Vajinal Pap-Smear Test Sonucu Atrofi Olan Hastaların Klinik Özelliklerinin Değerlendirilmesi

Amaç: Serviksteki prekanseröz değişiklikleri saptamak için kullanılan pap-smear testi hormonal durum hakkında da bilgi verebilir. Vajinal atrofi kadınlarda birçok şikâyete sebep olarak yaşam kalitesini etkileyebilir. Çalışmada pap-smear testinde atrofi saptanan hasta grubunda yaş, semptom, menopoz durumu ve ultrasonografi ile ölçülen endometrial kalınlık ilişkisini incelemek amaçlandı. Gereç ve Yöntemler: Pap-smear testi yapılıp sonucunda atrofi saptanan hastalar çalışmaya alındı. Hastaların yaş, semptom, menopoz durumu ve ultrasonografi ile ölçülen endometrial kalınlıkları dosyalardan taranarak elde edildi ve aralarındaki ilişki istatiksel olarak incelendi. Bulgular : Toplam 408 hastanın 86’sında (%21,1) semptom görüldü. En sık görülen semptom disüri, üriner inkontinans idi. Semptomları olanların yaş ortalaması 55,8±10,9 iken, semptomları olmayanların yaş ortalaması 53,2±9,9 idi ve aralarında anlamlı fark vardı (p=0,038). Menopozda olan hastaların 70’inde (%23,7) semptom görülürken, menopozda olmayan hastaların 16’sında (%14,2) semptom görüldü. Menopozda olan hastalarda olmayanlara göre istatiksel olarak anlamlı bir şekilde semptomların olduğu görüldü (p=0,041). Postmenopozal dönemde olan hastalarda ultrasonografi ile ölçülen endometrial kalınlık ortalaması semptomu olmayanlarda 4,74±3,64 iken semptomu olan hastalarda 3,54±1,17 idi. Aralarında istatiksel olarak anlamlı fark saptandı (p

Anahtar Kelimeler:

pap-smear, atrofi, endometrial kalınlık

Evidence Based Medicine Abstracts of Zonguldak Bülent Ecevit University Medical Faculty 2020-2021 Education Term Class 3 Student

Aim: Evidence-based medicine practices are important in terms of reaching real information in the most reliable way and developing scientific and critical thinking. The need for new information in medicine causes the spread of evidence-based medicine practices. Continuing medical education is also recognized as an important part of evidence-based medicine. The aim of the evidence-based medicine practices in our faculty is to make the medical faculty students understand the importance of evidence-based medicine, to enable them to take part in a scientific study and to teach these study steps. Materials and Methods: Studies within the scope of evidence-based medicine are carried out by Term 3 students of the Faculty of Medicine. They are divided into groups by the responsible academic member of the course. Responsible research faculty member is determined for each group. Students come together on the dates determined in the curriculum and finalize the title of the research topic. An ethics committee form is prepared and an application is made to the ethics committee. After the study is concluded, it is turned into a summary/article and the summarized studies are presented and discussed. Results: Within the scope of evidence-based medicine carried out in the 2020-2021 Education and Training period, 194 Term 3 students worked. A total of 15 different studies were conducted under the supervision of a responsible faculty members on current issues such as cancer, sleep, sun damage, new social life and sexual myths, especially the effects of the COVID-19 pandemic and studies on vaccines. The titles of these studies and the responsible faculty members are given in Table-1. Prepared abstracts were presented and discussed on the digital platform. Conclusion: All Term 3 students carried out all stages of a scientific study in online learning environments and successfully completed their studies in the 2020-2021 Education and Training period when they received distance education due to the COVID-19 pandemic.

Keywords:

evidence based medicine, medical faculty, COVID-19 pandemics,

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