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Aim: In this study, it is aimed to compare the early results of sutureless bioprosthetic aortic valve and mechanical valve replacement in high-risk patients with severe symptomatic aortic stenosis. Material and Methods: Between January 2015 and September 2018, 34 (18 males, 16 females) patients who underwent sutureless bioprosthetic aortic valve replacement (Edwards, Intuity) and 50 (29 males, 21 females) mechanical aortic valve replacement (Medtronic, ATS) were included in the study. It is aimed to compare the demographic data and postoperative 1st month data of patients. Results: In patients with mechanical valve insertion, ejection fraction (EF) was 60 (38-69), New York Heart Association (NYHA) classification was 3 (2-4), EuroSCORE was 3 (0-7) and mean gradient was 56 (40-75) mmHg, while in patients with sutureless valve EF was determined as 52 (33-68), NYHA as 4 (2-4), EuroSCORE as 5 (0-7) and mean gradient as 60 (40-95) mmHg. In patients who underwent mechanical aortic valve replacement, 9 patients underwent coronary bypass, 7 patients underwent mitral valve replacement and 2 patients underwent tricuspid ring annuloplasty, simultaneously. In patients who underwent sutureless valve replacement, 8 patients underwent coronary bypass, 1 patient underwent mitral valve replacement and 1 patient underwent mitral repair. In both groups, a patient died within the first 30 days postoperatively. Conclusion: Advanced age and the presence of comorbidities increase the mortality and morbidity in operations due to aortic stenosis. Sutureless aortic valve replacement can be safely used in high-risk patients with low mortality and morbidity, excellent hemodynamics and short implantation time. [ABSTRACT FROM AUTHOR]

Aim: Simple renal cyst is the most common cystic formation in adults. The relationship between simple renal cyst and hypertension incidence is still controversial. In this study it is aimed to determine any association between simple renal cyst and frequency of hypertension in patients with microscopic hematuria. Material and Methods: The study was designed by reviewing results of 200 patients with ages between 51 and 89 retrospectively and creating two groups, among 1075 patients who had undergone abdominal ultrasonography and abdominal computer tomography due to microscopic hematuria. The patients were evaluated into two groups regarding presence of simple renal cyst or not. The relationship between simple renal cyst and hypertension was analyzed. Results: There is no significant difference between two groups according to demographic features such as age and gender. Hypertension rate was not differ significantly between the simple renal cyst group and control group (p=0.471). It was detected that cyst size, presence of multiple cysts, cysts at more than one location and bilateral cysts were increased the hypertension rate in addition to age in patients with simple renal cyst (all p values <0.001). Cut-off level of cyst size for hypertension diagnosis was determined as ≥2 cm (AUC=0.949, 95% GA=0.903-0.995, p<0.001). Conclusion: As a result, we found a significant association between frequency of hypertension and presence of 2 cm and greater simple renal cysts, presence of multiple cysts and presence of bilateral cysts. Further prospective researches are required to determine the reason and the necessary management. [ABSTRACT FROM AUTHOR]

Aim: Atherosclerotic peripheral arterial disease is frequently seen with critical leg ischemia. Despite the benefits of pharmacological agents in the lesions, the most effective treatment method is revascularization. In this study, we aimed to compare the results of drug-eluting balloon and standard balloon endovascular treatment methods. Material and Methods: One hundred and ninety-six patients who underwent infrapopliteal revascularization in Cardiovascular Surgery clinic in Namık Kemal University Hospital between January 2015 and June 2017 were included in the study. During the study, 100 patients were treated with drug-eluting balloon (DEB) (Lutonix, Bard, USA), while 96 patients were treated with standard balloon (PTA) (Nanocross, Medtronic, USA). The one-year patency rates were compared between the two groups. The patients were followed up at 1st, 3rd, 6th and 12th months after the procedure and followed by Ankle-Brachial Index (ABI) measurements and Rutherford classification. Results: Eighty three female and 113 male patients were included in the study. The mean age of the patients was 63.56±11.21. The median Rutherford classification was 4 (3-5) in the drug-eluting group according to the Rutherford classification and 4 (3-5) in the naked balloon group. During the 12-month follow-up period, limb salvage rate was 82.0% (n=82) in drug-eluting balloons and this rate was found to be 65.6% (n=63) in naked balloon group. In terms of amputation rates, the drug-eluting balloon group was found to be statistically superior (p=0.009). Conclusion: In this study, 12-month patency rates were found to be superior to naked balloons at 12-month patency rates and clinical follow-up. [ABSTRACT FROM AUTHOR]

Aim: Sarcoidosis is known as the 'great imitator' for its versatile manifestations which differ among genders. The objective of this study is to investigate the signs and symptoms and differences in respect to gender and phases of disease. Material and Methods: This cohort study includes patients with sarcoidosis classified as asymptomatic, with pulmonary symptoms only, extrapulmonary symptoms only and those with both together. The frequency, prevalence, and severity of the signs and symptoms were compared between gender identities. Results: This study enrolled 338 patients, of which 71% were female, and mean age was 42.5±11.6. Most patients (86%) were symptomatic on presentation, and pulmonary symptoms were noted in 31%, extrapulmonary symptoms in 23% and both in 32%. There were no significant differences between genders regarding cough (45% in women, 42% in men, p=0.620), sputum (9%, 11%, respectively, p=0.535), hemoptysis (2%, 1%, respectively, p=0.678), fever (4%, 4%, respectively, p=0.999). Dyspnea was reported significantly more common in women (33% and 22%, respectively, p=0.048) whilst chest pain was more common in men (7%, and %20 respectively, p=0.001). Excessive perspiration was significantly more common in men, and erythema nodosum in women (p=0.004 and p=0.003, respectively). Frequencies of constitutional symptoms other than perspiration did not differ between sexes. Conclusion: Women with sarcoidosis were older than men and dyspnea and erythema nodosum were seen more commonly in women. Frequencies of other symptoms were similar between sexes. [ABSTRACT FROM AUTHOR]

Aim: Nurses have an indispensable role in knowing the cancer screening programs, education of society related to identifying risks groups and importance of early detection methods, determining the signs and symptoms of cancer. In this study, it is aimed to determine the knowledge of nurses working in a tertiary health care institution about cancer screening programs and Cancer Early Diagnosis, Screening and Training Centers (KETEM), and status of screening tests. Material and Methods: The research conducted between February and March 2016, is a descriptive study and carried out with 325 nurses working at Adnan Menderes University Application and Research Hospital. The 18-item questionnaire form was applied to participants by face to face interview method. Descriptive statistics are given as the frequency and percentage for categorical data, and the median (minimum-maximum) values for numerical data by examining the normal distribution. Results: The median age of participants is 25, and 85.5% of them are females. 30.1% of the participants stated that they had a family history of cancer, and only 9.1% of them were recommended for screening. One out of every five participants did not hear KETEM. 32% of the participants stated that they learned about cancer screening from television-radio after the graduation. Only 46.4% of participants answered the goal of cancer screenings exactly as 'catching cancer in early stage'. 20.7% of the participants over age 30 have had pap-smear and 45.4% of the participants over age 40 have had mammography. Conclusion: This study has shown that participants' knowledge of KETEM and cancer screening programs aren't sufficient. The increase in nurses' own awareness will also increase the awareness of the community. Nurses should be provided with in-service training to update knowledge throughout their professional life. Thus, accurate and complete information will be provided for both themselves and the consulting services they will provide. [ABSTRACT FROM AUTHOR]

Objective: Dementia is poised to become a major public health problem and it is addictive, disabled leaving chronic disease. It requires interdisciplinary approach. In this study it is aimed to evaluate the opinions of family physicians working at Family Health Centers, about the management of the patients diagnosed with dementia and having cognitive problems. Material and Method: Twenty two family physicians working in Antalya participated to the study. A 26 question survey consisting of three parts was administered. Opinions were evaluated with style five-point Likert response scale. The data are analyzed with descriptive statistics. Results: The options of family physicians participating in the study are as follows. (M: Medyan) "I feel myself adequate to diagnose cognitive problems" (M=3) "I regulate the treatment of dementia" (M=4), "I manage the dementia behavior problems" (M=3) "I cooperated with branch expertise on the management of dementia" (M=2),"I direct bedridden dementia patients to take home health care"(M=2), "I care with relatives of dementia patients" (M=2), "family physicians have important contributions in the early diagnosis " (M=2), and "family physicians have constributions in management " (M=2). They directed the patients with preliminary diagnosis of cognitive problems to neurologist 8 patients (36.4%), to psychiatrists 1 (4.5%) and other experts 13 (59.1%). Health problems among caregivers of patients with dementia, depression 11 (50%), anxiety disorders 7 (31.8%) and chronic fatigue 1 (4.5%) have reported. Conclusion: This preliminary study suggests that the participants do not feel themselves adequate in the regulation of the diagnosis and treatment of dementia. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to investigate the effect of pseudoexfoliation syndrome (PXS) in cataract cases on biometric parameters such as, central corneal thickness (CCT), mean keratometer (K), anterior chamber depth (ACD) and lens thickness (LT). Material and Methods: The patients who have cataracts and PXS were evaluated in this study. Patients in this study were divided into two groups as PXS and control group. All patients have been examined with best corrected visual acuity (BCVA), anterior segment examination with biomicroscope, intraocular pressure (IOP) measurement with non-contact tonometer, and fundus examination. In addition, pachymetry, CCT and LT measurements of these patients were taken with optical biometry and A-scan ultrasonography devices and the data of two groups were compared. Results: There were no significant differences between the groups in terms of age, gender, best corrected visual acuity, cataract stage, and intraocular pressure. In the PXS group, CCT was found as 530±35.22 µm, K as 44.22±1.55 diopter, ACD as 3.21±0.34 mm, LT as 4.63±0.25 mm and AA as 23.42±0.74 mm. In the control group, CCT was found as 536±30.45 µm, K as 44.01±1.49 diopter, ACD as 3.14±0.32 mm, LT as 4.51±0.30 mm and AA as 23.36±0.61 mm. No statistically significant differences were found between two groups in terms of these parameters. Conclusion: There is no significant relationship were seen between the parameters of CCT, K, ACD, LT and PXS in this study. However, different findings were reported about especially CCT and ACD parameters in literature. These different results may be related with differences of races, differences of age distribution, differences in methods and differences in sample size. [ABSTRACT FROM AUTHOR]

Objective: In this study we aimed to evaluate the results of pathology that patients undergoing laparoscopic and open appendectomy with suspected appendicitis from August 2012 to August 2014. Material and Method: In this study data from 131 patients undergoing laparoscopic and open appendectomy between August 2012 and August 2014 in Van Training and Research Hospital were examined retrospectively for demographic characteristics. Results: In the laparoscopic appendectomy group handmade endoloop technique was used for closing the base of the appendix. Mc Burney's incision was used for open appendectomy. 47% of patients was female (n=61), 53% of patients were male (n=69). The average age of the patients was 27.7 years. According to surgical technique, open appendectomy was performed 15% (n=20), laparoscopic appendectomy was performed 85% (n=110). Postoperative drainage tube was put to 15% of patients (n=20). Wound infection was seen in 4 open appendectomy performed patients (20%). Laparoscopic appendectomy was associated with a shorter hospital stay (2.2 days vs 2.8 days). When the pathology results are analyzed, 2 malignancies are revealed (1,5%), 1 carcinoid tumor, 1 neuroendocrine tumor. After pathology results hemicolectomy was performed. Conclusion: Appendectomy is the most frequently performed surgery, even if macroscopic pathology is not present the risk of malignancy can not be underestimated. [ABSTRACT FROM AUTHOR]