Browsing by Publisher "Kuwait Medical Association"

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    Contribution of advanced magnetic resonance imaging techniques in diagnosis of breast lesions
    (Kuwait Medical Association, 2014) Basara I.; Orguc S.; Coskun T.
    Objectives: To determine the diagnostic contribution of diffusion weighted imaging (DWI) and magnetic resonance spectroscopy (MRS) identified either with mammography, ultrasonography or conventional enhanced magnetic resonance imaging (MRI) to cases with palpable breast lesions or for routine control Design: Prospective study Setting: Department of Radiology, Celal Bayar University, Turkey Subjects and Methods: Fifty female patients who applied to the clinic between November 2009 and April 2010 with different indications were included. We applied conventional breast MRI with the routine sequences. We added DWI and BREASE (MRS). After MRI examination postprocessing applications were applied. Intervention: Analysis of contribution of advanced techniques in breast lesions diagnosis Main Outcome Measure: Determining the value of DWI and MRS of breast lesions, which may be useful in improving the specificity Results: Fifty-two breast lesions in 37 cases were evaluated. In DWI when cut off apparent coefficient diffusion (ACD) value was accepted as 1.44 x10.3 mm2/sn, the sensitivity was found to be 91.3% and the specifity was 62.1% in discriminating malignant and benign lesions. When the lesions which have choline peak at 3.2 ppm were accepted as malignant and lesions which do not have choline peak were accepted as benign lesions in spectroscopic examination, the specifity was 80%, the sensitivity was 31.8%, negative predictive value (NPV) was 44.4% and positive predictive value (PPV) was found to be 70%. Conclusions: Our specifity was compatible with that in the literature but sensitivity and negative ppv were lower than reported in the literature. According to ADC values, the findings in our study were compatible with the literature.
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    The factors affecting sleep quality in type 2 diabetes patients
    (Kuwait Medical Association, 2019) Tavsanli N.G.; Sivrikaya S.K.; Menekli T.; Akyol A.
    Objective: Research was planned with the aim of determining the sleep quality of individuals with type 2 diabetes and the factors affecting this. Design: Descriptive and cross-sectional study Setting: Endocrinology Department of the Internal Medicine Section of Ege University Medical Faculty Hospital, Manisa Celal Bayar University Hafsa Sultan Hospital, and Balıkesir University Medical Faculty Hospital Subjects: The research was conducted between May 2014 and February 2015 on 366 individuals with type 2 diabetes. Intervention: Non-interventional Main outcome measure: The sleep quality of individuals with type 2 diabetes and the factors affecting this Results: The total Pittsburgh Sleep Quality Index (PSQI) scores of individuals who had had diabetes for 1-4 years and 5-9 years were found to be significantly higher than the scores of those who had had diabetes for less than one year or more than ten years (f = 10.85, p = 0.000). The total PSQI scores of individuals using oral anti diabetic (OAD) and insulin diabetes treatment were significantly higher than the scores of patients receiving only diet treatment or OAD + insulin (f = 3.03, p = 0.029). A significant relationship was found between the HbA1c of the individuals in the study with type 2 diabetes and their total PSQI scores (p <0.01). Conclusion: It can be said that such socio-demographic characteristics as age, gender, income, duration of diabetes and diabetes treatment, and metabolic values such as the glycated haemoglobin (Hemoglobin A1c-HbA1c), fasting blood glucose and body mass index negatively affect sleep quality. © 2019, Kuwait Medical Association. All rights reserved.