ÖZAmaç: Bu çalışmada amacımız, Antalya Eğitim ve Araştırma Hastanesinde çalışan kadın hekimlerin serviks kanseri, risk faktörleri ve bu kanserden korunma yöntem-leri ile ilgili bilgi düzeylerinin saptanması, erken tanıda rutin olarak önerilen Pap smear testi konusundaki tutumlarının tespit edilmesidir. Yöntem: Araştırmamız kesitsel bir anket çalışmasıdır. Anket formumuzda katılımcılara demografik özelliklerini saptamaya yönelik sorular, serviks kanserinin risk faktörleri ve korunmada etkili yöntemler ile ilgili sorular ve Pap smear yaptırma durumları sorulmuştur. Anketi doldurmayı kabul etmeyenler çalışma dışı bırakılmıştır. Bulgular: Çalışmamıza 141 kadın hekim katılmıştır. Katılımcıların %99,3'ünün serviks kanserine HPV'nin neden olduğunu, %97,9'unun da ilk cinsel deneyim yaşının erken olmasının serviks kanseri riskini artırdığını bildikleri saptanmıştır. Katılımcıların %49,6'sı daha önce hiç Pap smear testi yaptırmamış, %29,8'i düzensiz ve %20,6'sı düzenli olarak olarak yaptırmıştır. Çalışmamızda test yaptırmama nedeni en sık; "herhangi bir yakınması olmadığı için ihtiyaç duymamak", "jinekolojik muayeneden çekinmek" ve "kendini risk altında görmemek" olarak tespit edilmiştir. Sonuç: Birincil amacımız tüm sağlık çalışanlarını serviks kanseri ve Pap smear taramaları konusunda doğru şekilde bilgilendirmek olmalıdır. Böylece sağlık çalışanları da toplumun bilgilendirilmesine katkıda bulunabilirler.Anahtar kelimeler: Serviks kanseri, kadın hekimler, pap smear, aile hekimliği ABSTRACT Objective: In this study, it has been aimed to detect level of knowledge of female doctors working in Antalya Training and Research Hospital about cervical cancer, risk factors and methods of protection from this disease, and their attitudes towards Pap smear screening recommended routinely for early diagnosis. Methods: Our study is a cross-sectional survey. We asked the participants questions about their demographic characteristics, risk factors of cervical cancer, effective methods for protection against this disease and their attitudes towards Pap smear screening. Those who did not consent to fill in the questionnaire were excluded from the study . Results: Hundred and forty-one female doctors were included in our study. Most of (99.3%) the participants knew HPV is the cause of cervical cancer and 97.9% of them knew that the first sexual experience at an early age increases the risk of cervical cancer. While 49
This study has aimed to reveal the opinions of family physicians on the COVID-19 vaccine. Methods: The data collection forms prepared for this cross-sectional study were converted into an online questionnaire form and sent to the physicians working as family physicians in different provinces of Turkey between December 2020 -January 2021 via emails (GoogleGroups) and communication groups (Facebook, WhatsApp, etc.). The responses of 494 family physicians in Turkey, who were accessible through this method and volunteered to participate in the study, were recorded to be analysed. Results: Of the 494 family physicians in our study, 6.3% (n=31) appeared to have no intention of getting vaccinated against the COVID-19, whereas 13.2% (n=65) were undecided. The opinion towards which the participants in our study had the highest positive attitude was related to the necessity to provide everyone with the COVID-19 vaccine', while the most obvious negative attitude was related to the view that the efficacy of the vaccine has not yet been tested sufficiently. Conclusions: Although a significant majority of family physicians have a positive attitude towards the need for administering the COVID-19 vaccine, more than half have expressed a negative or indecisive attitude towards relying on the statements made about the vaccine and its efficacy, which is said to have been adequately tested. For the desired levels can be reached in terms of vaccination rates, it is necessary to inform family physicians about the efficacy and benefits of the vaccine and to convey this information to individuals through family physicians.
Impact of uric acid on clinical outcomes Y. Niu et al.
Objective: Obesity is an important health concern all around the world and considered in relation to a number of comorbidities. In this study, we aimed to evaluate the incidence of renal angiomyolipoma (AML) in obese patients. Method: This retrospective study included 288 obese patients, who were followed up at the Obesity Center of the University of Health Sciences, Antalya Training and Research Hospital between 01/11/2018 and 01/02/2020. The laboratory parameters and the reports of the abdominal ultrasound scans (USG) taken when the patients first presented to our unit were all reviewed. The patients were divided into two groups: those with and without renal AML based on the abdominal USG reports, and were compared in terms of serum hemoglobin (HGB), hematocrit (HCT), mean corpuscular volume (MCV), erythrocyte count (RBC), blood urea nitrogen (BUN), creatinine and uric acid levels. Results: Of the patients, 93.05% were female and 6.94% were male. The mean age was 51.91±9.31 (21-73) years, the average body mass index (BMI) was 36.4 (30-65.19) kg/m 2. Ten patients (3.47%) had renal AML found on the abdominal USG imaging reports. While the incidence of renal AML in the general population is reported to be 0.13%-0.44%, it was found 3.47% in our study with obese patients. Conclusion:The incidence of renal AML is increasing in obese patients. Associated with many comorbidities, obesity may also constitute a risk factor for renal AML. In order to determine the relationship between obesity and AML, more studies are needed with multi-centered and broader scopes.
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