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Öğe Diagnostic efficacy and importance of fine-needle aspiration cytology of thyroid nodules(Wolters Kluwer Medknow Publications, 2014) Muratli, Asli; Erdogan, Nilsen; Sevim, Sezgin; Unal, Isik; Akyuz, SerapBackground: Fine-needle aspiration cytology (FNAC) in the diagnosis of thyroid nodules is an easy and cost-effective method. The increase in malignancy rates of the excised nodules due to the high sensitivity and specificity rates of the FNAC is remarkable. Aim: The aim of this study was to assess the effectiveness of FNAC in the evaluation of thyroid nodules by comparing the results with histopathologic evaluation and comparing the consistency of the results with the literature. Materials and Methods: In this study, 1607 FNACs of 1333 patients which were classified according to the Bethesda system and 126 histopathological evaluations obtained from this group were evaluated. The mean age of the patients was 51.24 (range: 17-89, 17% male and 83% female). The sensitivity, specificity, positive and negative predictive values, and accuracy rates were evaluated. Results: The sensitivity was 87.1% and specificity was 64.6%. The positive and negative predictive value and accuracy rates were 76.1%, 79.5%, and 77.3%, respectively. Conclusions: In our study, the evaluation of thyroid FNAC samples with Bethesda system highly correlated with the results of histopathological diagnosis. However, combination of additional and advanced diagnostic methods such as immunocytochemical studies and molecular pathology techniques enhance the prognostic value of FNAC in patients with atypia of undetermined significance or follicular lesion of undetermined significance, lesions suspicious for malignancy, and suspected follicular neoplasm.Öğe The Effect of Working Conditions to the Health Status in Taxi and Bus Drivers in Canakkale, Turkey; Community Based StudyTaksi(Derman Medical Publ, 2015) Uludag, Aysegul; Cevizci, Sibel; Tekin, Murat; Ertekin, Yusuf Haydar; Sevim, Sezgin; Babaoglu, Ulken; Bakar, CoskunAim: The growing taxi and bus driver workforce is at risk for poor health status, obesity, hypertension, metabolic syndrome and with increased risk for cardiovascular disease. We aimed to determine the relationship between working conditions and health status in taxi and bus drivers. Material and Method: This study is a descriptive study. The population of the study was taxi and bus drivers in central of Canakkale. There were total 250 taxi and bus drivers who registered in The Chamber of Canakkale Drivers and Vehicle. We reached the 70 taxi drivers and 93 bus drivers. The participants were visited at their workplace. We performed the questionnaire that include the socio-demografic features, habits, the working conditions. We evaluated the blood pressure, waist-hip measurements and capillary blood glucose at any time. Results: Total of the 163 men drivers were enrolled the study. Nine (12.9%) taxi drivers and 6 (6.5%) bus drivers were hipertensive, and 1 taxi driver and 2 bus drivers with random capillary blood glucose levels higher than 200 mg. The prevalence of hypertension was 9.2%, diabetes mellitus was 1.8, obesity was 49.4%. Discussion: Drivers have many risk factors for CVD like stress and immobility. In our study, the socio-demografic and working conditions are limited for explaining the risk for hipertension, diabetes mellitus and obesity in drivers in Canakkale. These study have to be done in metropolitan cities. In this aspect, the drivers can be evaluated in their own living spaces and working conditions.