Validity and reliability of the Turkish version of the weight self-stigma questionnaire

Erdogan Z. | Kurcer M.A. | Kurtuncu M. | Catalcam S.

Article | 2018 | Journal of the Pakistan Medical Association68 ( 12 ) , pp.1799 - 1804

Objective: To test the validity and reliability of the Turkish version of the Weight Self-Stigma Questionnaire. Methods: The methodological, descriptive study was conducted at the Bulent Ecevit University, Zonguldak, Turkey, from January to June, 2016, and comprised obese patients presenting at the Endocrinology and Diabetes polyclinic tied to the university. Data was collected using patient identification form and Weight Self-Stigma Questionnaire. SPSS 18 was used for statistical analysis. Results: Of the 151 subjects, 97(64.2%) were female and 54(35.8%) were male. Two-factor structure explained 58% of the total variance in the Wei . . .ght Self-Stigma Questionnaire. The Cronbach alpha internal consistency coefficient of the Turkish version was 0.876, indicating high internal consistency. The two factors found in the confirmatory factor analysis had Cronbach alpha values of 0.820 and 0.830. Conclusion: The validity and reliability of Weight Self-Stigma Questionnaire was found to be high in Turkey. © 2018, Pakistan Medical Association. All rights reserved Daha fazlası Daha az

Unilateral ovarian agenesis and clear cell type epithelioid leiomyoma of uterus mimicking ovarian malignancy

Bay U.O. | Gun B.D. | Ungan B. | Dogan S. | Barut A. | Arikan I.I.

Article | 2014 | Journal of the Pakistan Medical Association64 ( 1 ) , pp.1799 - 1804

A case of unilateral absent ovary together with clear cell type epithelioid leiomyoma of uterus mimicking ovarian malignancy discovered during laparotomy is presented. Unilateral absence of an ovary is an extremely rare finding. Although the exact pathophysiological mechanism is not known, it could result from a defect in embryological development or asymptomatic torsion of ovary. Clear cell type epithelioid leiomyoma of uterus is also a rare variant, composed of round or polygonal 'clear' cells rather than typical spindle-shaped cells and ultra structurally differs from non-uterine counterparts.

The influence on group games on the relationship between children with disabilities and their healthy siblings: An experimental study

Kurtuncu M. | Arslan N.

Article | 2018 | Journal of the Pakistan Medical Association68 ( 3 ) , pp.400 - 409

Objective: To investigate the impact of group game activities among children with disabilities and their siblings. Method: This case-control study was conducted between July and September, 2015, at a rehabilitation centre in Zonguldak province, Turkey. The experimental group comprised children having disabilities, while the control group had healthy siblings and their mothers. The children were directed to play various games with their siblings over a period of four weeks, after which the instruments were administered once again. The groups were compared using Schaeffer Sibling Behaviour Rating Scale-Sibling's Form. SPSS 21 was used . . . to analyse the data. Results: There were eight children each in the two groups with a mean age of 8.50±2.07 years in the experimental group and 8.37±2.32 years in the control group. A significant difference between the experimental (5.62±2.55) and control group (3.12±0.35) was only found in the sub-scale of physical aggression ( Daha fazlası Daha az

Sexual dysfunction in infertile couples: Evaluation and treatment of infertility

Ozmen Bayar U. | Inan Arikan I. | Barut A. | Harma M. | Harma M. | Basaran M. | Atasoy N.

Article | 2014 | Journal of the Pakistan Medical Association64 ( 2 ) , pp.400 - 409

Objective: To evaluate the diagnostic and the predictive value of Arizona Sexual Experience Scale among primary infertile couples regarding sexual dysfunction. Methods: The cross-sectional and prospective pre, post study comprising primary infertile patients was carried out at Bulent Ecevit University Hospital, Zonguldak, Turkey. Fifty consecutive primary infertile couples not treated previously were investigated between 2003 and 2007 for the presence of sexual dysfunction by a psychiatrist. Arizona Sexual Experience Scale scoring was self-administered to determine sexual dysfunction among couples before treatment and also 3 months . . .after the initiation of the treatment. Results: Pretreatment mean values of the index parametres in both women and men were significantly increased after treatment. Statistically significant positive correlation was observed between pre- and post-treatment total scores in both women (r=0.83; p13 (Sensitivity: 83%; Specificity: 93%), respectively. Pre- and post-treatment scores in men were >10 (Sensitivity: 65%; Specificity: 61%), >11 (Sensitivity: 83%; Specificity: 62%), respectively. Binary logistic regression analyses revealed women's pre-treatment and post-treatment scores as a significant factor for prediction of sexual dysfunction independent of sociodemographic factors (p=0.001 and p=0.001, respectively). Conclusion: Evaluation and treatment of infertility is an important risk factor for sexual dyfunction. Pre- and post-treatment Arizona Sexual Experience Scale score could be used as a screening test for sexual dysfunction and might be used to decide pre/post-treatment consultation of couples with a specialist Daha fazlası Daha az

Reduction of isolated zygomatic arch fractures using dental instrument: Report of 2 cases and review of the literature

Korkmaz Y.T. | Coskun U. | Durmuslar M.C. | Zor Z.F. | Hocaoglu T.P. | Altintas N.Y.

Article | 2016 | Journal of the Pakistan Medical Association66 ( 3 ) , pp.345 - 347

To assess the effectiveness of a dental instrument for reduction of isolated zygomatic arch fractures. Two patients were admitted to our clinic representing isolated unilateral zygomatic arch fracture. The common presenting complaints were pain, swelling and difficulty in mouth opening. Fractures were confirmed with plain radiography and computerized tomography. The fractures were reduced with upper buccal sulcus approach by dental instrument. Patients achieved satisfactory maximum mouth opening within 10 days. At follow up after 6 months, there was complete healing without any complication. This procedure is cost effective, time sa . . .ving, safe and effective to manage isolated zygomatic arch fractures under local anaesthesia with satisfactory outcomes. © 2016, University of Economics - Prague. All Reserved Daha fazlası Daha az

Primary pulmonary sarcoma metastasising to the skin during pregnancy

Arikan I. | Barut A. | Harma M. | Harma M.I. | Erdem Z. | Gezer S.

Article | 2012 | Journal of the Pakistan Medical Association62 ( 12 ) , pp.1342 - 1343

Lung cancer during pregnancy is a rare situation which is being increasingly reported during the past two decades due to a rising trend of cigarette smoking among young women and the tendency to delay pregnancy to a later age in life. We describe the case of a 32-year-old woman with primary pulmonary sarcoma, diagnosed at 31st week of pregnancy. X-ray chest and thoracic magnetic resonance imaging revealed a 9 × 6 cm mass in the left mediastinum, with tracheal shift, and pleural effusion. Biopsy performed during broncoscopy, was reported as mesenchymal tumour. She delivered a baby by Caesarean section at the 32nd week of gestation du . . .e to the development of superior vena cava syndrome. A skin biopsy taken 3 weeks later from the nodular lesion at the periumblical region was reported as a tumour metastasis. She received radiotherapy for 10 days, but died in the intensive care unit. Malignancies, even those as uncommon as a pulmonary sarcoma, should be considered in the differential diagnosis of pleural effusion during pregnancy Daha fazlası Daha az

Ovarian cancer during pregnancy

Barut A. | Arikan I. | Barut F. | Harma M. | Harma M.I. | Payasli B.

Article | 2011 | Journal of the Pakistan Medical Association61 ( 9 ) , pp.914 - 916

The frequency of cancer during pregnancy is approximately 1 per 1000 live births. This rate may increase as more women postpone childbirth until later in life, when cancer becomes more frequent. Pregnancy affectsmanagement of the cancer, and the cancer affects the management of pregnancy. The most common malignancies, in order of frequency, are breast cancer, leukaemia and lymphomas as a group, melanoma, gynaecologic cancers, and bone tumours. Ovarian tumours are found in about 1 in 1000 pregnancies and 3-6% of these are malignant. Thus, ovarian cancer occurs in approximately 1 in 12,500-25,000 pregnancies. Here, we report a case of . . . ovarian mucinous carcinoma that was diagnosed at 22 weeks of gestation. After conservative surgery, she was given three cycles of carboplatin chemotherapy. She delivered at 33 weeks of gestation and after undergoing surgery she was given six cycles of paclitaxel and carboplatin chemotherapy. The patient is now being followed by the oncology department with no evidence of disease Daha fazlası Daha az

T-cell/histiocyte-rich large B-cell lymphoma of stomach

Barut F. | Kandemir N.O. | Gun B.D. | Ozdamar S.O.

Article | 2016 | Journal of the Pakistan Medical Association66 ( 7 ) , pp.905 - 907

T-cell/histiocyte-rich large B-cell lymphoma is an unusually encountered lymphoid neoplasm of stomach with aggressive course, and is an uncommon morphologic variant of diffuse large B-cell lymphoma. An ulceratedmass, 7x5x1 cm in size was observed within the gastrectomy specimen of a 76-year-old female patient. In cross sections, besides mature lymphoid cells displaying T-cell phenotype, a neoplastic formation composed of large, pleomorphic atypical lymphoid cells with, prominent nucleoli, vesicular nuclei and abundant eosinophilic cytoplasm displaying B-cell phenotype were observed. Meanwhile, histiocyte-like mononuclear cells and R . . .eed-Sternberg-like multinuclear cells expressing CD68 and Mac387 were also observed. The diagnosis of the case was T cell/histiocyte-rich large B-cell lymphoma. This rarely encountered neoplasm should be kept in mind in the differential diagnosis of primary gastric lymphomas. © 2016, Pakistan Medical Association. All rights reserved Daha fazlası Daha az

Primary brain T-Cell lymphoma during pregnancy

Ilker A. | Aykut B. | Muge H. | Ibrahim H.M. | Ulkua O.B. | Tugba D. | Oktay E.

Article | 2012 | Journal of the Pakistan Medical Association62 ( 4 ) , pp.395 - 396

The incidence of non-Hodgkin's lymphoma (NHL) during pregnancy is about 0.8 cases per 100,000 women. We describe a case of a 33-year-old woman with primary brain Tcell NHL who was diagnosed at the 32nd week of gestation. She visited the emergency room complaining of a headache, vomiting and drowsiness. Her pregnancy had been uneventful prior to the admission. Brain magnetic resonance imaging (MRI) revealed a mass at the anterior cranial fossa in the mid liner in the front of the lateral ventricle of the brain. She was hospitalised and monitored regarding her complaints until the foetal lungs matured. During her stay, systemic evalua . . .tion revealed no other pathology. She delivered a healthy baby in the 34th week of gestation by Caesarean section and the tumour was evacuated while under the same anaesthesia. She underwent another surgery 12 hours after the first operation because of cerebral herniation. Despite aggressive treatment in the neurosurgical intensive care unit, her condition continued to deteriorate and she died on the tenth postpartum day. Examination of the patient at necropsy revealed no other pathology. The lymph nodes and bone marrow were not involved Daha fazlası Daha az

Accuracy of intra-operative frozen section in the diagnosis of ovarian tumours

Ilker A. | Aykut B. | Muge H. | Ibrahim H.M. | Ulku O.B. | Sener G. | Suna S.

Article | 2011 | Journal of the Pakistan Medical Association61 ( 9 ) , pp.856 - 858

Objectives: To compare frozen-section results with definitive histopathological results of ovarian tumours diagnosed intra operatively at the Zonguldak Maternity Hospital, Zonguldak, Turkey. Methods: The definitive histopathological results of 278 patients who underwent surgery between January 2002 and December 2008 for ovarian masses and on whom frozen sectioning was performed were evaluated retrospectively. After exclusion of 12 patients for whom a definitive result could not be obtained from frozen sections, the results of 266 patients' frozen sections were compared with those from permanent sections. Results: Data of 266 patient . . .s was analyzed. The results of frozen sections were 235 (88.3%) benign, 11 (4.2%) borderline and 20 (7.5%) malignant. The sensitivity was 100% for the benign tumours, 77.8% for the borderline tumours and 71.4% for the malignant tumours. The specificity of frozen section was 83.8%, 98.4% and 100% for the benign, borderline and malignant tumours, respectively. Conclusions: Frozen sections have adequate sensitivity and specificity at the Zonguldak Maternity Hospital, Turkey, and can be safely used to guide the intraoperative management of ovarian masses. False-positive and-negative ratios are low Daha fazlası Daha az

Recurrent partial hydatidiform mole

Barut A. | Arikan I. | Harma M. | Harma M.I. | Barut F. | Coskan A.

Article | 2011 | Journal of the Pakistan Medical Association61 ( 10 ) , pp.1016 - 1017

Hydatidiform moles are abnormal conceptions characterised by atypical hyperplastic trophoblasts and hydropic villi. Their incidence is approximately 1 in 1000 pregnancies. The recurrence risk of hydatidiform mole is approximately 1 in 60 in a subsequent pregnancy and 1 in 6.5 in the third pregnancy. In cases with recurrence, the majority of moles are of the same type as that in the preceding pregnancy. Here, we describe the case of a recurrent partial hydatidiform mole after an initial healthy pregnancy. Both pregnancies were evacuated by suction curettage, and the patient was followed by serial monitoring of ß-human chorionic gonad . . .otropin levels. Recurrent molar pregnancy is not an indication for chemotherapy, and subsequent pregnancies do not have an increased risk for other obstetric complications Daha fazlası Daha az

Evaluation of efficiency of puppet show in decreasing fears of school-age children against medical procedures in zonguldak (Turkey)

Topan A. | Sahin O.O.

Article | 2019 | Journal of the Pakistan Medical Association69 ( 6 ) , pp.817 - 822

Objective: To determine children's medical fears and to evaluate the effectiveness of puppet show to decrease such fears. Methods: The quasi-experimental study was conducted from February 1 to May 31, 2016, in Zonguldak, Turkey, and comprised primary school students. Descriptive Information Form and Medical Operations Fear Scale were used to collect data. Those found to be 'very afraid' subsequently underwent a puppet show. The Scale was applied post-intervention o track changes. SPSS 18 was used for data analysis. Results: There were 617 children with a mean age of 8.86±0.96 years and studying in second third and fourth grades. Of . . .them, 316(51.2%) were boys. The mean score on the fear scale was 43.9±1.03 (range: 29-87); 58(9.4%) were terrified of medical procedures. There was a significant difference between the scores of children with respect to the year of education (p=0.001), age (p=0.0001), previous hospitalisations (p=0.0001), previous fears related to hospitalisations (p=0.0021) and fear of being sick (p=0.0001). Two sessions of puppet shows were performed for 44(76%) of the terrified students. There was a significant difference between baseline and post-intervention scores (p=0.0001). Conclusion: Age, previous negative experiences of hospitalisations and the fear of being sick were factors that shaped children's medical fears. Puppet show effectively decreased such fears. © 2019, Pakistan Medical Association. All rights reserved Daha fazlası Daha az

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