Analysis of the factors determining the type of surgical procedure in mature cystic teratomas

Objectives: It was aimed to evaluate which factors determine the surgical procedure selected by surgeons for cases with mature cystic teratoma (MCT). Material and methods: This study included 50 cases with histopathologically proven MCT between January 2011 and August 2016 at a tertiary reference hospital. Data related to demographic and clinical characteristics were retrieved from medical records. Multivariate logistic regression analysis was conducted to evaluate the independent factors determining the type of surgical procedure to be applied. Results: A higher rate of patients with large cyst size and elevated CA 19-9 was determined in the postmenopausal patients compared to the premenopausal patients (p = 0.033, p = 0.035). Cystectomy and oopherectomy were applied to 72.55% and 27.5% of the cases respectively. No recurrence in the operated ovary was observed in the 1-year follow-up period in any of the cystectomy cases. The major and only independent variable for the preference of cystectomy over oopherectomy was found to be a younger age (≤ 40 years). There was no independent variable which predicted the selection of laparoscopy or laparotomy by surgeons. Conclusions: Cystectomy was seen to be preferred by surgeons in the majority of MCT patients aged ≤ 40 years regardless of the size of the cyst. This is plausible since these patients have greater concerns about future fertility compared to patients > 40 years old. No recurrence was detected in any of the cystectomy cases, which strengthens the feasibility of this procedure. No serious complications developed in laparoscopy which could render it a safe option for undertaking cystectomy/oopherectomy in MCT cases

AN EYE TRACKER ANALYSIS OF THE INFLUENCE OF APPLICANT ATTRACTIVENESS ON EMPLOYEE RECRUITMENT PROCESS: A NEUROMARKETING STUDY

Tourism sector is one of the largest service sectors in the world economy  both in terms of revenues and the numbers of tourists involved. One of the structural problems in the Turkish tourism industry is the high level of labour turnover.  This study aims to explore the role and influence of attractiveness/attractivity on the recruitment process in the tourism and hospitality sectors.  The study particularly aims to measure the influence of attractiveness on the selection of job candidates by managers involved in recruitment. Particularly, the study aims explore to what extent managers act rationally or under the influence of Pavlovian conditioning in making their recruitment decisions. That is to what extent managers resort to heuristics, i.e. shortcuts regarding attractiveness of job applicants for backstage positions in a hotel. The study has used  a neurological data gathering tool, the  Eye Tracker (ET, to determine the influence of attractiveness on the recruitment decisions of managers in the hospitality  sector

Evaluation and Interpretation of Female Infertility

Infertility is a problem that affects one out of seven couples and is defined as the inability to achieve pregnancy despite unprotected intercourse for 1 year. One of the most important enemies of infertile patients is time. In order to reveal the possible causes of infertility, importance should be given to the systematic, rapid, and cost-effective evaluation, and the evaluation should be started with the least invasive examinations. In the evaluation of an infertile woman, a detailed medical history, reproductive history, family history, and physical examination are required to reveal the anatomical and physiological causes of infertility. This evaluation process is also the most suitable period for giving pre-pregnancy counseling, providing necessary counseling for preventive medicine practices, and conducting genetic research and consultations if necessary. In the evaluation of infertility, the presence of ovulation, the structure and function of the female genital system, and semen analysis in the male partner should also be evaluated. During all these evaluation processes, the psychological morbidity caused by the inability to have children should also be taken into consideration and the couples should also be supported in this respect. In this review, it was aimed to present the steps to be followed in the evaluation of an infertile woman in the light of current literature

Two Different Presentation of C3 Glomerulonephritis Treated with Eculizumab: Two Cases and Brief Overview

MakaleWOS:000925209300013C3 glomerulopathy is a newly defined glomerular disease dominated by C3 complement storage and uncertain C1, C4, and immunoglobin accumulations. Hereditary mutations associated with Complement Factor H (CFH) causing hyperactivation of the alternative complement pathway were identified. Most mutations associated with C3 glomerulopathy are associated with the N-terminal end. Whether mutations are pathogenic or not will direct diagnosis and treatment. We present 2 cases, one 61-year-old and one 24-year-old attending our clinic at different times with hematuria, proteinuria, edema, and kidney failure. Both patients had C3 glomerulopathy diagnosed based on the results of kidney biopsy and were treated with eculizumab. Both cases had CFH-associated mutations

POST-TRAUMATIC STRESS DISORDER AND AFFECTING FACTORS IN PREGNANT WOMEN IN THE COVID-19 PANDEMIC

Background: Post-traumatic stress disorder (PTSD) causes adverse obstetric outcomes in pregnants. COVID-19 pandemic can cause PTSD symptoms in pregnant women. This descriptive study aims to determine the post-traumatic stress disorder and affecting factors in pregnant women in the COVID-19 pandemic. Subjects and methods: A total of 445 pregnant women completed “Data Collection Form” and “DSM-5 Post-Traumatic Stress Disorder Checklist (PCL-5)”. Results: The mean total PCL-5 score of the pregnant women was found to be 57.27±17.90. There was a significant difference between PCL-5 and gestational week, parity, the idea that the COVID-19 outbreak would cause a problem in childbirth, the presence of a COVID-19 in one of the family members/a loved one, the status of following COVID-19 -related developments (p<0.05). Conclusions: It is important for health professionals to evaluate the psychological effects of the pandemic in pregnants during antenatal period

Yanlış Analiz Envanterinin Birinci Sınıf Öğrencilerinin Okuma Performanslarının Değerlendirilmesinde Kullanımı

Okuma bireyin tuuml%253Bm yaşam alanlarında kullanılan ouml%253Bnemli bir beceridir. Buuml%253Btuuml%253Bn okuma programları akıcı okumayı ve okuduklarını anlayabilir ouml%253Bğrenciler yetiştirmeye odaklanmaktadır. Bu nedenle okuma ile sorunları olan ouml%253Bğrencilerin tespit ve onların ihtiyaccedil%253Bları doğrultusunda desteklenmesi gerekir. Bu, uygun youml%253Bntemleri seccedil%253Berek ouml%253Bğrencilerin okuma performanslarının suuml%253Brekli ve sistematik gouml%253Bzlemi ile elde edilebilir. Ccedil%253Balışmanın amacı doğrultusunda, ouml%253Bğrencilerin okuma hataları ve bunların olası nedenleri quot%253BRunning Recordsquot%253B adlı bir okuma performans değerlendirme aracı kullanılarak nitel araştırma paradigması kapsamında incelenmiş ve tartışılmıştı

The Effects of Monochromatic Lighting on Hatch Window and Hatching Performance in Broiler Breeder Eggs

In this study, the effects of monochromatic lighting on egg weight loss, embryonic mortality, hatch window and hatching performance were investigated. The number of eggs used in the experiment was a total of 780 (Ross-308 genotype). Eggs were randomly assigned to 3 groups. 1) Control group%253A Eggs were incubated in dark, 2) Green light group%253A 560 nm (wavelength from 535 to 585 nm), 3) Red light group%253A 670 nm (wavelength from 640 to 690 nm). During the first 18 days of the incubation period, continuous illumination of 0.1-0.2 lx intensity was provided with LEDs placed on both sides of the trays. The light transmission was prevented by blank trays coated with greenhouse covering material which has 75%25 shading feature placed among experiment groups. In this way, light transmission to other trays and any possible hitches of air circulation was prevented. There was no difference between examined egg weights of the treatment groups in the experiment, but its found that significant difference in egg weight loss for both colours of light. Red light and control groups (15.00%25 and 11.92%25) show a similar embryonic mortality rate, while the green light group has a lower embryonic mortality rate (5.00%25) than these groups. The effects of monochromatic lighting on the hatching time were significant (Chi-squarelt%253B0.05). Although there was no significant difference between hatching performance parameters of the control and red light treatment groups in the experiment, the green light group had better hatching efficiency than the other groups. The findings of this research were carried out with two different light wavelengths are remarkable for showing that the significant effects of the monochromatic illumination on hatching results

A Rare Case: Improved Heart Failure with Anti-Complement Therapy in Complement-Dependent Hemolytic Uremic Syndrome

MakaleWOS:000925209300014xtrarenal involvement occurs in approximately 20% of patients with complement-mediated hemolytic-uremic syndrome. The involvement is usually of the nervous system, and cardiac involvement occurs in 3%-10% of patients. Cardiac manifestations vary, including myocardial infarction, cardiomyopathy, and acute decompensated heart failure. Among these patients, thrombotic microangiopathy-related cardiac dysfunction is mainly due to the continuous activation of the complement system, which leads to endothelial damage and thrombosis in the coronary microvessels. We wanted to highlight the importance of cardiac evaluation at the time of diagnosis or during follow-up in thrombotic micro-angiopathy patients by presenting a case of heart failure with low ejection fraction in a 24-year-old young patient in whom we detected complement-mediated hemolytic-uremic syndrome, a secondary mutation of complement factor H receptor. It is still an unknown issue because of the rarity of cardiac involvement in complement-mediated hemolytic-uremic syndrome patients. Primary myocardial involvement is increasingly recognized as a possible concomitant feature of hemolytic-uremic syndrome. Failure to perform a detailed cardiac evaluation both at diagnosis and during follow-up in complement-mediated hemolytic-uremic syndrome patients can lead to fatal outcomes. Anti-complement therapy can also lead to good cardiac outcomes in these patients

Effects of pacemaker and implantable cardioverter defibrillator electrodes on tricuspid regurgitation and right sided heart functions

Background: The aim of this study was to assess the effect of trans-tricuspid placement of permanent pacemaker (PPM), implantable cardioverter defibrillator (ICD) and cardiac resynchronization therapy (CRT) leads prospectively on tricuspid valve and right-sided heart functions using two-dimensional echocardiography. Methods: A total of 41 patients (31 male, mean age: 63.6 ± 12.2 years) were included in this prospective study. Initial echocardiographic evaluation was performed before cardiac device implantation and re-evaluation by echocardiography was performed immediately after the procedure and at 1st, 6th and 12th months. In addition to standard echocardiographic examinations, vena contracta (VC), proximal isovelocity surface area (PISA), and tissue Doppler evaluations were also performed in the study population. Results: Tricuspid regurgitation (TR) is worsened by 1 grade in 70.8% of the patients and 2 grades in 17.1% of the patients in the follow-up. Eight patients without baseline TR developed new-onset TR (9.8% mild, 9.8% moderate) after lead implantation. In the follow-up period, 41.5% of the patients who had mild TR before lead implantation developed moderate TR and 7.3% developed severe TR, whereas 19.5% of the patients with moderate TR developed severe TR during the follow-up. In the follow-up period, VC of TR was increased [median: 0.32 (0.16–0.60) cm in pre-implantation period, and 0.41 (0.18–0.80) cm at 12th month, p = 0.001]. Similarly PISA value of TR was also increased [median: 0.46 (0.15–1.10) cm in pre-implantation period and 0.52 (0.28–1.20) cm at 12th month, p = 0.001]. However, there is not a significant difference between PPMs/ICDs and CRTs regarding the effects on TR (p &lt; 0.05). In addition, right ventricular dimensions and right atrial volumes were increased during the follow-up. Conclusions: Implantation of permanent transvenous right ventricular electrode is associated with worsening of TR, right atrial and right ventricular dimensions. Further studies are needed in order to both outline the effect of those findings on outcomes and clarify the time dependent changes in those functions