Determination of Women's Knowledge About Abnormal Uterine BleedingAim: Abnormal uterine bleeding is one of the most common reasons for the referral of women of reproductive age to the gynaecology outpatient clinic. It is a subjective condition in which women evaluate bleeding in which characteristic. This study was conducted to determine the current knowledge of women on abnormal uterine bleeding.
Methods: This descriptive study was conducted between February and May 2019 in İzmir Katip Çelebi UniversityAtatürk Training and Research Hospital Gynaecology Clinic. The sample of the study consisted of 200 women over the age of 18, married, without any sensory / psychiatric illness and who agreed to participate in the study. The questionnaire form prepared by the researcher was used to collect the research data. The data obtained from the study were analysed in SPSS 21 package program. Descriptive tests and chi-square test were used in the analysis. Results: The average age of the participants is 35.37±8.19 and 39% of them are university graduates. It was found that women have good knowledge about abnormal uterine bleeding, especially in terms of its duration, frequency and amount. It was found that the knowledge levels of women about abnormal uterine bleeding differ according to their education level and age. It was found that women with a low level of education considered postcoital bleeding and intermenstrual bleeding to be more normal, while patients in the young age group found brownblack bleeding consistent with abnormal.
Conclusion:As a result of the study, it was determined that women have good knowledge about abnormal uterine bleeding, but they need to be informed about intermenstrual and postcoital bleeding. For this purpose, we believe that it will be effective to inform abnormal uterine bleeding for women by healthcare professionals.
Background and Purpose: The frozen section analysis results help determine the appropriate surgery and treatment for patients with endometrial adenocarcinoma. This study investigates the degree of compliance between the results of frozen section analysis and final pathology reports in patients with endometrial cancer.
Methods: This study included 357 patients with endometrial adenocarcinoma who underwent operation, follow-up, and treatment at our hospital. The patients’ demographic, clinical, surgical, and pathological data were retrospectively analyzed. We compared the results of the frozen section and pathological specimens in terms of final pathology, tumor grade, myometrial invasion, tumor size, and lymphovascular system involvement (LVSI).
Results: The frozen section analysis and final pathology results for tumor size and LVSI were significantly correlated when patients were divided by tumor type (tumor size: P=0.006, LVSI: P=0.024) or by risk for lymph node involvement (P=0.000).
Overall, the frozen section analysis had an accuracy of 70% for tumor grades.
The histological results of the frozen section analysis had an accuracy of 77.1% for type 1 tumors and 72.7% for type 2 tumors. Overall, the frozen section analysis had an accuracy of 95% for myometrial invasion.
Conclusion: Intraoperative frozen section analysis can prevent unnecessary lymph node dissection when performed at qualified institutions.
Introduction: Women spend most of their life in the postmenopausal period. This period brings along many metabolic problems with the decrease in estrogen production. Our aim was to evaluate the effectiveness of bone mineral density (BMD) on fracture risk assessment tool (FRAX) between groups with and without insulin resistance and also to investigate the importance of new risk factors in FRAX identification and to facilitate early prevention, diagnosis, and treatment of women with fractures risk. Methods: Sixty-eight patients who were admitted to our clinic with diagnosis of impaired glucose tolerance during postmenopausal period were included in this study retrospectively. Those who had their routine biochemical parameters, insulin, and BMD measured were included in the study. Fracture risk analyses were performed with the FRAX score. Body mass index and homeostasis model assessment-insulin resistance of the patients were calculated. Results: In the group with insulin resistance, high-density lipoprotein cholesterol value was low (p=0.014), and triglyceride level was high (p<0.0001). When 25(OH)Vit-D3 values were examined between the groups, the mean values were 22.8±13.6 and 15.7±11.8 ng/ml, respectively (p=0.026). When femoral and lumbar T-score BMD values between the groups were examined, the bone density of the patients with insulin resistance was significantly higher than the other group (p=0.039). Discussion and Conclusion: To summarize, we believe that low bone quality is caused by slowing bone cycle due to longterm impaired glucose levels and long-term estrogen hormone deficiency caused by menopause. This suggests that BMD value is not specific enough for determining bone fractures. The conclusion to be drawn here is to accurately establish the relation between DM or impaired glucose tolerance and osteoporosis; to constitute a guide for further prospective and large-scale studies that use different diagnostic and follow-up parameters; and to investigate the significance of new risk factors in FRAX identification for early prevention, diagnosis, and treatment of women who are at a risk of fractures.
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