Solitary fibrous tumours are rare mesenchymal tumours which mostly arise from pleura. Such tumours occurring in the mesocolon are exceptionally rare. A 35-year-old man was referred to the general surgery department with a painless and nonpalpable mass in the right quadrant of the abdomen, which was detected incidentally on magnetic resonance imaging. The patient had no symptoms and the physical examination revealed no findings. The patient underwent surgical resection and excisional biopsy results revealed an intra-abdominal solitary fibrous tumour originating from the ascending mesocolon. He was discharged two days after surgery and remained disease-free at the end of the two-month follow-up period.

Objectives A well-functioning vascular access is crucial for hemodialysis treatment, and arteriovenous fistula is the recommended vascular access type. Arteriovenous fistula is superior to other vascular access types in many aspects, but the effect of arteriovenous fistula on patients’ psychiatric state is not well described yet. The aim of this study is to determine whether there is an association between vascular access type and depression scores. Methods This cross-sectional study was conducted at two hemodialysis centers. Geriatric Depression Scale-15 was administered to geriatric hemodialysis patients, using ≥5 score as the cut-off value for the presence of depressive symptoms. Descriptive tests, Kolmogorov–Smirnov test, Pearson’s Chi-square test, Mann–Whitney test, Kruskal–Wallis test, Spearman’s rank correlation calculation, and multiple logistic regression analysis were performed accordingly to analyze the data. Results Of 75 participants, 34 (45.3%) were female and the mean age was 73.4 ± 5.9 years (range: 65–92). The prevalence of depressive symptoms in the geriatric hemodialysis population was 53.3%. Central venous catheter, hypertension, and increased time on hemodialysis have been found to be risk factors for higher depression scores (aOR 10.505 (95% CI 1.435–76.900), p = 0.021; aOR 9.783 (95% CI 2.508–38.169), p = 0.001; aOR 1.019 (95% CI 1.003–1.035), p = 0.017, respectively). Among patients with arteriovenous fistula, those with hypertension had higher depression scores ( p = 0.008). Conclusions Geriatric hemodialysis patients were found to have depressive symptoms commonly, and central venous catheter, hypertension, and increased time on hemodialysis have been found to be risk factors for presence of depressive symptoms. To the best of our knowledge, this is the first study highlighting that arteriovenous fistula is associated with lower depression scores and lower prevalence of depressive symptoms.

In this study, we aimed to evaluate the factors associated with medication non-adherence in terms of motivation and knowledge levels among hemodialysis-dependent patients.Patients and methods: Between March 2018 and April 2018, 134 Caucasian patients (78 males, 56 females; mean age 64.1±13.0 years; range, 23 to 86 years) on hemodialysis at two dialysis centers were included in this cross-sectional study. The Modified Morisky Scale was administered to assess the patients' levels of motivation and knowledge about their medications. Results:The mean time on hemodialysis was 52.3±50.8 months and the mean number of prescribed medications was 7.5±3.5. The ratio of patients with a low level of motivation and knowledge were 17.2% and 11.9%, respectively. Hypertension was found to be an independent risk factor for low level of motivation (adjusted odds ratio [aOR]: 5.260 [95% confidence interval [CI]: 1.122-24.665], p=0.035). Being employed was found to be an independent risk factor for low level of knowledge (aOR: 5.000 [95% CI: 0.404-6.219], p=0.01). Conclusion:Hypertension and being employed were found to be associated factors of non-adherence to medication therapy. Healthcare professionals should recognize the factors associated with non-adherence and perform effective interventions to prevent adverse outcomes of non-adherence among patients receiving hemodialysis.

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