Opinions of Turkish Physicians About the Participation of Patients and/or Patient Caregivers in Multidisciplinary Tumor Boards; A Survey Study From Tertiary Center in Konya

Abstract Objective: Multidiscplinary management is very important component of treatment of cancer. Multidisciplinary tumor boards (MB) provide the chance for shared-decision making in this complex type of disease. The participation of patients or caregivers in MB is a contentious issue and is not common in Turkey. In this study we aimed to determine what Turkish physicians participating MTBs in Selcuk University Faculty of Medicine think about the participation of patients and caregivers in MTBs. Method: The study was conducted in Selcuk University Faculty of Medicine in August 2022. The physicians that accepted to participate completed a 9-item questionnaire. The relationships between the participants’ sociodemographic characteristics and their questionnaire responses concerning MTBs were analyzed using Pearson’s chi-square test or the Fisher-Freeman-Halton test. Results: No statistically significant correlation was found between the socio-demographic characteristics of the participants and the opinions of cancer patients or their relatives about their participation in multidisciplinary tumor boards. 50 % of the participants do not approve participation of patient or caregivers in MTBs. 35 % of participants approve the participation of both in the MB. 4.4 % of participants approve only the participation of caregivers whereas only the 8.9 % of medical oncologist approve only the participation of patients in tumor board. Conclusion: Among 45 Turkish physicians in a tertiary care center, half of the participants do not approve of the participation of patients or caregivers in MTBs. The major reason for this lack of approval is fear that patients and caregivers will not understand medical terminology which may lead to misunderstanding by patients or caregivers

Echocardiographic and hemodynamic changes in patients with high-grade varicocele

Varicocele is abnormal tortuosity and dilatation of the pampiniform plexus veins within the spermatic cord. Varicocele is associated with testicular atrophy, hypogonadism, impaired semen analysis values, or decreased testosterone production. Varicocele is a progressive disease and should be treated because it may be a systemic disease that can be associated with cardiovascular abnormalities. We hypothesize in this study that cardiovascular and hemodynamic pathologies may occur in varicocele patients. In this prospective, multicentric, multidisciplinary study, patients diagnosed with high-grade left varicocele in the urology clinic underwent semen analysis, total testosterone determination, and scrotal Doppler ultrasonography. In addition, blood pressure measurement and echocardiographic evaluation were performed by blinded cardiologists in both the varicocele patients and the healthy control group. The study was carried out with 103 varicocele patients and 133 healthy individuals who formed the control group. Diastolic blood pressure (P = 0.016), left ventricular end diastolic (P < 0.001) and systolic diameter (P < 0.001), ejection fraction (P < 0.001), pulmonary arterial pressure (P < 0.001), and aortic distensibility (P < 0.001) values were significantly higher in varicocele patients compared with controls; interventricular septum wall thickness (P = 0.022), aortic systolic (P < 0.001) and diastolic diameter (P < 0.001), aortic systolic (P < 0.001) and diastolic diameter index (P < 0.001), and aortic stiffness index (P < 0.001) values were significantly lower in varicocele patients. The mean aortic distensibility of non-normozoospermic group was lower than that of normozoospermic group (P = 0.041). There was no statistically significant relationship between thickest vein diameter in spermatic cord and cardiological parameters. This study showed that symptomatic patients with high-grade varicocele had a higher risk of cardiovascular and hemodynamic disease. We recommend that men with high-grade symptomatic varicocele with impaired semen analysis undergo cardiovascular and hemodynamic evaluation regardless of their spermatic vein diameter

The Efficacy Of Preemptive Pregabalİn Administration on Pre-and Postoperative Anxiety and Postoperative Analgesia in Arthroscopic Shoulder Surgery: A Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Study

Aim: Few studies have investigated pregabalin use as preemptive analgesia in the management of acute pain and anxiety following arthroscopic shoulder surgery. We hypothesized that the preemptive use of oral pregabalin might decrease pain and postoperative anxiety on arthroscopic shoulder surgery pain during the initial 48 hours. Patients and methods: In this prospective, randomized, double-blind, placebo-controlled study, 65 eligible patients were randomly divided into two groups, the preemptive pregabalin 150 mg (group P) and the control group (group C). The primary outcomes were pain levels measured both rest and during active motion based on a visual analog scale (VAS). Secondary outcomes were the level of anxiety (STAI-S and STAI-T), patient satisfaction, and complications. Results: Group P showed lower pain (p &lt; 0.001), better opioid consumption (p &lt; 0.001), longer time to first requirement of analgesia (p &lt; 0.001), and lower rescue analgesic dose (p &lt; 0.001) than the control group at postoperative 48 h follow-up. Also, group P showed less preoperative and postoperative anxiety (p &lt; 0.001) and greater patient satisfaction (p &lt; 0.001) than group C. The rate of postoperative adverse effects was similar between the groups (p &gt; 0.05). Conclusion: The preemptive use of oral pregabalin received 150 mg daily for 2 days before surgery provided postoperative analgesia in both rest and active motion, and improved preoperative and postoperative anxiety levels and greater patient satisfaction in patients undergoing arthroscopic surgery

Investigating the Relationship Between Perceived Romantic Relationship Quality in Parents and Psychological Resilience Levels of Adolescent During COVID-19 Pandemic Process

Aim: Accumulated evidence shows that Coronavirus disease-2019 (COVID-19) pandemic related challenges have severely affected the mental well-being of many people around the globe including adolescents. This study examined the relationship between romantic relationship quality in parents and psychological resilience levels in adolescents during the COVID-19 pandemic. Materials and Methods: This cross-sectional online survey used self-reported measures of romantic relationship quality and resilience. Participants were 12.099 adults (99.2% female; mean age=35.27±5.37). Results: Results showed that romantic relationship quality was positively related to resilience. Those who reported increased marital satisfaction also reported higher levels of resilience, marital adjustment, and better relationship with adolescents. Conclusion: The study provided a new avenue for research that focuses on the link between romantic relationship quality, resilience and seeking emergency care within the context of the pandemic. Based on these results, prevention and intervention programs can be tailored and implemented to improve satisfaction in a romantic relationship