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Öğe Are major depression and generalized anxiety disorder associated with intrauterine growth restriction in pregnant women? A case-control study(Elsevier Inc., 2011) Uguz F.; Gezginc K.; Yazici F.Objective: This study examined the prevalence of major depression and generalized anxiety disorder in pregnant women with and without a diagnosis of intrauterine growth restriction (IUGR). Method: The study sample included 56 pregnant women with a diagnosis of IUGR and 92 control subjects. IUGR was determined by means of ultrasound assessment and was defined as estimated fetal weight, by ultrasound scan, which falls below the 10th percentile for the gestational age. Psychiatric evaluations were performed with depression and anxiety symptom scales and with structured clinical interviews. Results: Pregnant women with IUGR had higher scores of depressive and anxiety symptom scores and had a higher prevalence rate of major depression and generalized anxiety disorder. Conclusions: According to the results of the present study, both major depression and generalized anxiety disorder appear to be associated with IUGR in pregnant women. © 2011 Elsevier Inc.Öğe Evaluation of emergent periparum hysterectomy cases: A six year experince [Aci?l peri?partum hi?sterektomi? olgularinin de?erlendi?ri?lmesi?: Alti yillik deneyi?m](2010) Özdemir S.; Balci O.; Görkemli H.; Gezginç K.; Tazegül A.; Yazici F.; Akarsu S.Objective: In this study, we aimed to investigate the incidence, indications, risk factors of emergent peripartum hysterectomy (EPH) and its effect on maternal mortality and morbidity. Design: Retrospective study. Setting: Selcuk University, Meram Medical Faculty, Gynecology and Obstetric Department, Konya. Patients: Thirty-seven EPH cases performed due to some obstetric complicatios were investigated retrospectively between January 2003 and April 2009. Interventions: Patient's data, hospital records and other knowledges about patients were obtained from hospital archieves. Patient's ages, parity, gravidy, gestational weeks and mode of deliveries were researched as demographic features. Operative records were also investigated. Main outcome measures: Incidence, indications and risk factors for peripartum hysterectomy. Results: A total of 37 cases were included in this study and the incidence of EPH was recorded as 0,223%. Total and subtotal hysterectomies were performed in 59,5% and 40,5% of the patients, respectively. Indications for hysterectomy were 43,2% atonia, 37,8% placenta previa, accreata and increata, 13,5% uterine rupture. Hysterectomies were performed in 54% of cases after caserean section, in 46% of cases after vaginal births. Oophorectomy and bilateral hipogastric arter ligation were performed in 8,1% and 51,3% of the patients, respectively. Three patients died, one due to multiple organ insufficiency and DIC. Conclusion: Uterin atonia is still the most common cause of postpartum hemorrhagia and EPH. EPH is a procedure with high mortality and morbidity but is life-saving when performed at suitable time.Öğe The evaluation of the biopsy results taken under colposcopy in patients with abnormal cervicovaginal smear results [Anormal servikovajinal smear saptanan hastalarda kolposkopi eşli?inde alinan biyopsi sonuçlarinin de? erlendirilmesi](2011) Yazici F.; Tazegül A.; Esen H.; Çelik Ç.Objective: To evaluate the results of biopsies taken during colposcopy in patients with abnormal cervicovaginal smear results. Material and Methods: Cervical biopsies were taken during colposcopy examination of 111 patients whose cervicovaginal smears showed abnormal epithelial cells. 111 patients were prospectively evaluated. Their socio-demographic data, age, gravida, parity, socioeconomic status, educational status, age at first intercourse, number of partners, and being or not being a smoker were investigated. Results: According to the classification of Bethesda, squamous cell abnormalities were detected in 96 (86.5%) patients and 15 (13.5%) patients had abnormal glandular cells. When the biopsy results of the patients were evaluated, out of 40 ASC-US cases CIN-I was detected in 5 (%12.5) cases, CIN-II in 1 (%2.5) case, CIN-III in 2 (5%) cases and invasive cancer was detected in 1 (2.5%) case. Out of the 3 patients with detected ASC-H, in 1 (33.3%) patient carcinoma in situ and in the other 2 (66.7%) patients invasive cancers were detected. In the 39 LSIL patients, 28 (71%) had normal pathology results and 1 (2.6%) had carcinoma in situ. Out of the 14 patients with detected HSIL, 4 (28.6%) patients were diagnosed with inflammatory changes and 5 (35.7%) with invasive cancer. 10 (66.7%) patients out of the 15 whose smear tests showed AGUS were diagnosed with normal pathological findings, and another 3 (20%) were diagnosed with invasive cervical cancer. Conclusion: Colposcopic examination must be performed in the presence of glandular cell and high-grade cytologic abnormalities. In the low-grade lesions, in order to not miss out a preinvasive lesion or in order to avoid unnecessary invasive applications, the medical examinations should be carried out with the aid of colposcopy or the patients should be chosen carefully for the follow-ups. Copyright © 2011 by Türkiye Klinikleri.