Journal of Controversies in Obstetrics & Gynecology and Pediatrics最新文献

{"title":"Evaluation of patients under the age of 18 who applied to an adult psychiatric policy clinic","authors":"Özlem Özcanlı Çay, Merve Şahin Can","doi":"10.51271/jcogp-0025","DOIUrl":"https://doi.org/10.51271/jcogp-0025","url":null,"abstract":"Aims: The aim of this study is to evaluate the sociodemographic data and diagnoses of patients under the age of 18 who applied to an adult psychiatry clinic .\u0000Methods: 311 applicants under the age of 18 who applied to the adult psychiatry outpatient clinic of our hospital between January 2020 and December 2022 were included in the study. has been included . Sociodemographic data and diseases were evaluated retrospectively.\u0000Results: Of the 309 applicants in total, 194 ( 62.8 % ) were girls and 115 (37.2%) were boys. Considering the ages, 12.3 % of the applications were 15 years old and under, and 86.7% were over 15 years old. The psychiatric diagnosis rate was 84.5 % when both genders were evaluated . This rate was 86.5 % for girls and 82.6% for boys. Looking at the most common diagnoses in total; Diagnosis of anxiety disorders (21.7%), depressive disorder (21.7%), and activity and attention disorders (15.2%) were in the top 3 ranks .\u0000Conclusion: This study is important as it is the first study on adolescent patients admitted to an adult psychiatric service in our city. It is thought that these findings may guide interventions in the field of child and adolescent psychiatry.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics & Gynecology and Pediatrics","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140489003","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}

{"title":"Does autoimmune disease affect in vitro fertilization results in normo-responder cases?","authors":"Mehmet Ağar, B. Devranoğlu, Halime Çalı Öztürk","doi":"10.51271/jcogp-0028","DOIUrl":"https://doi.org/10.51271/jcogp-0028","url":null,"abstract":"Aims: This study aimed to assess the effects of autoimmune disorders on pregnancy outcomes in infertile women undergoing in vitro fertilization (IVF) treatment.\u0000Methods: This retrospective cohort study was conducted between March 2022 and September 2023, involving 90 infertile women without autoimmune diseases as a control group and 96 infertile women with autoimmune diseases as a case group. The study investigated the impact of autoimmune diseases on IVF treatment outcomes. Single embryo transfer (ET) was performed on the fifth day in all patients. Autoimmune diseases included in this study as Hashimoto's disease, Rheumatoid Arthritis, Sjogren's syndrome, Systemic lupus erythematosus (SLE), Ulcerative Colitis, and Behcet's disease.\u0000Results: There was no statistically significant association between the case and control groups regarding live birth rate (p>0.05). Similarly, no statistically significant association was found between the case and control groups concerning the clinical pregnancy rate (p>0.05). Our results revealed that total oocyte, pronuclear (PN), and metaphase II (MII) oocyte rates were statistically significantly higher in healthy infertile women (p<0.05). The number of attempts, anti mullerian (AMH) levels, total gonadotropin dose, and total days were similar between the groups (p>0.05).\u0000Conclusion: Autoimmune diseases do not significantly affect pregnancy outcomes in women undergoing IVF. However, several factors, such as total oocyte, PN, and MII oocytes, clinical pregnancy rate (CPR), and live birth rate (LBR) levels, support the association between autoimmune diseases and IVF outcomes.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"29 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487987","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}

{"title":"Vitamin D level in children with atopic dermatitis","authors":"Özlem Kemer Aycan, Özlem Özcanlı Çay, Demet Can","doi":"10.51271/jcogp-0027","DOIUrl":"https://doi.org/10.51271/jcogp-0027","url":null,"abstract":"Aims: Atopic dermatitis is a chronic relapsing skin disease that is mostly seen between the ages of 0-5. In our study, we aimed to reveal the difference in 25-OH vitamin D levels between the patient group diagnosed with atopic dermatitis and the control group.\u0000Methods: It was carried out at the Pediatric Allergy Polyclinic of Balıkesir University Faculty of Medicine Hospital between 2018-2021. A control group consisting of 220 patients between the ages of 0-17 who were diagnosed with atopic dermatitis and who applied to the Pediatric Allergy outpatient clinic and 220 patients who were not diagnosed with atopic dermatitis were included. The diagnosis of atopic dermatitis was made using the Hanifin-Rajka criteria. Disease activity was measured by the scorad index.\u0000Results: 25-OH vitamin D level and eosinophilia value in peripheral blood were found to be statistically significant between the patient and control groups. No significant difference was found between the patient and control groups in terms of parental age, parental education level, living place, weight, height, and body mass index (BMI) .\u0000Conclusion: 25-OH vitamin D levels were found to be lower and eosinophil levels were higher in patients with atopic dermatitis . No significant difference was found in terms of total IgE ( kU /L) level. More extensive studies are needed to determine how 25-OH vitamin D (ng/dl) level affects atopic dermatitis.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"25 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140488045","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}

{"title":"Investigation of the correlation of prognostic parameters in cases of endometrium carcinoma","authors":"Nurgül Ulusoy, Ahmet Gülkılık","doi":"10.51271/jcogp-0024","DOIUrl":"https://doi.org/10.51271/jcogp-0024","url":null,"abstract":"Aims: Endometrial carcinoma is the most common gynecological cancer in developed countries and the second most common in Turkey. Due to its significant impact on survival rates, recurrence rates, as well as treatment and post-treatment approaches, identifying and studying prognostic factors is of great importance. This article aims to review the prognostic parameters established for endometrial carcinoma and investigate the studies and findings related to these parameters.\u0000Methods: The study included 50 patients who underwent surgery for endometrial carcinoma at our clinic between January 1999 and May 2001. Investigations and results related to prognostic factors in endometrial carcinoma were examined in these patients.\u0000Results: The average age of the patients was found to be 56.72 ± 8.02 years. %70 of the patients were in Stage 1, 6% were in Stage 2, 22% were in Stage 3, and the remaining 2% were in Stage 4. Peritoneal cytology was positive in 5 out of 41 patients in whom peritoneal cytology was examined (12.2%). Among the 49 patients evaluated for myometrial invasion, 11 had tumor confined to the endometrium without myometrial invasion. In 16 patients, there was 1/3 inner myometrial invasion, 15 patients had 1/3 middle myometrial invasion, and 7 patients had 1/3 outer myometrial invasion. When we compared grade and depth of myometrial invasion in the cases examined, it was observed that out of 17 patients with Grade 1 tumors, 1 had deep myometrial invasion (½ outside), while out of 22 patients with Grade 2 tumors, 8 had deep myometrial invasion, and out of 4 patients with Grade 3 tumors, 3 had deep myometrial invasion.\u0000Conclusion: The results of the examination of prognostic parameters, including age, histological grade, myometrial invasion, peritoneal cytology, histological type, adnexal spread, and tumor size, in the studied patient group were consistent with previous research in this field.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"28 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140490235","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}

{"title":"The management of the malposition of intrauterine devices at the tertiary center","authors":"Arife Akay, B. Dilbaz, S. Dilbaz, Yaprak Engin Üstün","doi":"10.51271/jcogp-0014","DOIUrl":"https://doi.org/10.51271/jcogp-0014","url":null,"abstract":"Aims: The malposition of intrauterine devices (IUD) is a major problem in contraception and this study aims to evaluate the surgical procedures used in the management of these cases.\u0000Methods: Patients who were operated on for malposition of copper T IUD between 2018-2021 were evaluated retrospectively. The cases were analyzed in 4 groups as followed; instrumental removal, hysteroscopic (H/S), laparoscopic (L/S), and laparotomic (LPT) procedure. The groups were compared in age, obstetric history, IUD insertion time, and intraoperative outcomes.\u0000Results: There were a total of 39 cases and the groups consisted of instrumental removal (n=8), H/S (n=24), L/S (n=6), and LPT (n=1) procedure. In the H/S group, mean age (44 ±10) and duration of IUD use (10.1 ±7.5 years) were found to be significantly higher than the other groups (p=0.03 and p=0.001 ). Six cases (25%) in the H/S group IUD was in the uterine cavity while in 5 (20.8%) it was embedded in the endometrium and myometrium. In the L/S group, the duration of IUD use was shorter (1.3 ± 0.8 years) and the mean age (29±10) was lower and all cases were managed laparoscopically except in one case that was extracted after conversion to laparotomy. \u0000Conclusion: Advanced age and prolonged IUD use are risk factors for embedded of the IUD in the uterine cavity in the hysteroscopy group, however, IUDs that reach the abdomen by ruptured uterus are detected at younger ages and earlier in IUD use, and minimally invasive methods are eligible surgical procedures for these cases.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122877832","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}

{"title":"Rise and fall of 17 alfa-hydroxyprogesteronecaproate","authors":"N. Yenigül, B. Dilbaz","doi":"10.51271/jcogp-0017","DOIUrl":"https://doi.org/10.51271/jcogp-0017","url":null,"abstract":"17 alpha-hydroxyprogesteronecaproate (17-OHPC), a syntheticprogestogen, wasfirstapproved in 1956 totreat a variety of gynecological and obstetric conditions in pregnantwomen, includingthreatenedabortion and preterm birth. Itwaswidelyprescribedtopregnantwomen in the USA and Europe in the 1950s and 1960s. Studiesover time haveshownthat it is not successful in thisgroup of patients. Additionally, comparedtotheoffsprings not exposedto 17-OHPC, offspringsexposed had an increased risk of anycancer.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124002414","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}

{"title":"Morphological analyses of sperms causing severe male infertility with light microscopy, motile sperm organellar morphology examination and electron microscopy tecnics.","authors":"F. Cengiz","doi":"10.51271/jcogp-0013","DOIUrl":"https://doi.org/10.51271/jcogp-0013","url":null,"abstract":"To evaluate abnormal sperm morphology by three different methods including light microscope, real-time motile sperm organelle morphology assessment at 8050x high magnification and electron microscope and to determine degree of affect on morphologic defects level. Beside the light and electron microscopic techniques, the motile sperm organelle examination can offer information about sperm quality in a simple and quick way and by the IMSI developed through the use of sperm selected by this technique can contribute to the success of in vitro fertilization centers. We believe that sperm selection at high magnifications can increase IVF pregnancy rates in patients with sperm morphology that causes severe male infertility.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127040876","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}

{"title":"Exploring hysterosalpingography findings and pregnancy results among women applying to a tertiary referral hospital","authors":"Ergul Demircivi, Eda Güner Özen, S. Özen, Sinem Demircan, Canan Satır Özel, A. Turgut","doi":"10.51271/jcogp-0007","DOIUrl":"https://doi.org/10.51271/jcogp-0007","url":null,"abstract":"Aims: To find out the correlation between hysterosalpingography (HSG) pathologies and pregnancy results of infertility\u0000patients. Infertility is a complicated complaint prevalent among women of reproductive age with severe financial and social\u0000consequences. HSG, adopted for evaluating infertility, can be considered a secondary imaging technique in practice following ultrasound examination. The present study attempted to explore the HSG results of patients applying to our hospital with the complaint of infertility in the last two years and to compare these results with their pregnancy.\u0000Methods: We retrospectively evaluated the HSG results of the patients applying to or referred to our hospital from an\u0000external center between 10.01.2018 and 30.08.2020 with the complaint of infertility.260 patients were included in the study.\u0000The patients were grouped by their primary and secondary infertility. We analyzed anomalies detected by HSG in two groups: uterine and tubal anomalies. Moreover, those becoming pregnant following HSG until June 2022 were grouped by reproductive techniques (spontaneous or assisted). Patients not having optimal imaging, with HSG reports obtained at an external center, and with insignificant results were excluded from the study.\u0000Results: The patients’ mean age was calculated to be 36 years (21-52 years). While 144 patients (55%) were diagnosed with\u0000primary infertility, 116 (45%) had a diagnosis with secondary infertility. There was no uterine or tubal anomaly in 157 patients undergoing HSG, but we discovered only a uterine defect in 28 of 103 patients and a tubal defect including at least one uterine and comorbid tuba in 44 patients. In 45 patients with a uterine anomaly, the most prevalent HSG findings were uterine filling defect (28 patients, 62.2%) and arcuate uterus (10 patients, 22.2%). We also discovered that 81 patients became pregnant at least once after HSG. While 50 of them got pregnant spontaneously, the remaining benefitted from assisted reproductive techniques. Our findings showed spontaneous pregnancy not to be associated with primary or secondary infertility (p=0.394; OR=0.765; 95% CI: 0.412-1.42). There was also no relationship between primary and secondary infertility and abnormal HSG findings (p=0.437; OR=0.820; 95% CI: 0.498-1.35). Finally, we concluded that abnormal HSG findings did not significantly contribute to the rate of spontaneous pregnancy (p=0.701; OR=1.13; 95% CI: 0.604-2.11).\u0000Conclusion: We concluded that abnormal HSG findings did not contribute to the rates of spontaneous pregnancy.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122597233","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}

{"title":"Evaluation of the effects of raloxifene treatment on uterus in asymptomatic postmenoposal patients by transvaginal Doppler ultrasonography","authors":"Asena Ayar Madenli","doi":"10.51271/jcogp-0008","DOIUrl":"https://doi.org/10.51271/jcogp-0008","url":null,"abstract":"Aims: To evaluate the effects of raloxifene treatment on uterus in asymptomatic postmenopausal patients by Doppler\u0000transvaginal ultrasonography (TvUS).\u0000Methods: Randomized controlled prospective study, 57 healthy postmenopausal asymptomatic patients, aged 45-60, who\u0000applied Okmeydanı Training and Research Hospital Obstetrics and Gynecology Outpatient Clinic between 2003-2004. Four\u0000patients were excluded from the study because they did not apply the treatment regularly. All of the patients were in natural\u0000menopause. They had not received any hormone replacement therapy before. Their body mass index (BMI) was below 30 kg/m2 and had no systemic diseases. The patients were divided into two groups as those who received raloxifene (n: 27) and those who did not (n: 26). Raloxifene was given 60 mg/day for 6 months. In all patients enrolled in the study, endometrial and uterine volume, pulsatility (PI) and resistance indices (RI) were evaluated by TvUS Doppler. Endometrial biopsies (EB) were obtained with pipelle at 0 and 6 months.\u0000Results: There was no significant difference in terms of age, height, weight and BMI (p<0.05). Parity, menopause time and\u0000endometrial thickness were similar (p<0.05). EB results were similar (p<0.05). Uterine volumes at month 0 and 6 were similar\u0000(p<0.05). PI and RI were found to be similar in the right and left arteries at baseline (p<0.05). While PI and RI on the right side were similar at 6 months, left uterine artery PI was found to be significantly higher in the treated group. Left uterine artery RI was similar.\u0000Conclusion: Raloxifene treatment neither did stimulate the endometrium, nor increased the uterine volume or uterine\u0000blood flow. It did not have any stimulating effect on the uterine tissue.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129916461","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}

{"title":"The effect of thyroid autoimmunity on early pregnancy serum ß-hCG levels in spontaneous pregnancy","authors":"M. Ağar, Murat Önal, Ayşe Şeyma Küçükakça","doi":"10.51271/jcogp-0010","DOIUrl":"https://doi.org/10.51271/jcogp-0010","url":null,"abstract":"Aims: To examine the association between thyroid autoimmunity (TAI) and early pregnancy serum beta human chorionic gonadotropin (ß-hCG) levels in spontaneous pregnancy.\u0000Methods: In this retrospective case-control study, women between the ages of 20 and 40 were included. The study subjects were 130 women euthyroid and healthy patients with spontaneous pregnancy. Subjects were divided into two groups: those with autoimmune thyroid disease (TAI group; n=60) and those without the disease (control group; n=70).\u0000Results: The mean age and body mass index (BMI) of the subjects were 30.22±4.14 years and 24.51±2.04, respectively. The value of anti-thyroid peroxidase antibodies (TPO-Abs) and anti-thyroglobulin antibodies (TG-Abs) in the TAI group is three times twenty times more than the control, respectively. Results found no statistically significant association between between TAI and control groups in regard to hemoglobin, alanine transaminase (ALT), aspartate transaminase (AST), thyroid-stimulating hormone (TSH), platelet (PLT), creatine, free thyroxin (FT4), and blood urea nitrogen (BUN) (p>0.05). There was statistically significant difference between groups in terms of the serum ß-hCG level (p<0.05).\u0000Conclusion: In this study, the effects of TAI were significant on early-stage pregnancy serum ß-hCG levels; therefore, thyroid levels should be considered, and proper treatment should be started early.","PeriodicalId":190423,"journal":{"name":"Journal of Controversies in Obstetrics &amp; Gynecology and Pediatrics","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134054514","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}