Zeynep Kamil Tıp Bülteni最新文献

{"title":"Erken Dönem Ruhsal Travma, Siber Zorbalık ve Aleksitimi İlişkisi- Relationship Between Early Period Psychic Trauma, Cyber Bullying and Alexithymia","authors":"Aynur Feyzioğlu, Seyyide Şifa Göktaş, Lütfiye Söğütlü","doi":"10.16948/zktipb.818758","DOIUrl":"https://doi.org/10.16948/zktipb.818758","url":null,"abstract":"","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116437398","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":"HPV pozitif olan hastaların HPV hakkında bilgileri ve HPV aşılarına yaklaşımı: Tersiyer bir merkezin deneyimi","authors":"Yunus Emre Purut, Şeyma Nur Purut, Burak Giray, Zeliha Yazıcı, Canan Kabaca","doi":"10.16948/zktipb.834608","DOIUrl":"https://doi.org/10.16948/zktipb.834608","url":null,"abstract":"Objective: We aimed to examine knowledge of Human Papillomavirus (HPV) and perspectives about HPV vaccine of patients referred to a tertiary hospital for colposcopic examination. Material and Method: One hundred ninety-seven HPV positive patients undergoing colposcopic examination at a tertiary center between 01.12.2018 and 01.05.2019 were included to the study. Results: The mean age of the patients was 38.60 ± 8.78 years. Although 56.9% of the patients had knowledge of HPV vaccine, 86.8% of the patients did not consider that every woman should be vaccinated. About 41% of the patients stated that there was no consensus among physicians as a reason why women did not have HPV vaccination. There was no statistically significant difference between patients with and without knowledge of HPV in terms of educational status (p=0.291). About 56% of the patients with knowledge of HPV stated that they had regular smear tests. There was a statistically significant difference between patients with and without knowledge of HPV in terms of having regular smear tests (p=0.001). Conclusion: Although patients had knowledge of HPV, they had anxieties about vaccine safety and vaccination coverage.","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129976623","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":"Tersiyer merkezde 5 yıllık Histeroskopi deneyiminin sonuçları","authors":"Burak Sezgin, Melike Nur Akin, Eren Akbaba, Ercan Saruhan","doi":"10.16948/zktipb.801519","DOIUrl":"https://doi.org/10.16948/zktipb.801519","url":null,"abstract":"","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"45 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125692062","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":"OBEZ VE OBEZ OLMAYAN KADINLARDA CİNSEL İŞLEV BOZUKLUĞU SIKLIĞININ KARŞILAŞTIRILMASI","authors":"Hülya Güç, H. Mutlu","doi":"10.16948/zktipb.819993","DOIUrl":"https://doi.org/10.16948/zktipb.819993","url":null,"abstract":"Method: The study group was selected among obese sexually active female patients who presented to the obesity clinic without organic and/or psychiatric disorders that could possibly effect sexual functions while the control group was selected among non-obese sexually active female patients without pyschiatric diagnoses or who do not undergo treatment for such disorders. All patients completed sociodemographic data questionnaire, Arizona Sexual Experience Scale – Female questionnaire, Beck Anxiety Scale, Beck Depression Scale, Female Sexual Function Index (FSFI) and two groups were compared to each other. Results: The age range for the women in the study (n=102) was between 29 and 57 with a mean of 43,60±6,44 years. The was no statistically signicant difference between mean ages of the obese and non-obese groups in the study (p>0.05). In the presence of obesity, statistically significant difference between the groups were found in the scores of Arizona Sexual Experiences Scale, Beck Depression and Anxiety Scales, total FSFI and subgroups of FSFI except for pain, with the obese group demonstrating a higher frequency of sexual dysfunction, anxiety and depression compared to the non-obese group (p<0.01). Analyzed for all patients (n=102), the scores of FSFI scores were found to be positively correlated (p<0,01) and when adjusted for Beck depression and anxiety scores the same correlation was detected. BMI values of the patients with sexual dysfunction were found to be significantly higher than those without sexual dysfunction (p=0.001; p<0.01). The cut-off value for BMI according to presence of sexual dysfunction was found to be 32.9 and above. Conclusion: In this study, it was found that sexual dysfunctions in obese individuals were higher than non-obese women, regardless of their anxiety and depression levels. Especially in women with a BMI 32.9, sexual functions should be questioned, and women with sexual dysfunction should be encouraged to lose weight and receive psychiatric support.","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114857249","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":"Hipoplastik sol kalp sendromunun prenatal tanısı ve yönetimi: tek merkez sonuçları","authors":"Yunus Emre Purut, Gürcan Türkyılmaz","doi":"10.16948/zktipb.823771","DOIUrl":"https://doi.org/10.16948/zktipb.823771","url":null,"abstract":": Aim : hypoplastic left heart syndrome (HLHS) incidence is 2-3/1000, and the most common reason for neonatal deaths due to congenital heart defects. A numerous study showed that prenatal diagnosis improves prognosis. We aimed to review the prenatal assessment of associated extracardiac anomalies, postnatal outcomes, and surgical management in cases of HLHS that were detected in our referral centre. Material-method: The records of patients were diagnosed with HLHS in our referral centre between March 2017-April, 2020. The diagnosis was confirmed with the collaboration of pediatric cardiologist in all cases. Detailed anatomy scan was performed, and karyotype analysis was recommended to all patients. Due to poor perinatal prognosis termination of pregnancy was offered an option to families. Serial ultrasonographic examinations every 2-4 weeks. Postnatal echocardiography was performed, and the prenatal diagnosis was confirmed in all offspring. Surgical outcomes were recorded. Results: 16 patients were recruited in our study. Mean maternal age was 25.6±5.2 years, and mean gestational age at diagnosis was 20.2±5.1weeks. %68.7 of cases were defined as classical type HLHS, and remaining %31.3 were determined as HLHS secondary to critical aortic stenosis. Karyotype analysis was performed in 8 (50%) cases and revealed normal karyotype in all cases. An extracardiac anomaly was detected in 2 (28.5%) cases, including unilateral renal agenesis and unilateral pes equinovarus. Foramen ovale restriction was detected in 12.5% of cases. Termination of pregnancy was performed in 9 (%56.7) patients. Mean gestational age at birth was 37.4±2.1 weeks, and mean birth weight was 2530±355 grams. Mean follow-up interval and neonatal intensive care unit stays were 16.4±4.7 months and 86±23 days, respectively. Urge septostomy was performed in 2 (28.5%) cases after birth due to foramen ovale restriction. 3 (42.8%) cases died before the first operation. Norwood procedure was performed in 4 (57.1%) cases. 2 cases died after this operation. Glenn shunt and Fontan procedure were performed in the remaining two offspring. Total survival rate was 28.5%. Conclusion: HLHS is a rare cardiac anomaly; however, it has high perinatal morbidity and mortality. Prenatal diagnosis allows family for the fate of pregnancy and planned delivery in a tertiary centre.","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130794038","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":"Prenatal Tanıda Fetal Manyetik Rezonans Görüntülemenin Rolü","authors":"Mirac Ozalp, Omer Demir, G. Dinç, Hidayet Şal, Turhan Aran, M. A. Osmanağaoğlu, Sibel Kul","doi":"10.16948/zktipb.611941","DOIUrl":"https://doi.org/10.16948/zktipb.611941","url":null,"abstract":"ABSTRACT Objective The aim of this study is to investigate the fetal MRI indications preferred by clinicians in our tertiary care center and to reveal the additional diagnostic contribution of MRI to ultrasound findings. Material and Method Between 2016-2018, 322 cases who underwent fetal MRI were evaluated retrospectively. Fetal lesions were classified according to organ systems and indications of clinicians were determined. Prenatal fetal ultrasound and MRI results were evaluated. Results Distribution of indications of 322 fetuses with fetal MRI; Central nervous system anomalies in 138 (42.8%), placental anomalies in 99 (30.7%), genitourinary system anomalies in 36 (11.2%), respiratory system anomalies in 18 (5.6%), 17 (5.3%) maternal factor, 13 (4.0%) head, neck, face anomalies and 1 (0.4%) fetal factor. When all indications were examined, 13 (4.03%) patients had additional findings with MRI. Central nervous system anomalies were the most common additional finding with 7 cases, fetal MRI contributed 5.07% in this group. There were 3 additional findings (8.33% additional contribution) in the group with genitourinary system abnormalities, 2 additional findings (11.7% additional contribution) in the maternal indications group and 1 additional finding (5.55% additional contribution) in the group with respiratory system anomalies, respectively. Conclusion Fetal MRI is increasingly used for proper perinatal management and counseling in cases where ultrasonography is inadequate. The availability of MRI devices, the increase in expertise in this field and the advancements in MRI technology will result in the more widespread use of this modality in the field of Perinatology.","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130590194","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":"Increased fetuin-B levels are associated with carotid intima media thickness and hormonal-metabolic disturbances in women with polycystic ovary syndrome","authors":"Aslı G Bayindir, Gokcen Unal, C. Imamoğlu, Y. Alan","doi":"10.16948/zktipb.679178","DOIUrl":"https://doi.org/10.16948/zktipb.679178","url":null,"abstract":"Objective: Fetuin-B is a novel peptide hormone involves in energy metabolism, atherosclerosis and reproductive system. Polycystic ovary syndrome (PCOS) is a reproductive and metabolic disorder associated with increased cardiovascular risk factors. We aimed to ascertain whether circulating fetuin-B levels were altered in women with PCOS and whether there was any association between fetuin-B and hormonal-metabolic parameters as well as carotid intima media thickness (CIMT). Material and Methods: Eighty women with PCOS and 80 age- and BMI-matched controls without PCOS were recruited to this cross-sectional study. Circulating fetuin-B levels were measured by ELISA. Metabolic- hormonal parameters and CIMT of recruited subjects were also determined. Results: Circulating fetuin-B levels were significantly elevated in women with PCOS compared to controls (409.54 ± 32.51 vs. 325.53 ± 26.86 ng/ml, P<0.001). PCOS subjects with insulin resistance showed significantly elevated circulating fetuin-B levels compared to those PCOS subjects without insulin resistance (416.03 ± 30.41 vs. 399.27 ± 33.56 ng/ml, P = 0.024). Overweight/obese women had significantly higher circulating fetuin-B levels than lean subjects in PCOS groups (416.32 ± 30.99 vs. 400.82 ± 32.77 ng/ml, P = 0.033). Fetuin-B levels positively correlated with BMI, homeostasis model assessment of insulin resistance (HOMA-IR), free-androgen index (FAI), high sensitivity C-reactive protein (hs-CRP), triglycerides and CIMT in PCOS subjects whereas fetuin-B negatively correlated with high density lipoprotein cholesterol (HDL-C). Moreover, binary logistic regression analysis revealed that the risk of having PCOS was increased in parallel with elevation of fetuin-B levels. Conclusion: Circulating fetuin-B levels were significantly increased in PCOS subjects and fetuin-B levels were closely related to cardiovascular risk and hormonal-metabolic disturbances in women with PCOS. OZET Amac :Fetuin-b enerji metabolizmasi, ateroskleroz ve ureme sisteminde rol oynayan yeni bir peptid hormonudur.Polikistik over sendromu (PKOS) ureme ve metabolik sistemleri iceren artmis kardivaskuler risk tasiyan bir hastaliktir.Bu calismada PKOS'lu kadinlarda dolasimdaki Fetuin-b duzeyinde degisiklik olup olmadigini ve Fetuin-b duzeyi ile hormonal-metabolik parametreler ile Karotis intima media kalinligi (CIMT) arasinda bir iliski olup olmadigini tespit etmeyi amacladik. Gerec ve Yontemler:Kesitsel calismamiza 80 PKOS’lu kadin alinmistir. Kontrol grup olarak 80 tane yas ve BMI uyumlu kadin calismaya alinmistir.Dolasimdaki Fetuin-b seviyeleri ELISA yontemi ile olculdu. Ayrica deneklerin metabolik hormonal parametreleri ve CIMT'si de belirlenmistir. Bulgular:Dolasimdaki Fetuin-b duzeyleri PKOS'lu kadinlarda kontrollere gore anlamli derecede yuksek bulundu (409.54 ± 32.51 vs. 325.53 ± 26.86 ng/ml, P<0.001).Insulin direncine sahip PKOS denekleri, insulin direncine sahip olmayan PCOS oznelerine gore anlamli derecede yuksek dolasim Fetui","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121247400","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":"Gebelikte Uterin Anomaliye Yaklaşım: Olgu Sunumu ve Derleme","authors":"Mustafa Tekin, Navdar Doğuş Uzun","doi":"10.16948/zktipb.708002","DOIUrl":"https://doi.org/10.16948/zktipb.708002","url":null,"abstract":"Fallop tupleri, uterus, serviks ve vajinanin 2/3 proksimal kismi Mullerian kanal yapilarindan orjin almaktadir. Embriyogenezis sirasinda, Mullerian kanal gelisimindeki herhangi bir olusacak duraklama yada bozukluk, “ Mullerian Kanal Anomalileri” diye isimlendirilen uterovajinal yapisal bozukluklara neden olur. Tam olarak uterin anomalilerin populasyon sikligi net olarak bilinmemektedir. Overler, primitif yolk sak’tan ve ust vajina parcasi, urogenital sinusten koken aldigi icin Mullerian Kanal Anomalileri’de dis genitallerin ve overlerin gelisim bozukluklarina rastlanmaz. Bundan dolayidir ki dis genitalyasi normal ve duzenli menstiruel siklusa sahip olan kadinlarda da uterin bozukluklar gorulebilmektedir. Uterin anomaliye sahip populasyonun gebelik gibi zor bir surecte takip ve dogum planlanmasinda zorluklar gorulmektedir.","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"61 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113939411","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":"Vulva yerleşimli ektopik meme dokusundan gelişen primer meme kanseri","authors":"Sami Açar, S. Gürdal","doi":"10.16948/zktipb.686543","DOIUrl":"https://doi.org/10.16948/zktipb.686543","url":null,"abstract":"GIRIŞ Bilateral meme dokusu, embriyolojik acidan ektodermal kokenli olup, inguinal bolge ile aksilla kivriminin ventrali arasinda gelisim gosterir. Ektopik meme dokusu primitif embriyonejenik sut cizgisi boyunca atrofinin olusmadigi alanlarda, cogunlukla da aksillada bulunur. Ikinci siklikta vulvada gorulur. OLGU Yazimizda, sag vulva labia majusta yer alan ektopik meme dokusundan gelisen primer meme kanserine sahip 66 yasinda postmenapozal bayan hasta sunulmustur. Uzun suredir vaginal bolgesinde var oldugunu bildigi kabariklikta baslayan ve tedavi ile duzelmeyen yara sikayeti ile poliklinige basvurmus, sistemik degerlendirmesinde patolojik bulgu saptanmamis ve tanisi yapilan cerrahi tedavi sonrasinda konulabilmistir. SONUC Ektopik meme dokusu, meme kanseri gelisimi icin risk faktorudur. Vulvada yerlesimli kitlesel dokularda bu olasilik her zaman akilda bulundurulmalidir. Genellikle uzun suredir iyilesmeyen cilt lezyonlarina neden olarak bulgu verir. Literaturde az sayida olgu sunumu ile yer almasi nedeniyle, tedavi algoritmasi henuz netlesmemistir. Bu bilgiler isiginda hasta, bireysel olarak degerlendirilmeli ve tedavi planlamasi multidisipliner ortamda yapilmalidir.","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130422816","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":"İntrahepatik kolestazlı gebelerde maternal ve fetal sonuçların değerlendirilmesi","authors":"Gültekin Adanaş Aydın, Gulten Ozgen","doi":"10.16948/zktipb.714219","DOIUrl":"https://doi.org/10.16948/zktipb.714219","url":null,"abstract":"Amac:Bu calismada klinigimizde gebeligin intrahepatik kolestazi(GIK) tanisi konmus gebelerin maternal ve fetal sonuclaridegerlendirildi. Yontem ve gerecler:Bu calisma retrospektif olarak tasarlanmis olup, Eylul 2017 ve Eylul 2018 tarihleri arasindaBursa Yuksek Ihtisas Egitim ve Arastirma Hastanesi Kadin Hastaliklari ve Dogum Klinigine basvuran toplam 53 hastayla yapildi.GIK tanisi kasinti ve karaciger enzimleri ile aclik safra asit duzeylerinde artis(≥10 µmol/L) artis olmasi durumunda konuldu.Hastalarin hastane kayitlarindan dogum bilgileri ve demografik ozelliklerine ulasildi. Bulgular:Calismaya alinan hastalarin yas ortalamasi 30.5±5.7 yil ve tani anindaki gebelik yasi ortalamasi 32.3±2.8 hafta olarak saptandi. Ortalama safra asit duzeyi 26.42±19.1 µmol/Lolarak hesaplandi.Hastalarin %26.4’unde gestasyonel diyabet, %15.1’inde preeklampsi goruldu.Hastalarin %37.7’sinin preterm dogum yaptigi tespit edildi.Yenidogan bebeklerin %32.7’si yenidogan yogun bakim unitesine alinirken, %32.7’sinde yenidogan gecici tasipnesi, %33.3’unde respiratuvar distres sendromu gelistigi goruldu.Perinatal mortalite ise saptanmadi. Sonuc:Calisma sonuclarimiza gore, GIK takibinde en onemli unsurlar olan perinatal mortalite ve morbiditeyi azaltmak icin hastalarin yakin takibi ve siddetli kolestaz bulgulari olan hastalarin belirlenip uygun tedavinin erken baslanmasi oldukca onemlidir.","PeriodicalId":249483,"journal":{"name":"Zeynep Kamil Tıp Bülteni","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115383552","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}