Search

Aim: This study was conducted to assess the awareness of women about cervical cancer and human papilloma virus (HPV) and to evaluate their HPV DNA test results.Materials and Methods: This analytical cross-sectional study was conducted in 250 women who applied to Cancer Early Diagnosis Screening and Training Center (KETEM) at Konya Training and Research Hospital of Health Sciences University. A questionnaire prepared by the researchers was applied to determine the women's sociodemographic characteristics, cervical cancer and HPV knowledge levels.Results: The mean age of the women was 47.7 ± 7.5 years old. When the smear results of the women included in the study are examined, HPV was positive in 3.2% (n=8). Participants with higher education levels had significantly higher Pap smear test knowledge and performed more Pap smear tests than those who had lower education levels (p

Aim: Along with the increased availability of radiologic imaging methods, early identification of tumor tissue, and patient surveillance programs; ductal carcinoma in situ (DCIS) and microinvasive DCIS became more commonly identified in the tru-cut biopsy specimens and resected samples of patients. Pathological examinations of the excision materials from these patients reveal invasive tumors, microinvasions or DCIS alone. Recently, it has become debatable whether to perform a sentinel lymph node biopsy (SLNB) in patients diagnosed with DCIS or microinvasive DCIS. In this present study, we evaluated the diagnosis made by examining the excision material, any presence of lymph node metastases, and the relationship of hormone profile to the presence of metastases in the patients diagnosed with DCIS or microinvasive DCIS by the examination of tru-cut biopsy specimens. Based on our study results, we discussed the requirement for SLNB in patients with a tru-cut diagnosis of DCIS or microinvasive DCIS.Materials and Methods: The study included 172 patients, who underwent surgical excision and SLNB after receiving a tru-cut biopsy diagnosis of DCIS and microinvasive DCIS in our hospital from the year 2010 to 2018.Results: Tru-cut biopsy diagnoses were DCIS and microinvasive DCIS in 69.8% (120 patients) and 30.2% (52 patients) respectively. SLNB metastases were identified in 35.8% (n=43) of the DCIS positive patients and 44.2% (n=23) in the microinvasive DCIS positive patients. The diagnosis of invasive ductal carcinoma after mastectomy was made at a rate of 90.0% (n=108) among the DCIS positive patients and 92.3% (n=48) among the microinvasive DCIS positive patients. Conclusion: SLNB metastases were found in 35.8% (n=43) and 44.2% (n=23) of the DCIS positive patients and microinvasive DCIS positive patients, respectively. We conclude that SLNB should be favorably proper to perform in the patients with tru-cut diagnoses of DCIS and microinvasive DCIS because a high rate of SLNB metastases was detected in our DCIS and microinvasive DCIS patients and a high rate of invasive ductal carcinoma diagnosis was made after examining the excision material of these patients.

Thiol/disulfide homeostasis (TDH) is a new marker of oxidative stress. In this study, we would like to determine the changes in TDH in hemodialysis (HD) patients with chronic kidney disease (CKD). This cross-sectional study was conducted in the Nephrology Clinic of Konya Training and Research Hospital. A total of 197 individuals including 75 HD patients, 41 end stage renal disease (ESRD) patients (having stage 3-5 CKD but not receiving hemodialysis), and 81 healthy controls were enrolled in the study. Serum native thiol, total thiol, and disulfide levels were measured with a new method developed by Erel and Neselioglu. It was determined that there was a statistically significant difference in the mean age, body mass index (BMI), modification of diet in renal disease (MDRD), and creatinine level between the three groups (p [Med-Science 2020; 9(1.000): 201-4]

Aim: The frequent occurrence of psoriasis with gastrointestinal system diseases indicates that psoriasis may also be associated with IBS. We aimed to evaluate the frequency of irritable bowel syndrome in patients with psoriasis and psoriatic arthritis. Material and Methods: Study included 111 patients with psoriasis, and 214 healthy volunteers. The presence of IBS in the psoriasis and control groups was evaluated according to the Rome III diagnostic criteria (Recurrent abdominal pain or discomfort at least 3 days/month in the last 3 months associated with two or more of the following: Improvement with defecation, onset associated with a change in frequency of stool, onset associated with a change in form (appearance) of stool). The participants were also asked about the presence of findings supporting the diagnosis of IBS. The participants were asked about the frequency of defecation, and the stool type was evaluated according to the Bristol stool form scale Results: 41 (36.9%) patients in the psoriasis group and 27 (12,6%) controls were detected to have IBS( p< 0.001). Passage of mucus, abdominal distension, and straining were found more frequently in the psoriasis group than in the control group (p = 0.023, 0.001, and 0.001, respectively). The mean defecation frequency per week was significantly higher in the psoriasis group than in the control group (p = 0.000). The mean value for the Bristol stool scale was 4.12 ± 1.13 for the psoriasis group and 3.72 ± 1.16 for the control group (p = 0.003). Conclusion: The increased frequency of IBS and the findings supporting the diagnosis of IBS in these patients suggest that they have a tendency to develop IBS. The indication of a higher frequency of IBS in patients with psoriatic arthritis is another important outcome of the present study.

Aim: In the current study, the impact of smoking cessation with and without bupropion usage on p wave duration and p wave amplitude in lead I has been analyzed. Bupropion, which is an atypical antidepressant with effects on both dopaminergic and noradrenergic systems, is approved in the medical treatment of smoking cessation. Several cardiac side effects have been presented when bupropion is prescribed in smoking cessation. Material and Methods: Our study has a prospective design which has planned to evaluate p wave amplitude in lead I and p wave duration changes of bupropion by comparing smoking patients (n=78) before and after bupropion usage. The patients prescribed bupropion were also compared to ex-smoker group (n=50) who quit smoking without bupropion usage in regard to p wave indices in lead I. Differences in the median values between groups were analyzed using Mann-Whitney U test. Categorical variables were analyzed by chi-square test or Fisher’s exact test. For repeated measurements, paired sample t-test and Wilcoxon signed rank tests were used to evaluate the significance of the difference in parameters with normal and skewed distribution. Results: The study included both seventy-eight (79.5% male) patients under bupropion treatment and fifty (88.2% male) patients stopped smoking without pharmacotherapy. P wave duration was notably higher when compared before and after smoking cessation with bupropion (99.0 ± 15.7 ms vs 96.2 ± 11.9ms; p120 ms was significantly higher in smoking patients. (p=0.014) The frequency of the patients with P wave duration

Objective: Happiness is one of the substantial issues in psychology. The aim of this study was to develop the scale of happiness increasing strategies for adults. Method: The study group consisted of 438 adults (215 female and 223 male), aged 24 to 60. In the analysis of the data, reliability analysis, and confirmatory and explanatory factor analysis methods were employed. The Oxford Happiness Scale was used in order to perform the validity analysis. Results: According to results of the study, the scale composed of 28 items and six dimensions with the level of 61.93% explained variance. The dimensions of the scale were named as taking a rest, mental control, exhibiting happiness oriented behaviors, participating in religious activity, reacting positively to the environment and satisfaction of desires. Conclusions: As the findings of the study revealed, the Scale of Happiness Increasing Strategies was valid and reliable, and also it might be used for adults. Thus, the findings of this study might enlighten the way of other researchers and the scale might be used in future studies.

Objective: The aim of this study was to examine the relationship between career adaptability with multidimensional perfectionism personality traits and trait anxiety. Method: Cross-sectional and quantitative research methods were used in this study. A total of 183 undergraduate students, 106 female and 77 male, participated in the study. These participants were identified by convenient sampling method. Data were collected using the Multidimensional Perfectionism Scale, Career Adaptability Scale, and Trait Anxiety Inventory. In the statistical analysis of the data, student t-test and multiple regression analysis techniques were used. Results: A Significant relationships between career plan and self-directed perfectionism and trait anxiety [R=0.26, R2=0.7, F=3.38; p

Objective: There have been many personality traits, which are related with physical and mental health of individuals. One of these traits is perfectionism. The aim of this study is to investigate relationships between goal striving and multi-dimensional perfectionism. Method: This study has been carried out as a cross-sectional and quantitative method. In this study, 116 female and 110 male university students were included. The data were collected with Multi-dimensional Perfectionism Scale and Goal Striving Scale. Multiple regression analysis method was used to analysis of data. Results: According to results, self-oriented perfectionism was found related with commitment of goals and persistence in goal striving (R2=0.20; F=18.21; p

Background: Anxiety is a common preprocedural problem and during processing especially in interventional medical processes. Aim: Aim of this study was to assess the level of anxiety in patients who will undergo upper gastrointestinal endoscopy and coloscopy. Methods: Five hundred patients scheduled to undergo sedation for elective upper gastrointestinal endoscopy and colonoscopy were studied. Beck Anxiety Inventory (BAI) was administered to each patient before brought to the endoscopy room. Demographic data of patients were collected. Results: BAI scores and anxiety levels were significantly lower in; males compared to females, patients with no comorbidity compared to patients with comorbidity (both P values < 0.001). BAI scores were significantly lower in patients educational status university and upper compared to patients educational status primary-high school (p=0.026). There were no significant difference between BAI and anxiety levels compared to procedures (Respectively, P=0.144 P=0.054). There were no significant difference between BAI scores and anxiety levels compared to age groups (Respectively, P=0.301 P=0.214). Conclusions: We think that level of anxiety in patients who will undergo upper gastrointestinal endoscopy and colonoscopy was effected by presence of comorbidities and gender but was not effected by features such as age, procedure type and educational status.

Insanlarin olaylari aciklama tarzlari, psikolojide bireylerin kisilik ozellikleri icerinde yer alan bir bilissel faktor olarak degerlendirilmektedir. Bu konuda iki onemli aciklama tarzinin oldugu belirtilmektedir: Iyimserlik ve kotumserlik. Literaturde iyimserlik ruh sagliginin pozitif yanini temsil eden bir faktor olarak degerlendirilirken; kotumserlik patolojik yani temsil eden bir faktor olarak degerlendirilmistir. Bu baglamda gerek psikiyatride gerekse psikolojide ele alinan onemli konulardan biri de kotumserliktir. Gunumuz bilim dunyasinda, sistemik yaklasimin onemi gittikce artmaktadir. Bu yaklasim saglik, psikoloji, egitim ve yonetim gibi pek cok alandaki calismalara isik tutmaktadir. Kotumserlik konusu-nun da sistemik bakis acisindan incelenmesi kapsamli bilgilerin ve bulgularin ortaya konmasina olanak saglayabilir. Bu baglamda bu calismada kotumserlik konusu, sistemik bir cerceveden incelenmistir.