Journal of Medicine and Applied Sciences <p><strong><em>Journal of Medicine and Applied Sciences</em></strong> is the scientific, peer reviewed, open access publication. The journal is published three times in a year; on April, August, December and its publication language is <strong>Turkish</strong> and <strong>English</strong>.</p> <p>The aim of the journal is to publish high level clinical and experimental studies conducted in all fields of medicine. Case reports, review articles, technical notes and letters to the editor are also published.</p> <p>The target population of the journal includes specialists in all fields of medicine, academicians and relevant health care professionals.</p> <p><strong>No fee</strong> is requested from the authors during the evaluation, publication and publishing of the articles sent to our journal. Articles submitted for publication are subject to double-sided blind review by at least two referees.</p> <p>All manuscripts must be submitted via the online submission system, which is available at The journal guidelines, technical information, and the required forms are available on the journal’s web page.</p> en-US (Journal of Medicine and Applied Sciences) (Journal of Medicine and Applied Sciences) Thu, 30 Dec 2021 22:04:40 +0300 OJS 60 An incidentally diagnosed case: Persistent Left Superior Vena Cava <p>Although persistent left superior vena cava (PLSVC) is the most common congenital anomaly of the thoracic venous system, it is a rare vascular anomaly. In this case report, we aimed to present the case of PLSVC which diagnosed incidentally in thoracic computed tomography (CT) performed for other reasons, draining to the coronary sinus and connecting with azygos-hemiazygos vein system, with imaging findings in the light of the literature. A 56-year-old patient who underwent thoracic CT examination with the complaint of chest pain, had a venous structure in the left half of the mediastinum that running lateral to the aorta and drained into the right atrium via the coronary sinus and a diagnosis of PLSVC was made. Even if it is asymptomatic, it is important to be recognized by radiologists as it may cause problems in cardiac surgery or catheterization procedures.</p> Ramazan Çelik, Mehmet Yüksek, Yekbun Aslancı, Ensar Türko, Fatma Durmaz, Mesut Özgökçe Copyright (c) 2021 Journal of Medicine and Applied Sciences Mon, 27 Dec 2021 00:00:00 +0300 Radiological Imaging Findings of Post-Partum Developing Ovarian Vein Thrombosis <p>Ovarian vein thrombosis (OVT) is a rare but serious complication that can often develop secondary to C-section, vaginal delivery, pelvic surgery, infections, and malignancies. It can be fatal because it carries the risk of pulmonary thromboembolism. The clinical findings of OVT are nonspecific. OVT should be considered in the differential diagnosis of patients who are clinically difficult to diagnose and present with an acute abdomen after normal vaginal delivery. Today, although surgical treatment is possible, antibiotic therapy and anticoagulant treatments are also accepted. In this case, we aimed to discuss the simultaneous USG, Doppler USG, CT, and MRI findings of ovarian vein thrombophlebitis, which can be confused with acute appendicitis, in a patient who presented with the symptoms of the acute abdomen after normal vaginal delivery.</p> İlyas Dündar, Leyla Turgut Çoban, Ensar Türko, Saim Türkoğlu Copyright (c) 2021 Journal of Medicine and Applied Sciences Mon, 27 Dec 2021 00:00:00 +0300 Preoperative inference of chest radiography assessment in COVID-19 <p>Preoperative patient management is difficult in a pandemic. It is important to diagnose COVID-19 in the preoperative period as it will affect contamination and mortality during hospitalization and operation. We aimed to show how the place of chest X-ray in the diagnosis of COVID may vary according to the branch of the evaluating physician and, accordingly, what inferences can be made about the patients in the preoperative period. 250 patients who underwent Chest X-Ray during COVID-19 pandemic were included. 100 Real-time Reverse Transcription-Polymerase Chain Reaction (RT-PCR) positive COVID-19 cases were included to the patients category and 150 cases with RT-PCR negative and Thorax Computerized Tomography (CT) COVID-related negative were included to the control group. Chest X-Ray soft the both groups have been blindly evaluated by family physicians, internal medicine specialists and chest diseases specialists in a random order. Chest X-Ray comments of physicians were compared with the reference of CT results and also the diagnostic value of the Chest X-Ray was determined. In the evaluation of compliance of the chest X-Ray with PCR the results were; the negative predictive value (78%), sensitivity (74.5%) and specificity (60.8%). The results of the compliance of the Chest X-Ray and Thorax CT were; the negative predictive value (71%), sensitivity (73%) and specificity (66.5%). We concluded that the chest X-Ray is not sufficient to be used alone not only at the stage of diagnosis but also in the pre-evaluation process in order to evaluate the COVID risk with regard to the patients with the planned surgical operations.</p> Gülfidan Uzan, Bedriye Kar, Gülnar Gülaçtı, Mehmet Burak Aktuğlu, Sema Alaçam, Mehmet Mesut Sönmez Copyright (c) 2021 Journal of Medicine and Applied Sciences Sun, 26 Dec 2021 00:00:00 +0300 Assessment of the Pre- analytical phase in the clinical Laboratory at Tripoli University Hospital <p>The pre-analytical stage is the commonest source of laboratory errors. Errors in this stage can lead to a misdiagnosis, mismanagement, and represent serious harm to patients. Clinical laboratories use many different methods to reduce errors and improve quality, including assessment of pre-analytical phase errors that would result in improved quality of health care services. The purpose of this study was to determine the prevalence of pre-analytical phase errors in a clinical laboratory at Tripoli University Hospital, Libya. A descriptive cross-sectional study was conducted from March to May 2021 at the clinical laboratory of Tripoli University Hospital, involving 400 laboratory request forms and blood containers. Data was collected using an international standard checklist, and further analyzed using SPSS. Findings reveled that date of request and sex of the patients were present in all collected forms. However, physician’s full name was missing in 80% of the request forms. No clinical details were provided in 79% of the forms. The doctor's signature was absent on 57% of the request forms. A bout 50% of the samples delivered in the laboratory did not contain the recommended volume of blood and 50% samples were hemolyzed. Besides, laboratory personals were not adhered with the standardized handling and transportation methods according to the International Organization of Standardization. Continuous educational action is needed for all lab staff involved in laboratory testing to improve the quality of the pre-analytical phase of the total testing process.</p> Abir Ben Ashur, Hamida El Magrahi, Zeinab Bleha, Ahmed Atia Copyright (c) 2021 Journal of Medicine and Applied Sciences Sun, 26 Dec 2021 00:00:00 +0300 Verification of patient set-ups using the electronic portal imaging system <p>While set-up uncertainties in patient positioning may result in inadequate treatment of the tumor, increasing the likelihood of local tumor recurrence, some non-target tissues may be over-irradiated. Random and systematic set-up errors were investigated using DRR (Digitally Reconstructed Radiograph) images of the plans of 15 lung, 21 head-neck, 10 pancreatic, 15 breast, 4 stomach and 33 pelvic region cancer patients treated with three-dimensional conformal radiotherapy technique in our clinic. The highest systematic set-up error was 5.29 mm medial-lateral in lung cancer patients, cranio-caudal with 5.53 mm in patients with head and neck cancer, medial-lateral with 4.22 mm in patients with gastric cancer, and medial-lateral with 6.20 mm in patients with pancreatic cancer. in the anterior-posterior direction with 5.02 mm in regional cancers and 7.0 mm in the anterior-posterior direction in breast cancer patients. The highest random set-up error was medial-lateral with 5.98 mm in lung cancer patients, anterior-posterior with 9.05 mm in patients with head and neck cancer, medial-lateral with 4.52 mm in patients with gastric cancer, and 6.00 mm in cranio-caudal and pelvic in patients with pancreatic cancer. It was in the cranio-caudal direction with 9.79 mm in regional cancers and in the cranio-caudal direction with 5.96 mm in breast cancer patients. Clinically, pre-treatment and weekly electronic portal imaging were found to be sufficient to control treatment area accuracy in all cancer cases.</p> Özlem Çelik Bağcı, Hakan Eren, Murat Köylü, Nezahat Olacak, Ayfer Haydaroğlu Copyright (c) 2021 Journal of Medicine and Applied Sciences Sun, 26 Dec 2021 00:00:00 +0300 Attitude towards Organ Donation in North Cyprus <p>Organ transplant has been the subject of much attention; unfortunately, relatively little has been published regarding the issue. Organ transplantation is a successful treatment method against irreversible vital organ failures. According to the U.S government on information regarding organ donation and transplant, more than 119,000 people are on the national waiting list and the number keeps growing. This study aims to determine the level of knowledge and attitude towards organ donation and transplant. A cross-sectional study with self-administered questionnaires were distributed in North Cyprus which comprise of 5 districts; Nicosia, Gazimagusa, Girne, Guzelyurt and Iskele. 384 participants were reached using proportional stratified random sampling. Among 337 respondents, 83.1% stated they were in favor of organ donation and the rate of respondents who were willing to donate was 78.9%. Willingness to donate showed a significant relationship with younger age (p=0.034) and male gender (p=0.025) but not with other variables. Of the respondents, 74.5% stated that they will agree to organ donation after their death, while only 48.7% stated they could be donors whilst alive. 89% of participants were in favor of the public becoming better informed about organ donation and transplant. Educating and motivating the public and increasing awareness of organ donation is important to increase the community’s knowledge.</p> Tasnim M. Sulaiman, Enas Sawah, Mariyam Sohail, Sameh Abu Ghalyoun, Achraf Hajah, Berfu Cerci Ongun Copyright (c) 2021 Journal of Medicine and Applied Sciences Sun, 26 Dec 2021 00:00:00 +0300