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Öğe COMPARISON OF PLANNED CAESAREAN SECTIONS PERFORMED AFTER THE LABOR BEGINS WITH THOSE BEFORE THE LABOR BEGINS IN TERMS OF POSTPARTUM BREASTFEEDING AND MATERNAL ATTACHMENT LEVELS(Dokuz Eylul Univ Inst Health Sciences, 2022) Yilmaz, Ayse Nur; Derya, Yesim AksoyPurpose: This study was conducted to compare the postpartum breastfeeding and maternal attachment levels of women who underwent planned caesarean deliveries in which labor had begun and in which it had not. Methods: This comparative-descriptive study was carried in postpartum services of a public hospital and a university hospital in a provincial center in eastern Turkey between March and August of 2017. This study included 180 women who underwent planned caesarean sections after labor began and 180 women who underwent planned caesarean sections before labor began. A personal information form, the LATCH Breastfeeding Assessment Tool, and the Maternal Attachment Scale (MAS) were used to collect the study data. For the statistical evaluation, the percentage distributions, arithmetic means, standard deviations, chi-squared test, independent samples t test, and Pearson correlation analysis results were used. Results: In the puerperant who had undergone planned caesarean sections after labor began, the MAS total score mean was 97.08 +/- 7.54 and the LATCH score mean was 9.34 +/- 1.13. These means were 72.97 +/- 10.20 and 6.96 +/- 1.12, respectively, in the puerperant who had undergone planned caesarean sections before labor began (p<0.001). Additionally, in the puerperant who underwent planned caesarean sections after labor began, it was determined that the rates of breastfeeding and breast milk only feeding were significantly higher, while the jaundice development rate was significantly lower during the first half hour after birth (p<0.05). Conclusion: The postpartum breastfeeding and maternal attachment levels were significantly higher in those women who underwent planned caesarean sections after labor began.Öğe Determining the Cultural Care Needs of Infertile Couples in Turkey: A Qualitative Study Guided by the Cultural Competence Model(Springer, 2022) Derya, Yesim Aksoy; Altiparmak, Sumeyye; Ay, Cigdem Karakayali; Ozsahin, ZelihaThe cultural competence model is an ethnographic model created to improve the cultural understanding of people's status in the context of health, health promotion and illness. This study aimed to use the Purnell Model for Cultural Competence for determining the cultural care needs of couples undergoing infertility treatment. This study with a qualitative design was conducted at a private in vitro fertilization center in eastern Turkey. The sample of the study consisted of 10 infertile couples with unexplained infertility problems (n = 20). The 12 cultural domains were used as a basis in determining the cultural care needs of the infertile couples, and these domains formed the themes. Data were collected using the method of interpretative phenomenological analysis. The emotions defined in the spirituality theme were seeing it as destiny or seeing it as a test to be passed in terms of religion and visiting holy tombs, applying to faith healers and making vows. The first three emotions that came to the fore in the pregnancy and childbearing theme were feelings of deficiency/illness/stigmatization, deterioration in body image and unsatisfactory inability to feel love for own child. In the healthcare practitioners theme, it was determined that compliance with treatment was partially sufficient, but the religious-cultural influence was high.Öğe THE EFFECT OF COVID-19 PANDEMIC PROCESS ON COVID-19 PHOBIA , SECONDARY TRAUMATIC STRESS LEVEL AND QUALITY OF SLEEP IN HEALTHCARE PROFESSIONALS: A CROSS-SECTIONAL AND COMPARATIVE STUDY(Dokuz Eylul Univ Inst Health Sciences, 2022) Cihan, Emel Guclu; Okyay, Esra Karatas; Koca, Hacer Unver; Derya, Yesim AksoyPurpose: The study was conducted to determine the effect of the pandemic process on COVID-19 phobia, secondary traumatic stress levels and quality of sleep in healthcare professionals working in a primary healthcare institution and a pandemic hospital. Material and Methods: Thus comparative study was conducted with the participation of a total of 249 healthcare professionals, including 130 from a pandemic hospital and 119 from primary healthcare institutions. The data were obtained using a Personal Information Form, the Coronavirus 19 Phobia (CP19-S) Scale, the Secondary Traumatic Stress Scale (STSS) and the Pittsburgh Sleep Quality Index (PSQI). Results: It was determined that the mean score in the CP19-S somatic subscale was 10.72 +/- 4.76 for the healthcare professionals working in the primary healthcare institutions and 12.18 +/- 5.07 for those working in the pandemic hospital, and the difference between the mean scores was statistically significant (p=0.021).The STSS total mean score was 40.86 +/- 14.45 in the healthcare professionals working in the primary healthcare institutions and 46.45 +/- 16.07 in those working in the pandemic hospital, and the difference between the groups was statistically significant (p=0.004).The PSQI total mean score was 9.48 +/- 3.39 in the healthcare professionals working in the primary healthcare institutions and 11.06 +/- 3.99 in those working in the pandemic hospital, and the difference between the mean scores was statistically significant (p=0.001). Conclusion: It was determined that the healthcare professionals working in the pandemic hospital experienced more COVID-19 phobia and secondary traumatic stress and also had worse sleep quality in comparison to the healthcare professionals working in the primary healthcare institutions.Öğe The effect of relaxation exercises training on pregnancy-related anxiety after perinatal loss: A pilot randomized control trial(Elsevier Science Inc, 2022) Duman, Mesude; Ozan, Yeter Durgun; Derya, Yesim Aksoy; Tashan, Sermin TimurBackground: Pregnancy-related anxiety is quite frequent during pregnancy after perinatal loss, and it is likely to cause negative effects on the mother and the foetus. amongst independent nursing practices, progressive muscle relaxation exercises are considered to be one of alternative treatment methods to relax pregnant women physically and psychologically. Purpose: The aim of this study is to examine the effect of progressive muscle relaxation exercises on the pregnancy-related anxiety levels of pregnant women who have experienced a perinatal loss. Methods: One hundred and four pregnant women who had experienced a perinatal loss were randomly assigned to an intervention group (n = 31) or a control group (n = 33) and participated in a 12-week trial. The intervention group received training on progressive muscle relaxation exercises, while the control group was provided only with routine healthcare services. The Pregnancy-Related Anxiety Questionnaire-R2 was used to evaluate the level of pregnancy-related anxiety. Results: The intervention group showed improvement in comparison to the control group at the end of the intervention. After the intervention, the measured levels of pregnancy related anxiety, fear of giving birth, and worries about bearing a handicapped child significantly decreased in the intervention group compared to the pre-intervention levels and the control group, and the difference between the groups was statistically significant (p<0.001, p<0.001, and p<0.001, respectively). However, there were no significant differences in the levels of concern about own appearance between the groups after the intervention (p>0.05). Conclusion: According to the results of the study, progressive muscle relaxation led to a decrease in the pregnancy-related anxiety levels of the pregnant women who had experienced a perinatal loss. (c) 2020 Elsevier Inc. All rights reserved.Öğe Effects of demographic and obstetric variables with body image on sexual dysfunction in pregnancy: A cross-sectional and comparative study(Wiley, 2020) Derya, Yesim Aksoy; Ugur, Hacer Goek; Ozsahin, ZelihaAimThis study was conducted to determine the effects of demographic and obstetric variables with body image on sexual dysfunction in pregnant women. BackgroundSexual dysfunction is frequent in pregnant women. To what extent body image plays a role is incompletely understood. MethodsIn the research, a cross-sectional and comparative study was conducted. A personal information form, body image scale, and female sexual function index were applied to 472 pregnant women. Descriptive statistics, the Student t-test, the chi (2) test, and logistic regression analysis were employed for evaluating the data. ResultsSexual dysfunction was found in 54.7%. The frequency of sexual dysfunction in the first trimester was lower. In addition, factors like the place of residence of the pregnant women and number of pregnancies were found to be related to sexual dysfunction in pregnant women. Each unit decrease in body image score resulted in women being 0.98 times more likely to experience sexual dysfunction. ConclusionIt was determined that approximately one in two pregnant women experienced sexual dysfunction, and body image, place of residence, trimester of the pregnancy, and number of pregnancies were important factors affecting sexual function. SUMMARY STATEMENT What is already known about this topic? Many factors cause sexual dysfunction, and one of these factors in women is pregnancy. In addition to the anatomical, physiological, and psychological changes caused by pregnancy, some demographic and obstetric variables can affect sexuality during pregnancy. To what extent body image plays role on sexual dysfunction in pregnancy is incompletely understood. What this paper adds?Approximately one in two pregnant women experienced sexual dysfunction in this study. We determined body image, living place, trimester of the pregnancy, and number of pregnancies were important factors affecting sexual function. The implications of this paper: The integration of findings with prenatal care services can be used to assess risk factors and provide protective services. Sexual dysfunction in pregnancy should be considered in the presentation of prenatal care services. Body image and all other variables should be considered as part of holistic follow up of pregnant women.Öğe Effects of foot-massage in pregnant women with hyperemesis gravidarum on severity of nausea-vomiting and anxiety(Routledge Journals, Taylor & Francis Ltd, 2023) Gokbulut, Nilay; Derya, Yesim AksoyObjectiveThis study was conducted to determine the effects of foot massage performed on pregnant women with hyperemesis gravidarum on the severity of nausea and vomiting and pregnancy-related anxiety.Material and methodThis randomised controlled study was conducted between February and November 2020 with 104 pregnant women hospitalised in the pregnant women follow-up service ward of a public hospital in eastern Turkey with the diagnosis of hyperemesis gravidarum. Data were obtained from the pregnant women who were given a 'Personal Information Form' and before and after each application by using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) Test and the Pregnancy-Related Anxiety Scale-Revision 2 (PRAQ-R2).ResultsBefore foot massage, the pre-test mean PUQE total, PRAQR-2 total, and PRAQR2 fear of childbirth and concerns about physical appearance dimension scores of the participants in the experimental and control groups were similar (p > 0.05), It was determined that the PRAQR2 fear of having a disabled child control group had significantly higher pre-test scores compared to the massage group (p < 0.05). After foot massage, the severity of nausea and vomiting was significantly lower in the participants in the experimental group compared to those in the control group (p < 0.001). Additionally, the mean PRAQR2 total and dimension scores of the participants in the experimental group were significantly lower than those in the control group (p < 0.05).ConclusionThese findings support the use of the foot massage is an effective intervention in reducing the severity of nausea and vomiting and pregnancy-related anxiety.Öğe The effects of midwifery care provided to primiparous mothers during the postpartum period on maternal attachment and post-traumatic growth(Elsevier Sci Ltd, 2021) Turan, Sumeyya Betul; Derya, Yesim AksoyAim: This study was conducted to determine the effects of midwifery care provided to primiparous mothers during the postpartum period on maternal attachment and post-traumatic growth. Method: The study was conducted based on a quasi-experimental model with a pre-test/post-test control group. The population of the study was composed of primiparous mothers who gave birth in a public hospital located in eastern Turkey, and the sample consisted of 128 postpartum women (64 women in the control group and 64 women in the experimental group); the sample size was determined via power analysis. Midwifery care was pro-vided to the mothers in the experimental group throughout their hospitalisation in accordance with the Postpar -tum Care Management Guidelines (PCMG) published by the Republic of Turkey's Ministry of Health. In addition, 3 home visits were carried out between the postpartum 2nd and 5th days, 13th and 17th days and 36th and 42 nd days. The mothers in the control group were not subjected to any intervention. The data were collected using a personal information form, the Maternal Attachment Inventory (MAI) and the Post-traumatic Growth Inventory (PTGI). Statistical analyses were conducted using percentage distribution, arithmetic mean, standard deviation, chi-square testing, independent samples t-testing and dependent samples t-testing. Results: Based on the mean MAI and PTGI pre-test scores, it was determined that the mothers in the experimen-tal and control groups were similar in terms of maternal attachment and post-traumatic growth characteristics (p 0.05). The mean MAI post-test score was 101.85 +/- 2.85 in the experimental group and 98.68 +/- 5.91 in the con-trol group, and the difference between the groups was statistically significant (p < 0.001). The mean PTGI post-test score was 86.21 +/- 20.39 in the experimental group and 79.54 +/- 22.32 in the control group, and the difference be-tween the groups' mean scores was statistically significant (p < 0.05). The mean post-test score of the PTGI Change in Philosophy of Life subscale was 19.37 +/- 6.04 in the experimental group and 16.17 +/- 6.83 in the control group, and the difference between the mean scores was statistically significant (p < 0.05). Conclusion: It was determined that the midwifery care provided to primiparous mothers during the postpartum period had a positive effect on levels of post-traumatic growth and maternal attachment.Öğe The Effects of Perineal Massage Performed During Labor on Childbirth Comfort, Perineal Pain, and Trauma in Nulliparous Women: A Quasi-Experimental Study(Turkiye Klinikleri, 2023) Yetismis, Habibe Yasar; Derya, Yesim AksoyObjective: The purpose of this study was to examine the effects of perineal massage performed during labor on childbirth comfort, perineal pain, and genital tract trauma in nulliparous women. Material and Methods: This is a quasi-experimental study with a control group. The sample consisted of a total of 182 pregnant women, including 91 in the experimental group and 91 in the control group. Perineal massage was performed in the experimental group two, four, and four to six times during the latent, active, and transition phases, respectively. The participants in the experimental group continued to receive perineal massage with every push throughout the second stage of labor. Data were collected using the Personal Introductory Form, Visual Analog Scale (VAS), REEDA Scale and Childbirth Comfort Questionnaire (CCQ). Results: There was a statistically significant difference between the groups in terms of labor conditions including duration of the second stage of labor, perineal trauma status, severity of perineal trauma, and episiotomy application status (p< 0.05). After perineal massage, the CCQ mean score at the end of the active phase was 30.53 +/- 8.78 in the experimental group and 26.83 +/- 7.78 in the control group (p<0.05). Additionally, the postpartum VAS mean score was 3.04 +/- 2.08 in the experimental group and 5.72 +/- 2.64 in the control group (p<0.001). The REEDA mean total score was 3.23 +/- 0.53 in the experimental group and 5.50 +/- 1.70 in the control group (p<0.001). Conclusion: Perineal massage administered to nulliparous women during labor increased childbirth comfort and decreased perceptions of perineal pain, and it was associated with lower rates of genital tract trauma.Öğe Effects of tele-education given based on the health belief model on mode of delivery tendencies in pregnant women(Routledge Journals, Taylor & Francis Ltd, 2022) Akca, Emine Ibici; Derya, Yesim AksoyBackground Cesarean sections, which have a high risk of maternal and neonatal complications and increase health expenditures, have become a global problem. Hence, it is extremely important to encourage women to have normal deliveries. Objective This study was conducted to determine the effects of tele-education given to nulliparous pregnant women based on the health belief model (HBM) on their normal delivery beliefs and tendencies. Methods This randomized-controlled study was conducted with 149 nulliparous pregnant women. Participants in the experimental group received a tele-education programme in 8 sessions prepared in line with the health belief model regarding normal delivery for 15 days. The data was collected by using the Pregnancy Information Form and Belief Scale for Normal Delivery (BSND). Results After the tele-education programme, the post-test BSND mean score was 89.90 +/- 14.10 in the experimental group and 78.80 +/- 12.65 in the control group, where the difference between them was significant (p < 0.01). Additionally, the post-test mean scores of participants in the experimental group in all BSND's subdimensions were significantly higher than those of the women in the control group (p < 0.05). Conclusion The tele-education given in line with the HBM increased the belief and tendency levels of the nulliparous pregnant women towards normal delivery.Öğe Fertility awareness scale development study in Turkish women(Elsevier Science Inc, 2022) Ozsahin, Zeliha; Derya, Yesim AksoyABS T R A C T Introduction: There is a lack of information about fertility in the world, so in order to increase fertility awareness, it is necessary to provide effective counseling services. Therefore, there is a need for reliable measurement tools to be used to determine fertility awareness levels in women.Methods: This study of 500 women between the ages of 18 and 49 focussed on developing a valid fertility awareness instrument. Scale development was carried out in 4 stages; creating an item pool, expert opinion, pilot testing, and validity-reliability analysis. Kaiser-Meyer-Olkin Test, Explanatory Factor Analysis and Confirmatory Factor Analysis were carried out to ensure construct validity, and the Cronbach's alpha internal consistency coeffi-cient. Item total correlation and test-retest analysis were used to test the scale's reliability. Results: As a result of the explanatory factor analysis (EFA) conducted for the validity of the 39-item scale used in the study, 20 items with a factor load below 0.30 were removed from the scale, and a scale consisting of 19 items and two dimensions was obtained. The confirmatory factor analysis (CFA) that was carried out supported the 2-factor construct (bodily awareness and cognitive awareness) of the Fertility Awareness Scale, and the fit indices of the scale were determined to be sufficient. The Cronbach's alpha internal consistency coefficient was found to be 0.887, 0.623 and 0.659 in the overall FAS and its dimensions. Furthermore, the item-total correlation analysis and test-retest analysis of the scale revealed high correlations.Conclusion: Consequently, a valid and reliable measurement tool that can measure the fertility awareness levels of women was obtained.Öğe Integration of technology to clinical teaching:The impact of mobile and web-based software automation designed for midwifery students on motivation, time management and anxiety levels(Elsevier Sci Ltd, 2022) Derya, Yesim Aksoy; Akca, Emine Ibici; Ozsahin, Zeliha; Kapidere, MetinAim: This study was performed to assess the impact of a mobile and web-based software system named Midwifery Clinical Automation (EBEKO) and designed by researchers to be used in clinical practices on motivation, time management and anxiety level.Method: The sample of this randomized controlled trial consisted of 60 midwifery students who were randomly and equally assigned to the experimental and control groups. Data were collected between February and May 2019 using Student Introduction Form, Motivation Resources and Problems Scale (MRPS), Time Management Inventory (TMI) and Spielberger's State-Trait Anxiety Inventory (STAI I-II). EBEKO application was designed as a software system ensuring mutual interaction between students and instructors. Students in the experimental group and all instructors of the department of midwifery were trained in terms of using the system. Students were asked to upload the data regarding midwifery care, monitoring and trainings utilized within the clinical practices to the EBEKO. Data uploaded to the system were transferred to the screen designed for the instructors who were in charge. Instructors assessed these forms (for pregnant women/puerperal women/newborns etc.), demanded revisions, approved or returned. Approved forms corresponded to the number of forms needed by the students in the study to graduate. All students in the experimental group used EBEKO system throughout their education period (14 weeks). No interventions were made on the students in the control group. Data were analyzed through the de-scriptive statistics (frequency, percentage, mean, standard deviation, min-max values), and t-test in the dependent and independent groups. Results: Students in the experimental and control groups were found to have similar motivation, time management and anxiety level prior to the use of EBEKO. However, after the use of the application, the mean post-test motivation and time management scores of the students in the experimental group signif-icantly increased compared to the control group ( p < 0.001, p < 0.05), but no significant difference regarding the anxiety levels was present between the groups ( p > 0.05).Conclusion: EBEKO was found to positively affect the motivation and time management of midwifery students.(c) 2022 Elsevier Ltd. All rights reserved.Öğe Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety(Elsevier Sci Ltd, 2021) Derya, Yesim Aksoy; Altiparmak, Sumeyye; Akca, Emine; Gokbulut, Nilay; Yilmaz, Ayse NurAim: This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. Method: The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a Personal Information Form, the Revised Prenatal Distress Questionnaire (NuPDQ) and the Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. Results: The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75 +/- 5.10 and 11.50 +/- 4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of fear of giving birth and worries of bearing a physically or mentally handicapped child was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. Conclusion: The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.Öğe THE RELATIONSHIP BETWEEN THE LIFE QUALITY BASED ON PREGNANCY COMPLAINTS AND MATERNITY ROLE AND ACCEPTANCE OF PREGNANCY(Dokuz Eylul Univ Inst Health Sciences, 2023) Benli, Tuba Enise; Altiparmak, Suemeyye; Derya, Yesim AksoyPurpose: The purpose of this study was to determine the relationship between life quality based on pregnancy complaints and maternity role and pregnancy acceptance. Material and Methods: The sampling for the research featuring a cross-sectional design comprised 284 pregnant women who applied to the pregnant training class of a state hospital. Data were collected by Personal Information Form, Acceptance of Maternity Role and Acceptance of Pregnancy sub -dimensions of the Prenatal Self-evaluation Scale and Scale for Pregnancy Complaints and Their Impact on the Life Quality (SPCILQ). Descriptive statistics and Pearson Relationship Analysis were used in the analysis of the data. Results: The age average of pregnant women is 28.27 & PLUSMN;5.14, it was found that 33.8% of the pregnant women are high-school graduates, 79.8% are housewife, 86.6% have a moderate economic status, 84.2% have elementary family. The average pregnancy week of the pregnant is 31.98 & PLUSMN;8.16, the average pregnancy number is 1.60 & PLUSMN;0.48. It was determined that 78.2% of the pregnant women have a desired/planned pregnancy, 45.4% get information from physician, 41.5% get information from midwife in the prenatal controls regarding the complaints experienced in the pregnancy. The point average which the pregnant women took from the sub-dimension of the Acceptance of Maternity Role is 37.72 & PLUSMN;4.07; the point average they took from the sub-dimension of the Acceptance of Pregnancy is 40.14 & PLUSMN;4.34; the point average they took from Scale on Complaints in Pregnancy and Its Impact on the Life Quality is 72.29 & PLUSMN;28.10. A statistically positive-way weak relationship was detected between the point average of Scale for Pregnancy Complaints and Their Impact on the Life Quality (SPCILQ) and point averages of maternity role (r=0.209, p=0.000). No statistical significance was detected between point average of SPCILQ and point averages of the acceptance of the pregnancy (p>0.05). Conclusion: As the impact of the pregnancy-based complaints on the life quality increases, a decrease is seen in the adaptation to the maternity role.Öğe Theory-based training to promote breast cancer screening among women with breast cancer worries: randomized controlled trial(Associacao Paulista Medicina, 2020) Tashan, Sermin Timur; Derya, Yesim Aksoy; Ucar, Tuba; Nacar, Gulcin; Erci, BehiceBACKGROUND: Breast cancer worries are important determinants in relation to behavior favoring breast cancer screening. OBJECTIVE: To determine the effect of theory-based training to promote breast cancer screening among women with high and low levels of breast cancer worries. DESIGN AND SETTING: Randomized controlled trial, conducted in two family health centers. METHODS: In total, 285 women were recruited. Women with low levels of breast cancer worries were included in the first intervention group (112 women) and the first control group (112 women), while women with high levels of breast cancer worries were included in the second intervention group (37 women) and the second control group (43 women). Theory-based training to promote breast cancer screening was given to intervention groups. The women's willingness to undergo breast cancer screening and breast cancer worry scores were evaluated at 1, 3 and 6 months. RESULTS: The women in the low cancer-worry intervention group performed breast self-examination more in months 1 and 6 following the training, and the women in the high cancer-worry control group performed breast self-examination more in month 3 (P < 0.05). No difference between the women who had low or high levels of breast cancer worries were observed in relation to breast self-examination, clinical breast examination or mammography (P > 0.05). CONCLUSION: The level of worry did not affect the success of theory-based training, and the training was partially effective with regard to willingness to undergo breast cancer screening.