ABSTRACT
Background@#Osteoporosis can be delayed by providing accurate and adequate information to people at risk. Therefore, we aimed to determine the knowledge, attitude, and behavior levels of women in the postmenopausal period, which is the largest group at risk. @*Methods@#The study was conducted in a tertiary Training and Research Hospital between 1 December 2018 and 1 May 2019 in 225 postmenopausal women who applied to the Family Medicine outpatient clinic and bone mineral density (BMD) outpatient clinics for BMD measurement or had previously had this measurement at least once. A questionnaire evaluating the knowledge, attitudes, and behavior levels related to osteoporosis was applied to all patients included in the study. @*Results@#The mean age was 58.05±9.1 years. The median osteoporosis knowledge score was 7 out of 19 points. A total of 119 (52.9%) had low knowledge scores and 106 (47.1%) had higher knowledge scores. Of the individuals with high scores, 40 (37.7%) were smoking, 64 (60.4%) did not sunbathe, 89 (84%) did not consume the recommended daily amount of calcium, and 58 (54.7%) were not exercising in the recommended time. It was seen that those who were university graduates, who had previously learned about osteoporosis from a health professional, and who had a family history of osteoporosis had higher knowledge levels. @*Conclusions@#Even in postmenopausal women who are aware that they are in the risk group and that they should have BMD, their knowledge, attitude, and behavior levels on osteoporosis were found to be quite low.
ABSTRACT
@#Objective: It is aimed to present our experience in carotid artery stenting with attention to the patient selection, technique, success rate, perioperative complications, and efficacy. Methods: Patients presented with carotid stenosis treated by stenting were included. Symptomatic patients were defined as having a history of transient ischemic attack or stroke in the last 6 months. Patients with symptomatic carotid stenosis of at least 50% or asymptomatic carotid stenosis of at least 70% detected by catheter angiography were accepted for treatment. Distal embolic protection devices were used in all patients. Technical success was defined as the luminal patency at least 70%. Results: The study consisted of 94 patients with 98 procedures and the mean age was 66.38±11.13 years. The mean stenosis rate was 74.52±13.44%. A total of 109 stents were used in 97 procedures, and closed-cell design was used in 87.2% versus open-cell design in 12.8%. Technical success and complication rate were 98.9% and 8.2%, respectively. The mean follow-up period was 14.92±10.76 months. Conclusion: Carotid artery stenting with use of distal embolic protection devices is widely accepted, safe, feasible, less invasive when compared to surgery and can be performed successfully especially in patients with high risk factors.
ABSTRACT
OBJECTIVE: We wanted to compare the clinical usefulness of conventional galactography and MR contrast galactography for diagnosing patients with nipple discharge. MATERIALS AND METHODS: Both conventional galactography and MR contrast galactography were performed prospectively in 16 patients. Gadopentate dimeglumine (0.1 ml) was mixed with non-ionic contrast medium (0.9 ml) to obtain a resultant volume of 1 ml and this was used for both examinations. Following conventional galactography, MR contrast galactography was performed after direct injection of contrast media into the duct. RESULTS: Conventional galactography and MR contrast galactography were concordant in 13 (81%) of 16 patients; the results were normal in five, ductal dilatation was noted in four and intraductal filling defects were noted in four. The remaining three (19%) patients demonstrated discordant findings on the two examinations. While conventional galactography revealed filling defects, the MR contrast galactography results were normal in two patients. The third patient had kinks-stricture on conventional galactography and MR contrast galactography showed ductal dilatation. This suggested there were false positive results for the three patients' conventional galactography, and all the three patients with discordant results underwent surgery and the histopathologic evaluation showed fibrocystic changes. CONCLUSION: MR contrast galactography may be used as an alternative imaging modality for making the diagnosis of pathologic nipple discharge. However, statistically supported studies with large pools of subjects for comparing the galactography and MR contrast galactography results are needed to confirm our findings.