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Introduction: Adenomatoid tumors are benign mesothelial neoplasms of the fallopian tube. They are rare and are usually diagnosed incidentally in specimens sent for tubal ligation and can be confused with vascular or epithelial benign-malignant lesions. Case Presentation: Tubal segments from a 43-year-old patient who underwent tubal ligation during a cesarean section were sent to our pathology laboratory. Gross examination revealed no macroscopic lesion. Microscopic examination revealed a well-circumscribed lesion that at first glance resembled a vascular lesion lined by cuboidal or flat cells. No atypia, mitosis, or necrosis was observed. Immunohistochemical staining showed positivity for calretinin, cytokeratin, and vimentin. Based on all data, a diagnosis of adenomatoid tumor was made. Discussion: Adenomatoid tumors are generally found in the uterus and rarely in the fallopian tubes and ovaries in women. They are typically detected incidentally in patients treated for various reasons. Differential diagnosis includes benign, intermediate, and malignant conditions such as leiomyoma, lymphangioma, carcinoid, epithelioid hemangioendothelioma, malignant mesothelioma, Krukenberg tumor. Due to its localization, adnexal lesions also falls into the differential diagnosis of our case Conclusion: Adenomatoid tumors are rare, incidental findings in surgical practice. Despite their generally benign appearance, they can mimic other benign and malignant lesions due to their variable histology and atypical locations, necessitating differentiation from these conditions.

Transcatheter valve-in-valve (TVIV) implantation has emerged as a promising therapeutic option for patients with degenerated tricuspid bioprosthetic valves, particularly those deemed high-risk for traditional surgical approaches. Over time, degeneration of tricuspid bioprosthetic valves can lead to significant hemodynamic impairment, adversely affecting patients' quality of life. Conventional surgical interventions, while effective, are associated with substantial complications and prolonged recovery periods, especially in patients at elevated risk for cardiac surgery. In this report, we present the case of a patient who previously underwent bioprosthetic valve replacement for functional tricuspid insufficiency and presented with valve degeneration 10 years post-surgery. The patient was successfully treated with a TVIV procedure using a 29 mm Myval transcatheter heart valve (Meril Life Sciences, Vapi, Gujarat, India). Following the procedure, no complications were observed, and valve function significantly improved. This case illustrates the potential of TVIV as a viable alternative in managing degenerative bioprosthetic valve disease. It offers a safe and effective treatment modality, particularly for high-risk patients, thus avoiding the need for repeat surgical interventions. The favorable outcomes observed in this case further emphasize the growing role of TVIV in the treatment of bioprosthetic valve pathologies and its potential to improve outcomes in high-risk patient populations

Objective: Obesity is a major global health concern due to its rising prevalence and association with chronic diseases. This study aimed to assess the sociodemographic characteristics, anthropometric measurements, biochemical test results, and vitamin levels of patients attending an obesity clinic. Methods: A total of 157 patients seeking medical support for weight loss and meeting the study criteria were included. The study was conducted between October 2016 and December 2018 at the Obesity Clinic of Konya Training and Research Hospital. Participants' sociodemographic data, physical examination findings, and anthropometric measurements, including height, weight, waist circumference (WC), hip circumference (HC), and blood pressure, were recorded. Blood samples were collected after 12 hours of overnight fasting and analyzed on the same day. Results: The study included 139 women (88.50%) and 18 men (11.50%), with a mean age of 35.32±12.61 years. The proportion of married individuals was significantly higher in the obese group (p=0.002), as was the prevalence of chronic diseases (p=0.021). Obesity was less common among individuals with at least a high school education (p<0.001). The obese group had significantly higher values for age (p<0.001), WC (p<0.001), HC (p<0.001), systolic blood pressure (p=0.008), glucose (p<0.001), cholesterol (p=0.010), triglycerides (p=0.001), and LDL (p=0.007). Among obesity grades, age was highest in grade 3 obesity (p=0.003), diastolic blood pressure was higher in grade 2 than in grade 1 (p=0.008), and vitamin D was significantly lower in grade 3 than in both grade 1 (p=0.012) and grade 2 (p=0.037). Insulin resistance was found in 109 participants (69.87%). Those with insulin resistance had higher triglyceride, AST, and ALT levels and lower HDL (p<0.001 for all). Insulin resistance was more common in men (p=0.002) and those with chronic diseases (p=0.003).

Introduction: Patients who receive treatment in hospital, cannot take care of themselves and are unattended cannot be discharged at the planned time. These patients stay in the hospital until they are placed in the necessary institutions and organizations. As a result, bed occupation, the patient's extra stay in the hospital environment and additional cost problems arise. As a result, it is aimed to create awareness of this problem. Methods: Patients who applied to the 3rd level university hospital between 2019-2022, who couldn’t provide their own care and didn’t have relatives to take care of them, were examined. The patients' age, gender, reason for not being discharged, which clinic they were in, the number of days they stayed in the hospital and hospital costs were analyzed. Data were obtained from the Social Services Unit and the Billing Unit. Results: A total of 25 patients were included in the study. The mean age of the patients was 72.04±12.52 (min:37, max:88) years. The median length of stay was determined as 21 (13.5-37.5) days. Of the patients included in the study, 17 (68%) were male and 8 (32%) were female. The mean cost of extra days the patients stayed was 62,059 ± 101,093.79 Turkish Liras, and the total cost was determined as 1,551,492.92 Turkish Liras. When the clinics where the patients were located were examined, most common were Cardiology and General Medicine clinics with 5 (20%) and 4 (16%), respectively. Conclusion: As a result, according to the data we obtained and evaluated during our study, it was seen that patients who need self-care and cannot be discharged cause additional costs in terms of hospital resources, patients waiting for a bed are victimized as a result of bed occupation, and patients are exposed to the hospital environment for a long time.

INTRODUCTION: The study aims to investigate whether Total Laparoscopic Hysterectomy (TLH) can be an alternative method to Vaginal Hysterectomy (VH) in cases operated with benign indications. MATERIAL-METHOD: A total of 109 patients who underwent TLH and 99 patients who underwent VH for benign indications were evaluated retrospectively. Patients' ages, parity numbers, hysterectomy indications, pre-postoperative hemoglobin/hematocrit (Hb/Hct) values, operation times, uterine volumes, hospital stays, intra-postoperative complications, and post-operative pathology results were recorded. In addition, patients who underwent TLH were evaluated by dividing them into two different groups using 2D and 3D methods. RESULTS: While there were no statistically significant differences between the TLH and VH patient groups in terms of parity numbers, postoperative Hb/Hct decreases, hospitalization durations, and intrapostoperative complications (p>0.05), there were significant differences in terms of age, operative times and uterine volumes (p<0.05). The most common hysterectomy indications in the TLH group were myoma uteri, while the most common indications in the VH group were descensus. CONCLUSION: The laparoscopic method is a safe and effective method when performed by experienced surgeons. Although the operative results for TLH are comparable to Total Abdominal Hysterectomy (TAH) and VH procedures, the VH procedure still maintains its place as the gold standard method for benign hysterectomy operations. In addition, although no statistically significant difference was found in terms of complication rates, postoperative Hb/Hct decreases and hospital stays, it was seen that the complication rates, postoperative Hb/Hct decreases, and hospital stays were numerically less in TLH cases. This situation showed us that TLH could be an alternative or even a replacement procedure for VH in hysterectomy operations performed for benign reasons, with the increasing prevalence of laparoscopy in the future and the increasing experience of surgeons in parallel.

Objective: We aimed to analyze the knowledge, opinions, attitudes, and anxiety levels of family medicine healthcare workers about the COVID-19 pandemic. Methods: The study questionnaire was applied by face to face method to family medicine healthcare workers working in Family Healthcare Centers in Ankara, Turkey between 01.05.2021-30.07.2021. The survey consists of six parts; general information, general health status, COVID-19 knowledge, attitudes, opinions, the Coronavirus Anxiety Scale. Results: A total of 270 family medicine healthcare workers participated in our study. Only 22.2% have a chronic disease. Only 26.3% (n=71) had been diagnosed with COVID-19 before. Only 12.7% of the participants attended a course on COVID-19 in their institution. Those who defined themselves as having sufficient knowledge were 94.1%. The most wrong answer was about the transmission routes of COVID-19. The use of protective equipment in the workplace was in the order of frequency as masks (n=270), gloves (n=242), visor (n=188), protective gowns (n=109), goggles (n=109), and other (n=13). The rate of those who could never pay attention to the social distance at work was 8.2%. Those who strongly disagreed with the idea of serving as healthcare personnel in COVID-19 services or filiation teams were 20% (n=54), those who disagreed were 28.9% (n=78), those who were hesitant were 22.2% (n=60), those who agreed were 22.6% (n=61), and those who strongly agreed were 6.3% (n=17). The mean COVID-19 Anxiety Level of the participants was calculated as 1.9 ±2.8 points. Conclusion: The ratio of participation in information courses on COVID-19 in institutions in family medicine healthcare workers was relatively low. Despite this, knowledge level was sufficient, but they need additional information, particularly about the transmission routes. The majority also paid attention to basic protective measures. These results may guide the measures to be taken to help healthcare personnel adapt to similar emergency health crises.

Objective: This study aims to analyze the relationship between CD30 positivity and clinical findings in patients diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL). Method: Patients diagnosed with DLBCL between January 2005 and November 2022 at Necmettin Erbakan University, Meram Faculty of Medicine, were evaluated. Their demographic and baseline laboratory data, disease stage, specific risk scores, and involved regions at diagnosis were recorded. Treatment regimens, response to therapy, post-diagnosis condition, stem cell transplantation history, and survival outcomes were assessed. Patients were classified into CD30(+) and CD30(-) groups based on the immunohistochemical staining of biopsy samples. The two groups were compared regarding clinical, laboratory, and disease-related features, as well as progression and survival outcomes. Results: Among 111 patients, 18 were CD30(+) and 93 were CD30(-). Median calcium levels were lower in the CD30(+) group (8.8 mmol/L vs. 9.2 mmol/L), with statistical significance (p=0.013). Other laboratory and clinical parameters showed no significant differences. The estimated median overall survival (OS) was lower in CD30(+) patients (36.9 months vs. 100.9 months), though the difference was not statistically significant (p=0.155). Similarly, median progression-free survival (PFS) was lower in CD30(+) patients (37 months vs. 100.9 months), also not statistically significant (p=0.849). Two-year OS rates were 70% for CD30(+) and 84% for CD30(-) patients, while three-year OS rates were 42% and 67%, respectively. Two-year PFS rates were 50% for CD30(+) and 80% for CD30(-) patients. Five-year PFS could not be calculated for CD30(+) patients but was 60% in the CD30(-) group. Conclusion: This study suggests that CD30 positivity does not have a significant impact on clinical characteristics or survival outcomes in patients with DLBCL.