Ependymal cells may be found within the coccygeal ligament as well as in heterotopic positions and therefore ependymomas may rarely occur in extra spinal locations. Although the cauda equina is the most common location, less than 5% of all spinal ependymomas occur extradurally in the sacrococcygeal region. 1 We report a case of extraspinal myxopapillary ependymoma arising in the subcutaneous soft tissue posterior to the sacrococcygeal region and review the relevant literature.
ABSTRACT Objective: In 2011, Turkey started the nationwide “Smoking Cessation Treatment Support Program” via Smoking Cessation Clinics (SCC). We examined the functionality of these clinics using Levesque’s framework of access to healthcare services. From the (potential) users’ perspectives we aimed to find the challenges they face in accessing these clinics and we proposed solutions for a better implementation. Methods: We conducted the study among 304 smokers who visited four Family Health Centers in a geographically defined area in Istanbul, Turkey, in 2018. Result: We found that 74% of the smokers wished to quit smoking. Within them, 21% didn’t know of SCCs and half of them didn’t know what services were provided there. Among those who knew of SCCs, 30% used them to quit smoking. The majority (75.7%) of the SCC users found the medications expensive; 41% didn’t use them; and 64% didn’t re-visit the clinics for follow-ups. Eventually, 4.3% of the smokers quitted smoking through SCCs. Utilization of these clinics were significantly higher among women (35%) than men (18.6%) (p=0.024); and there was no other differences in terms of age, marital status, income and education level. Conclusion: We conclude that smoking cessation programs in Turkey and other countries can be implemented more efficiently if sufficient number of clinics are opened and are accessible at the local level; more health professionals are trained to practice; the clinics are made more visible; smoking cessation medications are made available constantly; and a closer monitoring of service users is ensured.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.