Aimed to investigate the role of multiparametric magnetic resonance imaging (mp-MRI) in the diagnosis of granulomatous prostatitis caused by intravesical Bacillus Calmette-Guérin (BCG).
In this ...prospective, single-center study, 10 male patients who were given intravesical BCG due to intermediate- and high-risk bladder cancer were included. Before transurethral resection of bladder tumors (TURB), all patients were evaluated by mp-MRI, serum prostate-specific antigen (PSA), and digital rectal examination (DRE). Serum PSA levels and DRE findings were evaluated before and after intravesical BCG treatment. Prostate mp-MRI was performed for patients with elevated levels of serum PSA and/or with abnormal DRE findings. Then, MRI fusion + systematic prostate biopsy was performed. Demographic data of the patients before and after intravesical BCG were compared.
The average age of the patients was 66.9 years (55-87 years). While PSA was 1.7 ng/ml before intravesical BCG treatment, it was 4.3 ng/ml after intravesical BCG treatment (p = 0.005). PSA density (PSAD) was 0.04 and 0.10 before and after the treatment, respectively (p = 0.012). DRE findings of all patients were normal before the treatment. However, abnormal findings were detected in 80% of them after the treatment (p = 0.008). PI-RADS ≥ 3 lesions were found to be significantly higher in all patients after intravesical BCG (p = 0.004).
Granulomatous prostatitis is a rare complication of intravesical BCG. High PSA, abnormal DRE, and PI-RADS ≥ 3 lesions detected after intravesical BCG should suggest granulomatous prostatitis and unnecessary biopsies may be avoided.
The purpose of this grounded theory study was to explore school counselors’ experiences working with immigrants. Based on this exploration, the author proposes a model that explains the process of ...becoming effective school counselors in working with immigrants. This model relies on social justice, and it consists of four developmental stages: superficial awareness, growing awareness, application, and culturally competent school counselor. Implications for school counselors are provided.
Resumen
El propósito de este estudio de muestreo teórico fue explorar las experiencias de consejeros escolares que trabajan con inmigrantes. Basándose en esta exploración, el autor propone un modelo que explica el proceso de llegar a ser consejeros escolares eficaces en el trabajo con inmigrantes. Este modelo se basa en la justicia social y consta de cuatro etapas de desarrollo: conciencia superficial, conciencia creciente, aplicación y consejero escolar culturalmente competente. Se proporcionan implicaciones para los consejeros escolares.
The purpose of this article is to provide a new social justice conceptual framework in school counselling. Although principles of social justice have been discussed in the counselling field, more ...discussion on the principles is needed to help school counsellors improve their counselling services for all students. This comprehensive literature review suggests eight social justice principles: (1) Constant self-examination, (2) appreciating students' worldviews and life experiences, (3) focus on strengths, (4) liberatory consciousness, (5) sharing power (6) reciprocal collaboration, (7) taking action, and (8) leaving students with tools. Challenges to implementing these principles are discussed and recommendations for school counsellors are provided.
Purpose
We aimed at comparing the success and complications of early semirigid ureteroscopy (URS) and elective URS in ureteral calculi with renal colic that do not respond to analgesics.
Methods
We ...retrospectively analyzed the data of 690 patients with obstructive ureteral stones who underwent URS with stone retrieval. 247 patients who underwent early URS within the first 12 h were classified as group I and 443 patients who underwent elective URS as group II. Both groups were compared in terms of age, sex, creatinine, eGFR, stone size, laterality, location and number of stones, type of lithotriptor, presence of hydronephrosis and success and complication rates.
Results
The mean age of the patients was 50.4 (18–89 years) (
p
> 0.05). There was no statistically significant difference between the groups in terms of age, eGFR, side, presence of hydronephrosis, fever, mucosal damage, stone migration, perforated ureter, ureteral avulsion, ureteral stent insertion at the end of the surgery and sepsis (
p
> 0.05). Both groups had male dominance (
p
> 0.05). Creatinine was significantly lower in Group I (
p
< 0.05). The mean stone size was also significantly lower in Group I (
p
< 0.05). Middle and proximal ureteral calculi were more common in Group II (
p
< 0.05). Multiple stones were higher in Group II (
p
< 0.05). The dominant type of lithotriptor used was pneumatic in Group I and laser in Group II (
p
< 0.05). Stone-free rates (SFRs) were higher in Group I (98% vs 90% in the first month) (
p
< 0.05). Postoperative hematuria and infection were more common in Group II (
p
< 0.05).
Conclusions
In selected cases, early ureteroscopy is an effective and safe method for distal ureteral calculi smaller than 10 mm that are painful and resistant to analgesic treatment.
Immigration is a common phenomenon among people throughout history. While some people willingly move to other places for better opportunities, many move reluctantly due to conflicts, wars, and other ...undesirable conditions. Despite immigrants' successes and contributions to society, they are inevitably confronted with different distinctive individual, social, and systemic difficulties. The purpose of this literature review article is to provide a comprehensive description of immigration, issues immigrants face, immigrant students' perceptions of their school counsellors, and school counsellors' perceptions of working with immigrants in the context of Turkey. This article provides critical recommendations to school counsellors about how to improve their services to effectively meet the needs of immigrants, which will positively contribute to their healthy integration into society.
This phenomenological qualitative study explored U.S.A. school counsellors' perceptions of their experiences with immigrant students. Phenomenological qualitative research method was used because we ...wanted to gather a complex and detailed understanding of school counsellors' experiences with immigrants. We used criterion-based purposive sampling method to gather the best perspective on the phenomenon. Data were gathered from 13 school counsellors through semi-structured interviews who were licensed by their state. All participants work in a Midwestern state in the United States, where diverse population is located. Among those, one Mexican, two were African American, and ten were White. There were three males and ten females. The average age was 39, ranged from 26 to 58. All three school levels were almost evenly represented. This study found that school counsellors need additional training, they need to be willing and intentional when providing counselling services, and social justice advocacy is necessary for their services. Implications for training, supervision, and research are provided.
Microplastics are ubiquitous, widespread environmental pollutants with unavoidable human exposure. Herein, it was aimed to investigate the presence of microplastics in prostate tissue.
Prostate ...tissues from 12 patients who underwent Trans Urethral Resection of the Prostate (TUR-P) were analyzed to investigate the presence of microplastics. Initially, the prostate tissues were analyzed for microplastic particles using a light microscope after extraction. Subsequently, the chemical composition of the particles found in the prostate tissues was characterized using Attenuated Total Reflection-Fourier Transform Infrared (ATR-FTIR) spectrophotometry.
Microplastic particles of various types were detected in 6 out of 12 patients. All detected plastic particles in this study were microplastics, with sizes below 26 μm in size. These microplastics exhibited different shapes as pellets, spheres or fibers. Overall, among the 12 analyzed prostate tissue samples, four different types of plastic were identified in six samples. The most common type of microplastic detected was Polyamide (Nylon 6), found in samples from three patients. Other detected types, Polypropylene, Polyacrylic Acid and Poly (dimethylsiloxane) were each determined in samples from one patient.
This is the first study to demonstrate the presence of microplastics in prostate tissue, serving as an exploratory investigation, which can trigger further research to validate the results in a larger patient cohort.
This article explores the concept of community psychology practice and its relationship to school and community partnerships in Turkey. The information in this article is reviewed from the vantage ...point of the traditional roles ascribed to school counselors in Western countries and cultural issues relevant to the role of school counselors in Turkey. It is argued that direct transfer of western community collaboration models to non-western countries or cultures has inherent challenges that require special consideration. In that spirit, several recommendations are provided to help enhancing partnerships in Turkey.
PURPOSE We aimed to investigate the accuracy of Vesical Imaging - Reporting and Data System (VI-RADS) in the detection of muscle-invasive bladder cancer (MIBC) and to determine which factors affect ...the results of this scoring system. METHODS A prospective data analysis of 80 patients who were detected to have bladder tumor was performed between March 2019 and October 2020. VI-RADS scoring was used to determine the probability of muscle invasion. The scores were compared with pathological results to evaluate the accuracy of the VI-RADS scoring system. Interobserver agreement was assessed by VI-RADS scoring of 20 randomly chosen patients by a different experienced radiologist. RESULTS Using the VI-RADS scoring system, the sensitivity, specificity, positive predictive value, and negative predictive value of multiparametric magnetic resonance imaging (mpMRI) were 87.5%, 87.5%, 63.6%, and 96.6%, respectively. The interobserver agreement expressed as the interclass correlation coefficient (ICC) was 0.72 (95% CI: 0.44-0.84, P < .001). In addition, the flat appearance of the tumor was an important factor affecting the accuracy of the VI-RADS score (odds ratio: 5.3 95% CI: 1.1-27.0 and relative risk: 1.87 95% CI: 1.24-2.82). CONCLUSION The mpMRI, used in conjunction with VI-RADS, has proven to be an effective imaging method for detecting muscle invasion in cases of bladder cancer. VI-RADS scoring system can distinguish whether there is a muscle-invasive and non-muscle invasive bladder cancer with acceptable accuracy. In addition, the flat appearance of the tumor is an important entity that can affect the accuracy of the VI-RADS scoring system.
