Browsing by Author "Yilmaz, Eyup Murat"

Now showing 1 - 2 of 2

Relation Between Mastalgia and Anxiety in a Region With High Frequency of Posttraumatic Stress Disorder
(Aves, 2015) Yilmaz, Eyup Murat; Celik, Sebahattin; Arslan, Harun; Deger, Deniz
Objective: Mastalgia, the most important breast-related symptom, refers to the pain that arises from breast tissue. Not only hormonal reasons but also psychogenic factors may cause mastalgia. Mastalgia is a subjective complaint and includes emotional components. The present study aimed to investigate the relation between mastalgia and level of anxiety in females. Materials and Methods: This case-control study had consisted of premenopausal females over the age of 20 years. Control group consisted of premenopausal females over the age of 20 years without mastalgia participated. The case and control groups each included 70 females. Females who had a previous breast surgery for any reason, were pregnant or in lactation period, or had a family history of breast cancer were excluded. The case and control groups each examined VAS and GAD-7 questionnaires. Results: The GAD-7 scale was performed for both the case and control groups to assess the level of anxiety. Test indicated that the level of anxiety was significantly higher in the cases with mastalgia than in the controls. The VAS and GAD-7 scale scores were compared in the case group to assess the relation between degree of pain and level of anxiety. There was no significant relation between these scores, which indicated that pain, contrary to expectations, was not increased as the level of anxiety increased. Conclusion: Psychological factors such as anxiety, stress, and depression should be kept in mind after eliminating organic reasons via physical and necessary radiological examinations. A psychiatrist should be consulted since mastalgia is a condition that influences quality of life.
Should Alvarado and Ohmann Scores Be Real Indicators for Diagnosis of Appendicitis and Severity of Inflammation
(Turkish Assoc Trauma Emergency Surgery, 2017) Yilmaz, Eyup Murat; Kapci, Mucahit; Celik, Sebahattin; Manoglu, Berke; Avcil, Mucahit; Karacan, Erkan
BACKGROUND: Acute appendicitis is one of the most common causes of abdominal pain seen in surgical clinics. Although it can be easily diagnosed, the picture may be confusing, particularly in premenopausal women and the elderly. The present study is an evaluation of 2 of the current scoring systems with respect to accurate diagnosis of the disease and indication of inflammation severity. METHODS: A total of 105 patients diagnosed with acute appendicitis were included in the study. Subsequent to Alvarado and Ohmann scoring, ultrasonography image was obtained and appendectomy was performed. A unique intraoperative severity scoring system was used to measure severity of inflammation and to compare Alvarado and Ohmann scoring system results to assess accuracy of predictive value for acute appendicitis. RESULTS: Moderate positive correlation was found between Alvarado score and Ohmann score (r = 0.508; p< 0.001). Rate of Alvarado score successfully predicting diagnosis of acute appendicitis based on histopathological results was statistically significant (p = 0.027), while rate of Ohmann score was not statistically significant (p = 0.807). Correlation between both scores and grading of inflammation performed during the operation was weak, but statistical significance was observed between Alvarado scoring system and intraoperative severity scoring (r = 0.30; p = 0.002). No statistical difference was observed between Ohmann scoring and intraoperative severity scoring (r = 0.09; p = 0.384). CONCLUSION: Alvarado score is better able to predict acute appendicitis and provide an idea of severity of inflammation. Ohmann score is more useful to provide guidance and eliminate acute appendicitis from consideration when conditions are more uncertain and obscured.