title":"The oncological outcomes of postoperative radiotherapy in patients with stage II and III upper rectal cancer","authors":"İ. Alsan Çetin, S. Akay","doi":"10.5472/marumj.1121383","DOIUrl":"https://doi.org/10.5472/marumj.1121383","url":null,"abstract":"","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46871181","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}
Selçuk Akturan, Mustafa Sevim, Can Erzik, B. Yeğen, M. Gulpinar
{"title":"Rethinking large group lectures – how far in this format?","authors":"Selçuk Akturan, Mustafa Sevim, Can Erzik, B. Yeğen, M. Gulpinar","doi":"10.5472/marumj.1121353","DOIUrl":"https://doi.org/10.5472/marumj.1121353","url":null,"abstract":"","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43360477","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}
{"title":"The alterations of blood-testis barrier in experimental testicular ınjury models","authors":"F. Ercan, M. Acikel Elmas","doi":"10.5472/marumj.1114971","DOIUrl":"https://doi.org/10.5472/marumj.1114971","url":null,"abstract":"","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43367803","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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