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Evaluation of Depression in Newly Diagnosed Breast Cancer Cases in Hatay Province of Turkey in 2011
Nazlican, Ersin,Akbaba, Muhsin,Okyay, R. Azim Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.6
Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in females in Turkey. The main problems experienced by women with breast cancer are physical losses, emotional distress and degradation in family, work and social roles. The purpose of this cross-sectional retrospective study was to investigate the socio-demographical characteristics and depressive symptoms of 125 newly diagnosed cases with breast cancer reported to cancer control department of Hatay provincial health directorate in 2011. To evaluate the depressive symptoms the Beck Depression Inventory (BDI) was used. All 125 cases who participated in the study were female. The mean age was $49.2{\pm}11.9$. The mean BDI score of the cases was $17.5{\pm}10.6$. The number of cases whose BDI scores were 17 and above was 65 (52.0%), and the number of cases whose BDI scores were under 17 was 60 (48.0%). The most striking finding in our study was that only 4 of the cases were receiving psychological help and support. The rate of depression was found high in our study and psychological support is a must for patients with a life threatening disease such as cancer.
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Cervical Cancer Screening in Turkey: A Community-based Experience After 60 Years of Pap Smear Usage
Demirhindi, Hakan,Nazlican, Ersin,Akbaba, Muhsin Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.12
Cervical cancer is the second most common cancer in females in the World with around 500,000 new cases occurring annually, but the first in the developing countries with a high mortality if not diagnosed early. Papanicolau (Pap) smear is a cheap, easy-to-apply and widely accepted test which has been long used to detect cervical cancer at very early stages. However, despite being available for nearly 60 years, the test can hardly be considered to have become successfully applied in many communities. We aimed in this study to present the results of a screening survey for cervical cancer which targeted a women population aged between 35 and 40 living in a semi-rural area in the province of Hatay, located in the eastern Mediterranean region of Turkey, with specific aims of increasing early diagnosis, education and raising population awareness about cancers. This community-based descriptive study covered 512 women between 35 and 40 years of age living at Armutlu with a mean age of $37.6{\pm}1.7$. Gynecologic examinations revealed cervical erosion in 8 (1.6%), vaginitis in 193 (37.7%) and normal findings in 311 (60.7%); pathological evaluation reports of the smears were negative in 290 (56.6%), inflammation in 218 (42.6%) and ASC-US in 4 (0.8%), according to the 2001 Bethesda classification. It can be concluded that Pap smear test - proven to be a very valuable test at the clinical level- should also be widely used at the community level to detect cervical cancer at very early stages to reduce both the mortality and morbidity among healthy people. The need for continuous community-based cervical cancer screening programs is strongly suggested.
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Cervical Cancer Screening in an Early Diagnosis and Screening Center in Mersin, Turkey
Nayir, Tufan,Okyay, Ramazan Azim,Nazlican, Ersin,Yesilyurt, Hakki,Akbaba, Muhsin,Ilhan, Berrin,Kemik, Aytekin Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.16
Cancer is a major public health problem due to the jeavy disease burden, fatality and tendency for increased incidence. Of all cancer types, cervical cancer is reported to be the fourth most common cancer in women, and the seventh overall, with an estimated 528,000 new cases worldwide in 2012. It features a long preclinical phase with slowly progressing precancerous lesions such as CIN 2 and 3 and adenocarcinoma in situ. Therefore, screening programs such as with Pap smear tests may play an important role in cervical cancer prevention. The purpose of this study was to present results of a Pap smear screening survey for cervical cancer targeting women living in an urban area in the province of Mersin, located in the Mediterranean region of Turkey. This community-based descriptive study included women living at Akdeniz county of Mersin province. A total of 1,032 screened women between 30 and 65 ages within the routine screening programme constituted the study population. The mean age of the participants was $43.8{\pm}8.6$ (min. 30, max. 65) years. The percentage of the participants who had previously undergone smears was 40.6%. Epithelial cell changes were found in 26 (2.5%) participants, with ASC-US in 18 (1.7%), ASC-H in 2 (0.2%), LSIL in 5 (0.5%) and HSIL in 1 (0.1%). The most common clinical presentation together with epithelial changes was abnormal vaginal discharge. Taking into account the presence of women who had never undergone Pap test; it should be offered at primary level of health care in the form of a community-based service to achieve reduced morbidity and mortality rates.
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The Efficacy of the Combined Procedure in Involutional Entropion Surgery: A Comparative Study
Didem Serin,Ibrahim Bulent Buttanri,Safak Karslioglu,Mehmet Sahin Sevim,Bahtinur Buttanri,Muslime Akbaba 대한안과학회 2013 Korean Journal of Ophthalmology Vol.27 No.6
Purpose: To evaluate the efficacy of the combined procedure in the management of involutional entropion. Methods: In this study, we reviewed 45 eyes of 36 patients who underwent the combined procedure (lateral tarsalstrip, retractor tightening, and everting sutures) for the management of involutional lower eyelid entropionand compared the results with 31 eyes of 25 patients who underwent the Wies procedure. Exclusion criteriaincluded previous lower eyelid surgery and follow-up of less than 6 months. Results: No patients demonstrated entropion on the first postoperative day. The mean follow-up period was18.4 months (6 to 52 months) in the Wies group and 22.6 months (6 to 59 months) in the combined proceduregroup. During the follow-up period, 9 of 31 eyes in the Wies group presented with recurrence and only 1 of 45eyes in the combined procedure group presented with recurrence (p = 0.001). The average time of recurrencewas 4.8 months in the Wies group. Recurrence occurred at 2 months postoperatively in the patient in the combinedprocedure group. Six of the 9 recurrences in the Wies group were managed by the combined procedure. None of these patients had further recurrence after correction. Three patients complained about a visibleincision line after the Wies procedure. Conclusions: The combined procedure seems to be more effective than the Wies procedure in the managementof involutional entropion. The combined procedure addresses the three major causative factors in involutionalentropion and makes it possible to perform the surgery using a small incision.
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