E-ISSN 2757-8062
Volume : 45 Issue : 2 Year : 2022

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ZEYNEP KAMIL MEDICAL JOURNAL - Zeynep Kamil Med J: 45 (2)
Volume: 45  Issue: 2 - 2014
ORIGINAL RESEARCH
1.The Impact of the Fetal Gender on Ultrasonographic Fetal Biometric Parameters
Murat Muhcu, Özkan Özdamar, Ismet Gün, Okan Özden, Ercüment Müngen, Vedat Akay
Pages 55 - 60
GİRİŞ ve AMAÇ: Fetal iyilik halinin değerlendirilmesinde en önemli parametrelerden biri fetal ağırlıktır. Fetal ağırlığın, maternal ağırlık, boy, sigara kullanımı, parite ve etnisite gibi özelliklerin yanında fetal cinsiyetten de etkilendiği bilinmektedir. Bu çalışmada amacımız düşük riskli tekil gebeliklerde, fetus cinsiyetinin gebeliğin değişik haftalarında ölçülen BPD, HC, FL, AC ve EFW ultrason ölçümleri üzerine etkili olup olmadığını araştırmaktır.
YÖNTEM ve GEREÇLER: Gebeliğin 15-22, 23-26, 27-30, 31-34, 35-38 ve 39-40’ncı gebelik haftalarında fetal ultrasonografik ölçümler yapıldı ve EFW ölçüldü.İki cinsiyet arasında bu haftalarda istatistiksel farklılık olup olmadığı incelendi. İstatistiksel analizler chi-square testi, student-t test ve Mann Whitney U testi kullanılarak yapıldı.
BULGULAR: Gerçek doğum tartısı açısından erkek yenidoğanlar istatistiksel olarak anlamlı düzeyde daha ağır bulundu. Ultrasonografik ölçümlerde sadece 35-40’ıncı gebelik haftalarında HC değeri erkek fetuslarda anlamlı olarak daha büyük bulunmuştur. Erkek fetuslarda doğum ağırlığı ile AC ve EFW arasında iyi-çok iyi korelasyon vardı.
TARTIŞMA ve SONUÇ: Çalışmamızda 35-40’ncı gebelik haftalarında HC’nin erkek fetuslarda daha büyük ölçülmesi dışında, fetal cinsiyetin antenatal ultrasonografik ölçüm parametreleri üzerine herhangi bir etkisinin olmadığı görüldü. Ayrıca fetal ultrasonografik parametrelerin gerçek doğum kilosu ile anlamlı düzeyde korele olduğu; EFW ve gerçek doğum kilosu arasında ise cinsiyet ayrımı olmadan iyi korelasyon olduğu görüldü.
INTRODUCTION: One of the most important parameters to assess the fetal well-being status is fetal weight. It has been known that fetal weight is effected by many characteristics such as maternal weight, stature, smoking habit, parity and ethnicity in addition to fetal gender. In the present study our aim was to assess whether fetal gender had any impact on ultrasonographic BPD, HC, AC, FL and EFW measurements in low-risk singleton pregnancies.
METHODS: Fetal ultrasonographic measurements were made on the 15-22, 23-26, 27-30, 31-34, 35-38 and 39-40th weeks of gestation seperately
and EFWs were calculated. It was evaluated whether any significant difference existed between the two genders on these gestational weeks. Statistical analyses were made using chi-square, student’s t and Mann-Whitney U tests where appropriate.
RESULTS: In terms of actual birth weight, male newborns were significantly heavier. Of the sonographic measurements, only HC on 39-40th gestational weeks were significantly greater in male fetuses. In male fetuses there was a good-very good correlation between actual birth weight and AC and EFW.
DISCUSSION AND CONCLUSION: In our study, we determined that fetal gender does not have any impact on antenatal sonographic measurements except for HC was measured greater in male fetuses on the 39-40th gestational weeks. Moreover, it was observed that fetal sonographic parameters were significantly correlated with the actual birth weights and that there was a good correlation between EFW and actual birth weight irrespective of the fetal gender.

REVIEW ARTICLE
2.Analysis of the Use of Family Planning Method Vaginal Ring Among Women
Hakan Nazik, Evşen Nazik, Murat Api, Şule Gökyıldız, Şule Gül
Pages 61 - 64
The research was performed the ages of 18-36 women who request contraseptive methods in the three hospitals family planning
unit. The data collected through the form of data, including questions on the use of the vaginal ring and socio-demographic characteristics between the February to December 2011.

ORIGINAL RESEARCH
3.Uterine Leiomyosarcoma: Pathologic evaluation of 22 Cases
Ecmel Işık Kaygusuz, Handan Çetiner, Meryem Kürek Eken, Cuma Yorgancı, Suna Cesur, Hülya Yavuz, Nermin Koç
Pages 65 - 70
INTRODUCTION: Leiomyosarcoma is a rare malign neoplasm of the uterus. The current retrospective study examined leiomyosarcoma who were evaluated at our institution over a 8 year period.
METHODS: Clinical records of the cases operated with the diagnosis of leiomyosarcoma, between January 2005 and October 2013, reviewed
retrospectively. All material belonging to 22 cases were evaluated histologically.
RESULTS: There were 22 females, whose age range from 41 to 73 (median 54 years). The neoplasm measured from 1,5 to 16 cm greatest diameter
( median 8,8 cm).
DISCUSSION AND CONCLUSION: In conclusion, leiomyosarcoma is a aggressive neoplasm. The diagnosis of leiomyosarcomas depends on a combination of microscopic
features. Our cases clinicopathological correlation values were parallel to the literature.

REVIEW ARTICLE
4.Common Psychiatric Disorders in Pregnancy and Postpartum Period
Özkan Özdamar, Onat Yılmaz, Hacer Hicran Beyca, Murat Muhcu
Pages 71 - 77
Psychiatric disorders are common at women during particularly their reproductive years, when compared to other life periods. It is believed that, pregnancy and postpartum period is not associated with increased incidence of any mental disorder, but the severity of the disorder. Accordingly, pregnancy and postpartum periods may be a time of increased susceptibility to psychiatric disorders such
as anxiety disorder, depression, eating disorder and psychosis. Physiological changes in the body during pregnancy, changes in sexual interest and birth-related anxiety might contribute to mood changes. Besides, somatic complaints, depression and
anxiety symptoms seen in pregnancy are frequently linked to pregnancy-related hormonal and physical changes and can be less commonly diagnosed by physicians, consequently therapies are being delayed. During the pregnancy or postpartum periods of women with a prior history of disease, there is an increased risk of exacerbation of these diseases. Additionally during these periods, the treatment of
certain psychiatric disorders may change or the necessity of amendment in drug doses may arise.Because
studies about the psychiatric disorders in this period have been done in recent years, clinicians have limited data about approaching to the individuals in this period. Given that the neglected therapy of these disorders results in severe impairment of
the mother-baby relationship, it is clear that the issue should be approached with sensitivity. In this review, articles about common psychiatric disorders during pregnancy and postpartum period have been reviewed and suggestions to clinicians about identifying,
interventionsand treatments of these disorders are being made.

ORIGINAL RESEARCH
5.Five-millimeter Port Site Spigelian Hernia After Laparoscopy
Aysen Telce Boza, Evrim Bostancı, Mesut Polat, Hasan Yavuz, Semra Kayataş, Murat Api
Pages 78 - 80
INTRODUCTION: Trocar site hernia is a rare complication of laparoscopic surgery. It mainly occurs at 10-mm and larger port sites. Only a few cases of herniation through 5-mm port sites were reported in the literature, but none of them occured through Spigelian fascia. We reported an unusual presentation of an incarcerated Spigelian hernia through 5-mm lateral port site, that presented with the symptoms of ileus.
METHODS:
RESULTS:
DISCUSSION AND CONCLUSION:

CASE REPORT
6.Spontaneous Abdominal Wall Endometriosis: Report of A Rarely Seen Extrapelvic Endometriosis
Canan Acar Demir, Suna Kabil Kucur, Mustafa Demir, Murat Api, Ecmel Kaygusuz
Pages 81 - 83
Abdominalwallendometriosis is an uncommontype of extrapelvicendometriosis. Whether the incidence is reported % 0,03- %1 after cesarean section operation, it is unknown for spontaneous cases. Palpablemass, pain and cyclic symptomatology a rehelpful at the diagnosis. Even imaging studies such as ultrasound, computed tomography or magnetic resonance imaging are non-specific, they may be adjunct in identifying the exact anatomical location of the lesion. We here in aimed to report a very rarely seenspontaneous abdominal wall endometriosis case, whom admitted to our clinic with the complaints of palpable mass and pain at the umblical region.

REVIEW ARTICLE
7.Peritoneal Dialysis Solutions
Ebru Yılmaz, Nida Dinçel, Ipek Kaplan Bulut, Sevgi Mir
Pages 84 - 93
Peritoneal dialysis (PD) is an important kidney replacement therapy for end stage renal disease (ESRD) patients. Patients easily adapt at home based treatment of PD. Standard traditional solutions uses glucose as an osmotic agent. Glucose based dialysis solutions contains high concentrations of glucose. They cause production of glucose degradation products and lactate. They have high
osmolality, and low pH. All these features damage to the peritoneum by fibrosis and neoangiogenesis. Newer PD solutions were produced with alternative buffers and osmotic agents (icodextrin or amino acids). They have a higher pH and causes production
of fewer glucose degradation products. With the usage of newer PD solutions we can achieve better metabolic controls of patients and body compositions. Peritoneal membrane viability increases by their less fibrotic and less inflammatory features of new solutions. But their effect on patient survival is not clearly identified yet. The aim of this review is to describe and to overview the different types of peritoneal dialysissolutions used during PD.

ORIGINAL RESEARCH
8.The Value of Acute Appendicitis Viewed 5-Hydroxy Indole Acetic Acid in Spot Urine
Inanç Cici, Ayşenur Cerrah Celayir, Vedat Akçaer
Pages 94 - 99
INTRODUCTION: This study is to investigate the significance of spot urine 5-hydroxy indol acetic acid levels in patients admitted with the suspicion of acute apendicitis.
METHODS: Between January 2011 and June 2011, patients with the complaints of abdominal pain were evaluated according to levels of 5-hydroxy indol acetic acid in urine at admission. This study was designed as prospectively.
RESULTS: Forthy-nine patients with the mean age of 10.4 years ±3.4 who were admitted and interned to our department during the one year period with the complaints of abdominal pain. After the clinical evaluation appendicitis was detected in 32 patients
and abdominal pain was found to be due to causes other than appendicitis in 17 patients. Two of the patiens were negatif appendectomy. Spot urine samples were collected in all patients during admission and 5-hydroxy indol acetic acid levels were studied.
The differences between the patients with acute appendicitis and other groups were not statistically significant (p>0.05). Sensitivity, specifity, positive predictive value and diagnostic specificity of 5-hydroxy indol acetic acid level in spot urine were 63%,
66%, 54%, 73%, respectively.
DISCUSSION AND CONCLUSION: Spot urine 5-hydroxy indol acetic acid levels in diagnosis of acute appendicitis seems to have limited diagnostic power as a single parameter in children.

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