Ümit Ayşe Tandircioğlu, Ayşe METE YEŞİL, Tolga Çelik, E. Özmert, Süleyman Yi̇ği̇t
AMAÇ: Hipoksik iskemik ensefalopati (HİE); anormal bilinç durumu, nöbetler, çoklu organ yetmezliği ile seyredebilen klinik bir durumdur. Bu retrospektif çalışma ile terapötik hipotermi (TH) uygulanan HİE tanılı yenidoğanların kord kan gazı pH değeri ve kardiyak belirteçleri ile difüzyon Manyetik rezonans görüntüleme (MRG), nörolojik muayeneleri ve gelişimsel sonuçlarının değerlendirilmesi amaçlanmıştır. GEREÇ- YÖNTEM: Ocak 2015- Ocak 2021 tarihleri arasında Hacettepe Üniversitesi İhsan Doğramacı Çocuk Hastanesi Yenidoğan Yoğun Bakım Ünitesi'ne yatırılarak HİE evre 2-3 tanısı ile TH tedavisi almış ve poliklinik izlemine gelen hastalar çalışmaya dahil edildi. Umblikal kord kan gazı pH, Troponin-I, CK-MB değerleri, diffüzyon MRG bulguları ile Bayley Bebekler ve Küçük Çocuklar için Gelişimi Değerlendirme Ölçeği-III (BSID-III) sonuçları karşılaştırıldı. BULGULAR: Çalışmaya alınan 17 hastanın ortalama gebelik haftası 39 hafta (37-41), doğum ağırlıkları ortalama 3360 ± 325 g, 13’ü (%59) erkekti. Hastaların aEEG/EEG izleminde 10 (%59)’unda nöbet tespit edilmedi. Kordon kan gazı pH değeri ortancası ile anormal difüzyon MRG sonuçları arasında istatistiksel olarak fark saptanmadı. BSID-III skorları ile kord kan gazı pH değerinin ortancası arasında; kalp belirteçleri ile difüzyon MRG ve BSID-III sonuçları arasında istatistiksel fark saptanmadı. SONUÇ: Hipoksik iskemik ensefalopati olan bebeklerde TH endikasyonu için kullanılan kord kan gazı değerleri uzun dönem nörolojik-gelişimsel prognozun öngörülmesinde yeterli değildir. Hasta sayısı arttırıldığı takdirde bu hastalarda kalp kasının hipoksiden etkilendiğini gösteren kardiyak enzimleri uzun dönem izlemde bebeğin karşılaşabileceği nörolojik-gelişimsel sorunları öngörmede yararlı olabileceğini söyleyebiliriz.
{"title":"HİPOKSİK İSKEMİK ENSEFALOPATİDE UMBLİKAL KORD PH VE İZLEMDE ALINAN KARDİYAK BELİRTEÇLERİN YENİDOĞAN VE BEBEKLİK DÖNEMİ NÖROGELİŞİMSEL SONUÇLARA ETKİSİ","authors":"Ümit Ayşe Tandircioğlu, Ayşe METE YEŞİL, Tolga Çelik, E. Özmert, Süleyman Yi̇ği̇t","doi":"10.38136/jgon.1187862","DOIUrl":"https://doi.org/10.38136/jgon.1187862","url":null,"abstract":"AMAÇ: Hipoksik iskemik ensefalopati (HİE); anormal bilinç durumu, nöbetler, çoklu organ yetmezliği ile seyredebilen klinik bir durumdur. Bu retrospektif çalışma ile terapötik hipotermi (TH) uygulanan HİE tanılı yenidoğanların kord kan gazı pH değeri ve kardiyak belirteçleri ile difüzyon Manyetik rezonans görüntüleme (MRG), nörolojik muayeneleri ve gelişimsel sonuçlarının değerlendirilmesi amaçlanmıştır. \u0000GEREÇ- YÖNTEM: Ocak 2015- Ocak 2021 tarihleri arasında Hacettepe Üniversitesi İhsan Doğramacı Çocuk Hastanesi Yenidoğan Yoğun Bakım Ünitesi'ne yatırılarak HİE evre 2-3 tanısı ile TH tedavisi almış ve poliklinik izlemine gelen hastalar çalışmaya dahil edildi. Umblikal kord kan gazı pH, Troponin-I, CK-MB değerleri, diffüzyon MRG bulguları ile Bayley Bebekler ve Küçük Çocuklar için Gelişimi Değerlendirme Ölçeği-III (BSID-III) sonuçları karşılaştırıldı. \u0000BULGULAR: Çalışmaya alınan 17 hastanın ortalama gebelik haftası 39 hafta (37-41), doğum ağırlıkları ortalama 3360 ± 325 g, 13’ü (%59) erkekti. Hastaların aEEG/EEG izleminde 10 (%59)’unda nöbet tespit edilmedi. Kordon kan gazı pH değeri ortancası ile anormal difüzyon MRG sonuçları arasında istatistiksel olarak fark saptanmadı. BSID-III skorları ile kord kan gazı pH değerinin ortancası arasında; kalp belirteçleri ile difüzyon MRG ve BSID-III sonuçları arasında istatistiksel fark saptanmadı. \u0000SONUÇ: Hipoksik iskemik ensefalopati olan bebeklerde TH endikasyonu için kullanılan kord kan gazı değerleri uzun dönem nörolojik-gelişimsel prognozun öngörülmesinde yeterli değildir. Hasta sayısı arttırıldığı takdirde bu hastalarda kalp kasının hipoksiden etkilendiğini gösteren kardiyak enzimleri uzun dönem izlemde bebeğin karşılaşabileceği nörolojik-gelişimsel sorunları öngörmede yararlı olabileceğini söyleyebiliriz.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123822262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Burak Ersak, Duygu TUĞRUL ERSAK, Serra Akar, Bülent Özdal, Mahmut Kuntay Kokanalı, S. Serdar, H. Yalçin, İlker Selcuk, Özlem MORALOĞLU TEKİN
Amaç: Serviks kanseri hastalarında lenf nodu metastazının (LNM) değerlendirmesi tedavinin bireyselleştirilmesi için önemli bir konudur. Çalışmamızın amacı, serviks kanserli hastalarda LNM'nin prediktif faktörlerini belirlemektir. Gereç ve Yöntem: Bu retrospektif çalışmaya, 2007'den 2019'a kadar Uluslararası Jinekoloji ve Obstetrik Federasyonu (FIGO) evre IB1-IIA2'nin serviks kanseri hastaları dahil edildi. LNM insidanslarıyla beraber tek ve çok değişkenli modellerde pelvik ve paraaortik LNM için risk faktörlerinin prediktif değeri belirlendi. Bulgular: Çalışmaya dahil edilen 212 hastadan pelvik LNM olan hasta sayısı 81(%38.2), paraaortik LNM'li hasta sayısı 17(%8) idi. Serviks kanseri hastalarında multivariyant analize göre parametriyal tutulum (hazard ratio [HR]: 2.75, 95% confidence interval [CI], 1.18-6.40, p=0.019) ve lenfovasküler tutulum ([HR]: 3.83, 95% [CI], 1.76-8.38, p=0.001) pelvik LNM için bağımsız risk faktörleriydi iken paraaortik LNM için parametriyal tutulum bağımsız risk faktörüydü ([HR]: 3.62, 95% [CI], 1.20-10.98, p=0.023). Sonuç: Serviks kanseri hastalarında pelvik LNM'nin prediktif faktörleri parametrial tutulum ve LVSI iken paraaortik LNM için prediktif risk faktörü parametrial tutulumdu.
{"title":"Erken evre serviks kanseri hastalarında lenf nodunu metastazını predikte eden faktörler","authors":"Burak Ersak, Duygu TUĞRUL ERSAK, Serra Akar, Bülent Özdal, Mahmut Kuntay Kokanalı, S. Serdar, H. Yalçin, İlker Selcuk, Özlem MORALOĞLU TEKİN","doi":"10.38136/jgon.1210845","DOIUrl":"https://doi.org/10.38136/jgon.1210845","url":null,"abstract":"Amaç: Serviks kanseri hastalarında lenf nodu metastazının (LNM) değerlendirmesi tedavinin bireyselleştirilmesi için önemli bir konudur. Çalışmamızın amacı, serviks kanserli hastalarda LNM'nin prediktif faktörlerini belirlemektir. \u0000Gereç ve Yöntem: Bu retrospektif çalışmaya, 2007'den 2019'a kadar Uluslararası Jinekoloji ve Obstetrik Federasyonu (FIGO) evre IB1-IIA2'nin serviks kanseri hastaları dahil edildi. LNM insidanslarıyla beraber tek ve çok değişkenli modellerde pelvik ve paraaortik LNM için risk faktörlerinin prediktif değeri belirlendi. \u0000Bulgular: Çalışmaya dahil edilen 212 hastadan pelvik LNM olan hasta sayısı 81(%38.2), paraaortik LNM'li hasta sayısı 17(%8) idi. Serviks kanseri hastalarında multivariyant analize göre parametriyal tutulum (hazard ratio [HR]: 2.75, 95% confidence interval [CI], 1.18-6.40, p=0.019) ve lenfovasküler tutulum ([HR]: 3.83, 95% [CI], 1.76-8.38, p=0.001) pelvik LNM için bağımsız risk faktörleriydi iken paraaortik LNM için parametriyal tutulum bağımsız risk faktörüydü ([HR]: 3.62, 95% [CI], 1.20-10.98, p=0.023). \u0000Sonuç: Serviks kanseri hastalarında pelvik LNM'nin prediktif faktörleri parametrial tutulum ve LVSI iken paraaortik LNM için prediktif risk faktörü parametrial tutulumdu.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134411472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Özet Amaç: Bu çalışmada Evre IIIC1 ve evre IIIC2 endometrium kanserinde, hasta grupları arasında klinik, cerrahi ve patolojik risk faktörlerinin dağılımını incelemek ve farklılığı tanımlamak amaçlanmıştır. Gereçler ve Yöntem: Kliniğimizde FIGO 2009 kriterlerine göre evre IIIC1-2 endometrium kanseri tanısı alan 115 hasta çalışmaya dâhil edildi. Hastaların demografik, klinik, cerrahi ve patolojik özellikleri hasta dosyalarından ve patoloji raporlarından retrospektif olarak elde edildi. Bulgular: Hastaların 39’unda (%33.9) sadece pelvik lenf nodu metastazı, 14’ünde (%12.2) sadece paraaortik lenf nodu metastazı, 62’sinde (%53.9) ise hem pelvik hem paraaortik lenf nodu metastazı mevcuttu. Otuz dokuz (%33.9) hasta FIGO IIIC1, 76 (%66.1) hasta FIGO IIIC2 evredeydi. Evre IIIC2 hasta grubunda evre IIIC1’e göre derin myometrial invazyon ve malign peritoneal sitoloji istatistiksel olarak anlamlı yüksekti. Buna karşın yaş, tümör boyutu, çıkarılan lenf nodu sayısı, preoperatif CA 125 değeri, FIGO grade derecesi, lenfovasküler alan invazyonu, servikal tutulum durumu ve adneksal metastaz durumu ile hastalığın paraaortik bölgeye yayılıp yayılmaması arasında anlamlı farklılık gözlenmedi. Sonuç: Evre IIIC endometrium kanserinde paraaortik lenf nodu metastazı varlığında derin miyometrial invazyon ve malign peritoneal sitoloji görülme olasılığı artmaktadır.
{"title":"Evre IIIC Endometrium Kanserinde Paraaortik Lenf Nodu Metastazı Varlığına Göre Klinik, Cerrahi ve Patolojik Faktörlerin Dağılımı","authors":"Okan Aytekin, Yeşim ÖZKAYA UÇAR, Burak Ersak, Fatih Çelik, Günsu KİMYON CÖMERT, Bülent Özdal","doi":"10.38136/jgon.1186328","DOIUrl":"https://doi.org/10.38136/jgon.1186328","url":null,"abstract":"Özet \u0000Amaç: Bu çalışmada Evre IIIC1 ve evre IIIC2 endometrium kanserinde, hasta grupları arasında klinik, cerrahi ve patolojik risk faktörlerinin dağılımını incelemek ve farklılığı tanımlamak amaçlanmıştır. \u0000Gereçler ve Yöntem: Kliniğimizde FIGO 2009 kriterlerine göre evre IIIC1-2 endometrium kanseri tanısı alan 115 hasta çalışmaya dâhil edildi. Hastaların demografik, klinik, cerrahi ve patolojik özellikleri hasta dosyalarından ve patoloji raporlarından retrospektif olarak elde edildi. \u0000Bulgular: Hastaların 39’unda (%33.9) sadece pelvik lenf nodu metastazı, 14’ünde (%12.2) sadece paraaortik lenf nodu metastazı, 62’sinde (%53.9) ise hem pelvik hem paraaortik lenf nodu metastazı mevcuttu. Otuz dokuz (%33.9) hasta FIGO IIIC1, 76 (%66.1) hasta FIGO IIIC2 evredeydi. Evre IIIC2 hasta grubunda evre IIIC1’e göre derin myometrial invazyon ve malign peritoneal sitoloji istatistiksel olarak anlamlı yüksekti. Buna karşın yaş, tümör boyutu, çıkarılan lenf nodu sayısı, preoperatif CA 125 değeri, FIGO grade derecesi, lenfovasküler alan invazyonu, servikal tutulum durumu ve adneksal metastaz durumu ile hastalığın paraaortik bölgeye yayılıp yayılmaması arasında anlamlı farklılık gözlenmedi. \u0000Sonuç: Evre IIIC endometrium kanserinde paraaortik lenf nodu metastazı varlığında derin miyometrial invazyon ve malign peritoneal sitoloji görülme olasılığı artmaktadır.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128813076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamuran Suman, E. Gök, P. Bütün, Zafer Bütün, Musa Büyük, M. Suman
OBJECTİVE: In neonatal intensive care, mortality is a source of great pressure and sadness on the family and the doctor. By its nature, intensive care services serve as a support point on the fine line between life and death. Minimizing this mortality is one of our colleagues' primary goals. For this reason, this study, it is aimed to determine the causes that have an effect on mortality and to minimize these causes with subsequent evaluations. MATERİAL AND METHOD: Our study covers the retrospective data of the babies who died in the neonatal unit between 2015 and 2019. In this context, patients who were born at 22 weeks and older and were hospitalized in the neonatal unit or needed resuscitation in the delivery room were included. Our colleagues from three different hospitals participated in this study with the patients they registered. One of these centers is a training and research hospital and the other centers are state hospitals with busy delivery rooms. Babies lost in utero were not included in the study. Maternal and newborn mortality risk factors were recorded in the perinatal period. In addition, family demographic characteristics, causes of death, and mortality rates were recorded. These recorded data were analyzed according to Wiggleswort's mortality classification. Snappe ll scoring was used to evaluate the probability of death. RESULT: Of the 3112 babies admitted to our neonatal units during the aforementioned four years, we lost 79. When we examined the records of the newborns we lost, prematurity stood out as the most common cause of death. The causes we see less frequently, such as fatal congenital anomalies and severe genetic anomalies incompatible with life, drew attention as their incidence decreased. When we focus, we found that the loss rate was higher in the early neonatal period than in other periods. İn further detail, we see that the highest mortality rate occurred on the first day. While losses due to prematurity were more common in the first weeks of gestation, it was observed that the causes of death changed as the weeks of gestation progressed, and the incidence of genetic diseases and congenital anomalies increased. CONCLUSİON: As we know, the causes of neonatal intensive care losses are diverse, although their frequency varies. The most important determinant of this diversity is gestational age. In this retrospective study, we found that causes such as prematurity and congenital anomalies were among the most common causes. Similar to our results, many international publications have shown that these causes have the highest mortality rate. Improving follow-up and care in the perinatal period has an impact on reducing the causes of mortality we listed. Although not all causes can be eliminated, there are ethical debates about abortion for diseases incompatible with life.
{"title":"Multicenter assessment of mortality risk in the neonatal intensive care unit","authors":"Kamuran Suman, E. Gök, P. Bütün, Zafer Bütün, Musa Büyük, M. Suman","doi":"10.38136/jgon.1166248","DOIUrl":"https://doi.org/10.38136/jgon.1166248","url":null,"abstract":"OBJECTİVE: In neonatal intensive care, mortality is a source of great pressure and sadness on the family and the doctor. By its nature, intensive care services serve as a support point on the fine line between life and death. Minimizing this mortality is one of our colleagues' primary goals. For this reason, this study, it is aimed to determine the causes that have an effect on mortality and to minimize these causes with subsequent evaluations. \u0000MATERİAL AND METHOD: \u0000Our study covers the retrospective data of the babies who died in the neonatal unit between 2015 and 2019. In this context, patients who were born at 22 weeks and older and were hospitalized in the neonatal unit or needed resuscitation in the delivery room were included. Our colleagues from three different hospitals participated in this study with the patients they registered. One of these centers is a training and research hospital and the other centers are state hospitals with busy delivery rooms. Babies lost in utero were not included in the study. Maternal and newborn mortality risk factors were recorded in the perinatal period. In addition, family demographic characteristics, causes of death, and mortality rates were recorded. These recorded data were analyzed according to Wiggleswort's mortality classification. Snappe ll scoring was used to evaluate the probability of death. \u0000RESULT: Of the 3112 babies admitted to our neonatal units during the aforementioned four years, we lost 79. When we examined the records of the newborns we lost, prematurity stood out as the most common cause of death. The causes we see less frequently, such as fatal congenital anomalies and severe genetic anomalies incompatible with life, drew attention as their incidence decreased. When we focus, we found that the loss rate was higher in the early neonatal period than in other periods. İn further detail, we see that the highest mortality rate occurred on the first day. While losses due to prematurity were more common in the first weeks of gestation, it was observed that the causes of death changed as the weeks of gestation progressed, and the incidence of genetic diseases and congenital anomalies increased. \u0000 \u0000CONCLUSİON: As we know, the causes of neonatal intensive care losses are diverse, although their frequency varies. The most important determinant of this diversity is gestational age. In this retrospective study, we found that causes such as prematurity and congenital anomalies were among the most common causes. Similar to our results, many international publications have shown that these causes have the highest mortality rate. \u0000Improving follow-up and care in the perinatal period has an impact on reducing the causes of mortality we listed. Although not all causes can be eliminated, there are ethical debates about abortion for diseases incompatible with life.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129734707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The purpose of this study was to analyze the fetal thymus size by sonography in healthy, small for gestational age (SGA), and fetal growth restriction (FGR) pregnancies and investigate if there is a difference between healthy fetuses and those with growth restriction. Study Design: The thymic-thoracic ratio (TTR), transverse diameter, and perimeter of the fetal thymus were prospectively measured in SGA and FGR pregnancies between the gestational ages of 20 and 37 weeks and compared with healthy controls. Fetal abdominal circumference (AC) or estimated fetal weight (EFW)
{"title":"Assessment of Fetal Thymus Size in Small for Gestational Age and Growth Restricted Fetuses","authors":"Selcan Sınacı, D. Şahın","doi":"10.38136/jgon.1204415","DOIUrl":"https://doi.org/10.38136/jgon.1204415","url":null,"abstract":"Objective: The purpose of this study was to analyze the fetal thymus size by sonography in healthy, small for gestational age (SGA), and fetal growth restriction (FGR) pregnancies and investigate if there is a difference between healthy fetuses and those with growth restriction. \u0000Study Design: The thymic-thoracic ratio (TTR), transverse diameter, and perimeter of the fetal thymus were prospectively measured in SGA and FGR pregnancies between the gestational ages of 20 and 37 weeks and compared with healthy controls. Fetal abdominal circumference (AC) or estimated fetal weight (EFW)","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124915728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACT Aim: In our study, it was aimed to analyze the relationship between the level of covid fear and state-trait anxiety of the healthcare professionals. Materials and Methods: 203 healthcare workers working in healthcare organizations during pandemia participated in our descriptive study made in May 2021. The used data collection tools are descriptive features form, Covid-19 Fear Scale (CFS) and State-Trait Anxiety (STAI) scale. The data were collected by using social media because the pandemia existed. Results: In our study, it was found that the CFS points (.005) of healthcare workers who did not use accommodation services arranged by the TR Ministry of Health, are more statistically significant than the others. The STAI points (.008) of healthcare workers who did not get any psychological support are less than the ones who got support, the points of STAI (.000) of healthcare workers who did not think about quitting their jobs were less than the others. The healthcare workers who did not think about having psychological support, have fewer points of CFS (.002) and STAI (.001) than the ones who think to get support. In addition between the points of CFS and STAI has a statistically significant relationship (.000). Conclusion: Increasing the number of healthcare workers, strengthening their motivation, providing annual leave, giving education about covid, providing psychological support are helpful to decrease the effects of pandemia on healthcare workers.
{"title":"The Assessment of The Level of Covid-19 Fear And State-Trait Anxiety of The Healthcare Workers: The Sample Of Turkey","authors":"Nükhet Kaçar, F. Sayıner, Özlem Moraloğlu Tekin","doi":"10.38136/jgon.1062140","DOIUrl":"https://doi.org/10.38136/jgon.1062140","url":null,"abstract":"ABSTRACT \u0000Aim: In our study, it was aimed to analyze the relationship between the level of covid fear and state-trait anxiety of the healthcare professionals. \u0000Materials and Methods: 203 healthcare workers working in healthcare organizations during pandemia participated in our descriptive study made in May 2021. The used data collection tools are descriptive features form, Covid-19 Fear Scale (CFS) and State-Trait Anxiety (STAI) scale. The data were collected by using social media because the pandemia existed. \u0000Results: In our study, it was found that the CFS points (.005) of healthcare workers who did not use accommodation services arranged by the TR Ministry of Health, are more statistically significant than the others. The STAI points (.008) of healthcare workers who did not get any psychological support are less than the ones who got support, the points of STAI (.000) of healthcare workers who did not think about quitting their jobs were less than the others. The healthcare workers who did not think about having psychological support, have fewer points of CFS (.002) and STAI (.001) than the ones who think to get support. In addition between the points of CFS and STAI has a statistically significant relationship (.000). \u0000Conclusion: Increasing the number of healthcare workers, strengthening their motivation, providing annual leave, giving education about covid, providing psychological support are helpful to decrease the effects of pandemia on healthcare workers.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122611402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Merve ALDIKAÇTIOĞLU TALMAÇ, Özge Özdemi̇r, Aslı ENEZ DARÇIN, Ibrahim Polat, Cemal Ark
Amaç: Bu çalışmada plasenta previa tanılı hastaların, operasyonlarından sonraki dönemde depresif belirti şiddetleri araştırıldı ve uterusu kaybetmenin sonucunda duygu durumlarındaki değişim incelendi. Gereçler ve Yöntem: Çalışmaya Mart 2012-Kasım 2014 tarihleri arasında plasenta previa nedeniyle sezaryen histerektomi yapılan toplam 59 hasta ile aynı tanı nedeniyle sezaryen olan ancak histerektomi yapılmayan toplam 60 hasta alındı. Hastalarda depresyon varlığı araştırıldı ve Beck Depresyon Ölçeği (BDÖ) ile depresif belirti şiddeti değerlendirildi. Bulgular: Peripartum histerektomi yapılan hasta grubunda ortalama BDÖ puanı 11±6, histerektomi yapılmayan grupta ise 4±2 bulundu. Histerektomi yapılan grupta ortalama BDÖ puanları istatistiksel olarak anlamlı bulundu (p
{"title":"Plasenta Previa Tanılı Hastalarda Peripartum Histerektominin Depresyon Düzeylerine Etkisi","authors":"Merve ALDIKAÇTIOĞLU TALMAÇ, Özge Özdemi̇r, Aslı ENEZ DARÇIN, Ibrahim Polat, Cemal Ark","doi":"10.38136/jgon.1063444","DOIUrl":"https://doi.org/10.38136/jgon.1063444","url":null,"abstract":"Amaç: Bu çalışmada plasenta previa tanılı hastaların, operasyonlarından sonraki dönemde depresif belirti şiddetleri araştırıldı ve uterusu kaybetmenin sonucunda duygu durumlarındaki değişim incelendi. \u0000Gereçler ve Yöntem: Çalışmaya Mart 2012-Kasım 2014 tarihleri arasında plasenta previa nedeniyle sezaryen histerektomi yapılan toplam 59 hasta ile aynı tanı nedeniyle sezaryen olan ancak histerektomi yapılmayan toplam 60 hasta alındı. Hastalarda depresyon varlığı araştırıldı ve Beck Depresyon Ölçeği (BDÖ) ile depresif belirti şiddeti değerlendirildi. \u0000Bulgular: Peripartum histerektomi yapılan hasta grubunda ortalama BDÖ puanı 11±6, histerektomi yapılmayan grupta ise 4±2 bulundu. Histerektomi yapılan grupta ortalama BDÖ puanları istatistiksel olarak anlamlı bulundu (p","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130491911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACT Objective: To investigate and predict perinatal outcomes of pregnancies affected with fetal growth restriction by cerebroplacental ratio. Material and Methods: A retrospective study was conducted based on 100 high-risk pregnant who referred to the antenatal clinic. 66 pregnant women were diagnosed with ıntrauterine growth restriction. And 34 pregnant women were diagnosed with small for gestational age. Baseline demographic, past obstetric and medical histories were recorded for all patients. Intrauterine growth retardation was defined as an estimated weight below the 10th percentile for gestational age based on sonographic measurement.‘ small for gestational age’ diagnosis shows that fetal weight or fetal abdomainal circunference measurement is below 10th percentile; but it was diagnosed in fetuses with normal doppler parameters and no pathological factors were preventing the fetus from reaching its expected growth potential. Doppler ultrasound of middle cerebral arteries and umbilical arteries were used to assess pregnancies. Cerebroplacental rate (CPR); It is calculated by dividing MCA percentile index to UA percentile index. The cerebroplacental doppler ratio less than 1 was accepted abnormal. Adverse perinatal outcomes for newborns were documented for all cases. Results: 100 pregnant women were classified into two groups according to cerebroplacental ratio. Cerebroplacental ratio ratio of Group A is greater than 1 (n=87). And cerebroplacental ratio ratio of Group B is less than 1 (n=13). Perinatal morbidity statistically significantly increased in Group B. The fetuses with abnormal cerebroplacental ratıo were strongly correlated with worse fetal prognosis. Respiratory distress syndrome rates (p = 0.043; p
{"title":"RETROSPECTIVE STUDY FOR PREDICTING PERINATAL OUTCOME USING CEREBROPLACENTAL RATIO IN FETAL GROWTH RESTRICTED PREGNANCY","authors":"Hatice LAÇİN TUĞAN, S. Özden, Koray Gök","doi":"10.38136/jgon.1065316","DOIUrl":"https://doi.org/10.38136/jgon.1065316","url":null,"abstract":"ABSTRACT \u0000Objective: To investigate and predict perinatal outcomes of pregnancies affected with fetal growth restriction by cerebroplacental ratio. \u0000Material and Methods: A retrospective study was conducted based on 100 high-risk pregnant who referred to the antenatal clinic. 66 pregnant women were diagnosed with ıntrauterine growth restriction. And 34 pregnant women were diagnosed with small for gestational age. Baseline demographic, past obstetric and medical histories were recorded for all patients. Intrauterine growth retardation was defined as an estimated weight below the 10th percentile for gestational age based on sonographic measurement.‘ small for gestational age’ diagnosis shows that fetal weight or fetal abdomainal circunference measurement is below 10th percentile; but it was diagnosed in fetuses with normal doppler parameters and no pathological factors were preventing the fetus from reaching its expected growth potential. Doppler ultrasound of middle cerebral arteries and umbilical arteries were used to assess pregnancies. Cerebroplacental rate (CPR); It is calculated by dividing MCA percentile index to UA percentile index. The cerebroplacental doppler ratio less than 1 was accepted abnormal. Adverse perinatal outcomes for newborns were documented for all cases. Results: 100 pregnant women were classified into two groups according to cerebroplacental ratio. Cerebroplacental ratio ratio of Group A is greater than 1 (n=87). And cerebroplacental ratio ratio of Group B is less than 1 (n=13). Perinatal morbidity statistically significantly increased in Group B. The fetuses with abnormal cerebroplacental ratıo were strongly correlated with worse fetal prognosis. Respiratory distress syndrome rates (p = 0.043; p","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122451158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Since the onset of COVID-19, recommendations suggest the use of neuraxial anesthesia, over general anesthesia for cesarian section to avoid the risks of aerosolization associated with intubation and extubation. But the safety of performing spinal anesthesia is unclear especially for post spinal hypotension, during the presence of active COVID-19. According to a few studies there was a controversial discussion about the safety of regional anesthesia. In this study we aimed to compare the incidence of hypotension in COVID-19 pregnant patients between non-COVID 19 pregnant patients in the literature to see if the spinal anesthesia is safe or if it poses an additional risk. Materials and Methods: Medical records of COVID-19 pregnant women for cesarean section from the beginning of the pandemic up to December 2020 were retrospectively retrieved. All the demographic-vital data, including systolic and diastolic blood pressure (SBP-DBP), ephedrine-atropine doses, infusion volumes, and nausea and vomiting were retrospectively analyzed. Results: Spinal anesthesia induced hypotension was seen 54 of the patients (21,69%). And vasopressors (Ephedrine) were used to all hypotensive patients. Demographic data’s, the amount of bupivacaine and crystalloid volume which used before the spinal anesthesia showed no differences between hypotensive and non-hypotensive patients. Conclusion: This is the first retrospective study which shows 249 COVID 19 patients’ data in one center that no significant difference was seen in the incidence of hypotension associated with spinal anesthesia for COVID-19 cesarean section compared to non-COVID group in literature. We recommend using of regional anesthesia safely for patients and anesthesiologists during active COVID-19 patients.
{"title":"Is SARS-CoV-2 a risk factor for hypotension during spinal anesthesia for obstetric patients?","authors":"A. Güler, N. Özcan","doi":"10.38136/jgon.1135792","DOIUrl":"https://doi.org/10.38136/jgon.1135792","url":null,"abstract":"Background: Since the onset of COVID-19, recommendations suggest the use of neuraxial anesthesia, over general anesthesia for cesarian section to avoid the risks of aerosolization associated with intubation and extubation. But the safety of performing spinal anesthesia is unclear especially for post spinal hypotension, during the presence of active COVID-19. According to a few studies there was a controversial discussion about the safety of regional anesthesia. In this study we aimed to compare the incidence of hypotension in COVID-19 pregnant patients between non-COVID 19 pregnant patients in the literature to see if the spinal anesthesia is safe or if it poses an additional risk. \u0000Materials and Methods: Medical records of COVID-19 pregnant women for cesarean section from the beginning of the pandemic up to December 2020 were retrospectively retrieved. All the demographic-vital data, including systolic and diastolic blood pressure (SBP-DBP), ephedrine-atropine doses, infusion volumes, and nausea and vomiting were retrospectively analyzed. \u0000Results: Spinal anesthesia induced hypotension was seen 54 of the patients (21,69%). And vasopressors (Ephedrine) were used to all hypotensive patients. Demographic data’s, the amount of bupivacaine and crystalloid volume which used before the spinal anesthesia showed no differences between hypotensive and non-hypotensive patients. \u0000Conclusion: This is the first retrospective study which shows 249 COVID 19 patients’ data in one center that no significant difference was seen in the incidence of hypotension associated with spinal anesthesia for COVID-19 cesarean section compared to non-COVID group in literature. We recommend using of regional anesthesia safely for patients and anesthesiologists during active COVID-19 patients.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134404867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehmet Caner Özer, Ayten Türkkani, Derya ÖZDEMİR TAŞ, Ş. Özyer, Mustafa Turan, Nafiye Yilmaz, Özlem Moraloğlu Tekin
Aim: The aim of this study was to investigate the effects of the number of oocytes retrieved and rate of mature oocytes on IVF outcomes in single fresh embryo transfer. Materials and Medhods: Two main groups were formed regarding number of oocytes retrieved and mature oocyte rate. According to the number of oocytes retrieved in 561 IVF cycles, 0-5 (n=175) oocytes were determined as group 1, 6-10 (n=214) oocytes as group 2, 11-15 (n=121) oocytes as group 3 and 16 or more oocytes as group 4 (n=51). Regarding mature oocyte (metaphase II, MII oocyte) rate, three groups were formed: group 1A (n=338) 76-100% mature oocytes, group 2A (n=150) 75-50% mature oocytes, and group 3A (n=73) less than 50% mature oocytes. Results: The number of oocytes retrieved was negatively correlated fertilization rate, whereas Β-hCG positivity and clinical pregnancy rates were observed to be better in the 6-10 oocytes group. The mean age, basal LH, and ovulation trigger day E2 levels, and fertilization rate were differed significantly between three groups of mature oocyte rate. Conclusion: In conclusion, MII oocyte rates in the cohort, regardless of the number of oocytes retrieved, did not affect IVF outcomes.
{"title":"Do the Number of Oocytes Retrieved and Mature Oocyte Rate in the Cohort Affect IVF Results?","authors":"Mehmet Caner Özer, Ayten Türkkani, Derya ÖZDEMİR TAŞ, Ş. Özyer, Mustafa Turan, Nafiye Yilmaz, Özlem Moraloğlu Tekin","doi":"10.38136/jgon.1176830","DOIUrl":"https://doi.org/10.38136/jgon.1176830","url":null,"abstract":"Aim: The aim of this study was to investigate the effects of the number of oocytes retrieved and rate of mature oocytes on IVF outcomes in single fresh embryo transfer. \u0000Materials and Medhods: Two main groups were formed regarding number of oocytes retrieved and mature oocyte rate. According to the number of oocytes retrieved in 561 IVF cycles, 0-5 (n=175) oocytes were determined as group 1, 6-10 (n=214) oocytes as group 2, 11-15 (n=121) oocytes as group 3 and 16 or more oocytes as group 4 (n=51). Regarding mature oocyte (metaphase II, MII oocyte) rate, three groups were formed: group 1A (n=338) 76-100% mature oocytes, group 2A (n=150) 75-50% mature oocytes, and group 3A (n=73) less than 50% mature oocytes. \u0000Results: The number of oocytes retrieved was negatively correlated fertilization rate, whereas Β-hCG positivity and clinical pregnancy rates were observed to be better in the 6-10 oocytes group. The mean age, basal LH, and ovulation trigger day E2 levels, and fertilization rate were differed significantly between three groups of mature oocyte rate. \u0000Conclusion: In conclusion, MII oocyte rates in the cohort, regardless of the number of oocytes retrieved, did not affect IVF outcomes.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114083973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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