Effects of abdominal and vaginal hysterectomy on anorectal functions along with quality of life of the patient

Objectives and background: Hysterectomy is the most commonly performed major gynecological operation for both benign and malign gynecologic conditions. After hysterectomy, although some investigators have declared an increased incidence of urinary and anorectal dysfunction, some others could not show any connection. Methods: The voluntary patients were divided in two groups: abdominal hysterectomy (Group 1) and vaginal hysterectomy (Group 2). Anal manometry and all the other examinations of the patients were performed at the Department of General Surgery Endoscopy Unit of Ankara University, Faculty of Medicine. Results: When the quality of life of the patients was assessed before the operation and on the 12th post-operative month via the SF-36 form; it can be seen that body pain parameters of the patients in Group 1 had significantly improved and there is no statistical difference in other parameters. When the effect of hysterectomy on the quality of life of the patients was evaluated by the \u201cCleveland Clinic Global Quality of Life\u201d form, the statistically significant improvement in the quality of life of the patients in Group 2 was observed. Conclusion: If the type of operation (vaginal or abdominal) is performed due to benign causes, it does not affect the urinary and anorectal functions of the patients. Depending on the decrease of complaints of the patients, it has a positive effect on the quality of life

Assessment of the left atrial volume index and plasma NT-proANP level in patients with acute ST-elevation myocardial infarction

OBJECTIVES: Acute ST-elevation myocardial infarction is associated with ventricular dysfunction due to ischemia-induced progressive myocardial damage. The decrease in ventricular compliance causes left atrial dilatation and stretching of the atrial myocardium, which are the main stimuli for the secretion of atrial natriuretic peptide. The aim of this study was to evaluate left atrial dimensions and atrial natriuretic peptide levels in patients early after their first acute ST-elevation myocardial infarction and assess the probable interaction between coronary lesions and these measurements. METHODS: A total of 110 patients with acute myocardial infarction and 50 controls were studied. Plasma atrial natriuretic peptide was measured at admission. Left ventricular function, diameter, and volume index were evaluated using transthoracic echocardiography. Gensini and vessel scores of the patients who underwent coronary angiography were calculated. RESULTS: Plasma atrial natriuretic peptide in the patients with myocardial infarction was increased compared with that in controls (3.90±3.75 vs. 1.35±0.72 nmol/L,

Evaluation of Choroidal Thickness in Patients with Pseudoexfoliation Syndrome and Pseudoexfoliation Glaucoma

Purpose. To compare the macular and peripapillary choroidal thickness in eyes with pseudoexfoliation (PEX) syndrome and PEX glaucoma with the normal eyes of healthy controls. Materials and Methods. In this prospective study, 30 eyes of 30 patients with PEX syndrome, 28 eyes of 28 patients with PEX glaucoma, and 30 eyes of 30 age-matched healthy subjects were enrolled. Choroidal thicknesses in the macular and peripapillary areas were measured by using spectral domain optical coherence tomography. Results. Gender, age, and axial length did not significantly differ between the groups (all, p>0.05). The mean values of choroidal thickness in the macular and peripapillary areas (except the superior quadrant) in the patients with PEX syndrome and PEX glaucoma were lower compared with controls (all p<0.05). The mean values of the macular and peripapillary choroidal thickness in the PEX glaucoma group were lower compared with PEX syndrome group; however this difference was not significant. Conclusions. The findings of this study revealed that macular and peripapillary choroidal thicknesses were decreased in PEX syndrome and PEX glaucoma cases. The role of choroid in the development of glaucomatous damage in patients with PEX syndrome remains unclear

Intimate Partner Violence against Women in Turkey during the COVID-19 Pandemic

This study aims to determine the prevalence of and risk factors for intimate partner violence (IPV) during the COVID-19 pandemic. The cross-sectional study was conducted with 1,036 women in Turkey who were either married or had an intimate partner. The data were collected between June 20 and July 10, 2020. Experience of any form of IPV (physical (10.1%), sexual (4.0%), psychological (32.2%) or economic (11.5%) was reported by 35.5% of the participants. Regression analyses revealed that exposure to IPV during the pandemic was significantly associated with being married, having children, unemployment, poor marital/relationship satisfaction, an increased workload in the household and the negative effect of quarantine on mood (p < 0.05). Educational programs need to be prepared for the prevention of IPV during the COVID-19 pandemic and for the acquisition of protective behaviors toward women victims of IPV.WOS:0006844559000012-s2.0-85112297965PubMed: 3438361

TURKISH ADOLESCENTS' CONFLICT RESOLUTION STRATEGIES TOWARD PEERS AND PARENTS AS A FUNCTION OF LONELINESS

This study investigated the effect of loneliness on the conflict resolution strategies of adolescents toward their friends, mothers, and fathers. High school students (N = 180) from 8 different schools in Ankara, Turkey, completed the UCLA Loneliness Scale and Conflict Resolution Questionnaire with respect to their friends, mothers, and fathers. Results indicated no significant interaction among level of loneliness, conflict resolution strategies, and type of relationship. However, there were significant interactions between conflict resolution strategies and type of relationship, and between conflict resolution strategies and level of loneliness

Comparison of Two Metaheuristic Algorithms on Sizing and Topology Optimization of Trusses and Mathematical Functions

WOS: 000434277000008Optimal solution of a desired optimization problem is mostly obtained via minimizing or maximizing a real function considering several predefined limitations. Selection of proper optimization algorithm as an optimizer tool plays a key role on the solution process. In this respect, current study intends to compare the performances of two different prevalent metaheuristic optimization algorithms. These are integrated particle swarm optimizer (iPSO) and teaching and learning based optimizer (TLBO). The former method is a single-phase algorithm while the latter one is the double-phase algorithm. Capabilities of both algorithms were compared separately on some mathematical benchmark test problems. Furthermore, to exhibit and compare their performance on solving more complex problems, size and topology optimization of the structural systems are also examined. Achieved results demonstrate the superiority of iPSO in comparison with TLBO in both search capability and convergence rate

Comparison of Two Metaheuristic Algorithms on Sizing and Topology Optimization of Trusses and Mathematical Functions

WOS: 000434277000008Optimal solution of a desired optimization problem is mostly obtained via minimizing or maximizing a real function considering several predefined limitations. Selection of proper optimization algorithm as an optimizer tool plays a key role on the solution process. In this respect, current study intends to compare the performances of two different prevalent metaheuristic optimization algorithms. These are integrated particle swarm optimizer (iPSO) and teaching and learning based optimizer (TLBO). The former method is a single-phase algorithm while the latter one is the double-phase algorithm. Capabilities of both algorithms were compared separately on some mathematical benchmark test problems. Furthermore, to exhibit and compare their performance on solving more complex problems, size and topology optimization of the structural systems are also examined. Achieved results demonstrate the superiority of iPSO in comparison with TLBO in both search capability and convergence rate

Prognostic Factors Affecting Survival in Patients with Ovarian Cancer: A 5-Year Experience in an University Hospital

The aim if this study is to explore the impact of the various prognostic factors on overall survival in women with ovarian cancer (00). Patients diagnosed with gynecologic malignancy in Gynecology Clinic of Baskent University Medicine Faculty between 2010 and 2015 included to study. Patients with ovarian (n= 112) cancers examined retrospectively. Kaplan-Meier, Univariate and Multivariate Cox regression model were performed to estimate for associations of potential variables with survival factors. The mean patient age was 56.4 y, range 20-80. The overall survival was 94.3%, 83.4%, 66.4%, 54.7% and 42.8% at 1, 2 3, 4 and 5 years respectively (60.5 months, range 43-68). 3-year disease-free survival was 25.3% (18.3 months, range 17-20). Multivariate analysis of patients indicated that stage, histology, grade, age at diagnosis, comorbidity, recurrence, BMI, menopausal status and regional distance were independent prognostic factors on survival (p< 0.05). In conclusion, these results will presents a framework to identify fundamental causes in survival for OC