Comparison of changes in body image of patients with renal calculi treated by pyelolithotomy or percutaneous nephrolithotomy

To compare changes in body image of patients who had pyelolithotomy [PYL] or percutaneous nephrolithotomy [PNL] for kidney stones Prospective, descriptive study Elazig Education and Research Hospital, Turkey A total of 69 patients, who had PNL or PYL done for renal stones, were evaluated, prospectively. Patients were divided into two groups: PNL [39 patients] and PYL [30 patients]. Body dismorphic disorder scale [BDDS] was used to measure body image changes of these patients before, one and six months after the operation. The patients were questioned and their answers were noted. BDDS score was calculated according to the answers. Mean BDDS scores between the two groups were statistically compared by t-test method The difference of mean BDDS scores between two groups before the operation, and six months after the operation was not statistically significant[p>0.4andp>0.4respectively]. However, mean BDDS scores one month after the operation were significantly higher in PYL group and perception of body image was worse [p = 0.01]. In early postoperative period, perception of change in body image was significantly worse in the PYL group. However, in late postoperative period, there were no significant differences between the two groups of patients. For these reasons, we consider that the changes in body image should not be a determining factor for selecting the surgical approach

Risk factors of hepatitis B virus infection in Turkey: a population-based, case-control study

Although the World Health Organization [WHO] classifies Turkey as a country with a moderate-high prevalence of hepatitis B virus [HBV] infection, there is little data on HBV transmission in this country. To identify risk factors for HBV infection, we performed a retrospective case-control study between January 2007 and December 2009. Acute HBV patients and population controls were selected, and data from these groups were analyzed by logistic regression method. The study included 129 patients with acute HBV infection and 219 controls. Hemodialysis [OR:8.2, 95% CI: 4.17-16.61, p< 0.05], having an HBsAg [+] spouse [OR: 4.3, 95%CI:2.17-8.53, p <0.05], living with an HBsAg [+] parent[s] [OR:3.25, 95% CI:1.73-6.12, p<0.05], and being male [OR:1.34, 95% CI:0.82-2.21, p < 0.05] were independent risk factors that were potentially associated with HBV infection. More than one-third of female patients had a significantly higher risk [34.5% vs 13.5%, p < 0.05] of acquiring HBV from their sexual partners. Hemodialysis was the most frequent risk factor [46.9% vs.20%, x[2] =10.45, p<0.05] for patients aged over 31 years, and living with HBsAg [+] parents was a significantly higher risk factor [28.8% vs. 10.2%, x[2] =6.15, p< 0.05] that is more likely to lead to HBVin patients aged under 30 years. This study suggests that persons in Turkey who undergo hemodialysis are at high risk for acquiring HBV. Having an HBsAg [+] spouse [sexual transmission] or living with HBsAg [+] parents [household transmission] are significant risk factors for HBV transmission. Vaccination appears to be better preventive method against the spread of HBV