A Survey Study on Evaluation and Management of Nocturnal Enuresis in Pediatricians and Family Physicians

Objective:Nocturnal enuresis (NE) is one of the most common disorders in pediatric urology, and patients often turn to family physicians (FP) and pediatricians (P) initially. The aim of this study was to understand the awareness, self-confidence and suggestions of physicians regarding the management of NE.Materials and Methods:In this study, 360 FP and family medicine residents (FMR), as well as 280 P and pediatrics residents (PR), were contacted through a cellular phone texting system. A simple multiple-choice questionnaire (Surveymonkey®) consisting of 10 questions was used to gather data. The survey included questions about their experience, training, evaluation, and management of NE.Results:A total of 119 FPs and Ps (18.5%) filled the questionnaire. Thirty (25.21%) of the participants were P, 27 (22.69%) PR, 3 (2.52%) FP and 59 (49.58%) FMR. The rate of physicians who encounter at least 5 children with NE per month is 31.33%. The mean self-confidence in the management of NE was 4.5 out of 10. The self-confidence of pediatricians was significantly higher than that of PR and FMR (p<0.001, p<0.001). Most (n=78, 65.55%) of the participants stated that they received training on EN during medical faculty and 62 (52.10%) during residency. Psychological problems (89.92%), sleep disorders (78.15%), and excessive fluid intake (75.63%) were the most frequently considered factors in etiology. While most responders (75.63%) considered dietary regulation and behavioral interventions as the first-line treatment, 25.21% consult a pediatric urologist and only 1.6% recommend medical treatment.Conclusion:Although FP and P admit they had training on NE, they mostly felt incompetent to manage NE and exclusively avoided pharmacological treatment

Aortic body tumor in a dog

Aortic body tumors were investigated macroscopically and microscopically in a 2-year-old, clinically normal, male crossbreed dog. Two tumor masses measuring 4 x 4 x 3 cm in size were determined. One of them was located on the A. subclavia dextra and the other one was located on the A. carotis communis dextra and they adhered to the adventitia of these vessels. The tumor masses were encapsulated within a thin capsule and lobulated with yellowish-brown areas and were elastic in structure. Yellowish-white and red-brown focal areas were seen on the cut surface. In addition, a yellowish-white tumor mass measuring 2 x 3 x 3 cm in size was present in the facies auricularis of the heart base at the atrioventricular border, at the level of origos of the sulcus interventricularis paraconalis and at the caudalis of the truncus pulmonalis

Accuracy of transrectal ultrasound guided prostate biopsy: Histopathological correlation to matched prostatectomy specimens

Background: The Gleason grading system is currently the world's most commonly used histological system for prostate cancer. It provides significant information about the prognosis. Therefore, Gleason score is accepted as an important factor in therapeutic decision-making for prostate cancer. This retrospective study assessed the correlation of transrectal ultrasound (TRUS) guided biopsy and radical prostatectomy specimens in terms of Gleason scores. Methods: We reviewed the records of 103 patients who underwent radical prostatectomy due to clinically localized prostate cancer. The Gleason scores of the TRUS biopsies were compared with the respective Gleason scores of surgical specimen. Results: In 28.7% of cases, the TRUS biopsy score was the same as that of the radical prostatectomy specimen. The most significant discordance was the upgrading of well-differentiated tumors after surgery in 71.7% of cases. However, in 81.8% of cases with high Gleason score on TRUS, biopsy was correlated with poorly differentiated tumor after surgery. Conclusions: Well-differentiated tumors on TRUS biopsy did not correlate with the grades of final pathology in the majority of cases; however, a high Gleason score on TRUS biopsy usually indicated a poorly differentiated tumor on prostatectomy specimen. Therefore, the treatment algorithms for particularly well-differentiated tumors should not be deduced from biopsy histology alone

Follicular-compact-cellular carcinoma in the thyroid gland of a dog

This case was determined accidentally in a 1.5-year-old, cross-breed male dog during a necropsy for an experimental study conducted in our laboratory, following a clinical examination as well as haematological, biochemical and urine analyses. The dog was clinically healthy. Haematological and biochemical parameters, except for a decrease in serum triiodothyronine (T-3), and urine analysis findings were within the reference range. A mass 3 x 4 x 3 cm in size and 22 g in weight that was observed in the thyroid gland located in the left cranioventral cervical region at the level of the larynx was investigated macroscopically and microscopically. The cut surface of the mass was lobulated, hyperaemic and haemorrhagic and had necrotic areas. In the microscopical examination, this mass was diagnosed as follicular-compact-cellular carcinoma due to the presence of many incomplete follicular structures without colloid in their lumens, a few follicles filled with colloid in their lumens and solid areas surrounded by a fine connective tissue formed by pleomorphic, neoplastic cells resembling thyroid follicular epithelial cells and showing mitotic activity