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This study was performed to assess utility of FNAC in normal size paediatric lymph nodes and to compare cytological findings in these normal size lymph nodes with enlarged lymph nodes. Two years retrospective study included all paediatric (age ≤ 14 years) patients referred to our department of cytopathology, for fine needle aspiration of lymph node swellings. Total 1524 lymph node FNAs were performed in 2011-12. Among these 484 (31.8%) were paediatric cases and were included in the study. Out of these cases 293 (60.5%) were normal by size and 191 (39.5%) were enlarged lymph nodes. It was observed that fine needle aspiration is more useful in large lymph node lesions than normal size lymph nodes for specific diagnosis. Still owing to small but finite possibility of finding specific lesions in normal sized lymph nodes, cytological examination of these cases is still recommended.
The paper’s primary contribution is finding that cytological examination of normal size palpable paediatric lymph nodes is advisable owing to small but finite possibility of finding specific lesions.
Patient Satisfaction with the Supportive Services in Gulhane Military Medical Faculty Training Hospital
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Mevlut Karadag , Ibrahim Halil Cankul , Huseyin Abuhanoglu (2015). Patient Satisfaction with the Supportive Services in Gulhane Military Medical Faculty Training Hospital. International Journal of Medical and Health Sciences Research, 2(6): 109-117. DOI: 10.18488/journal.9/2015.2.6/188.8.131.52
The purpose of this study is to determine the satisfaction level with the supportive services among patients in Gulhane Military Medical Faculty (GMMF) Training Hospital. The study population consisted of GMMF Training Hospital outpatients and inpatients. The "Patients Satisfaction Questionnaire" by Ministry of Health of the Republic of Turkey was used to gather data. Survey was completed with 587 outpatients and 218 inpatients, total 805 patients. The average level of general satisfaction of the patients in the study with regard to supportive services at hospital is 3.54±0.75. It was observed that the highest satisfaction rates in supportive services were obtained among outpatients in following criteria; "general appearance of polyclinics (cleaning, order and arrangement). They were “general appearance of the clinic (cleaning, order and arrangement)”, “cleaning of the room” and “security measures at entrances in terms of safety of the patient and the hospital" among inpatients. The least satisfactory services for outpatients were “noise level at polyclinics area" and "car park services" and for inpatients they were "hair dressing services at clinics” and “postal services". Statistically significant difference was obtained between the satisfaction levels from supportive services depending on the gender of the inpatients, ages and educational statuses of the outpatients. It was observed that improvement is required in especially “car park services”, “noise level at the polyclinics area”, “hair dressing services at clinics” and “postal services” that cause dissatisfaction or lower the satisfaction level at GMMF Training Hospital.