Evlilikte Suçu Affetme ve Yüklemenin Evlilik Doyumu Üzerindeki Yordayıcı Etkisi

Öz. Bu araştırmanın amacı, evli bireylerin evlilik doyumları ile evlilikte suçu affetme ve ilişkilerde yükleme düzeyleri arasında ilişki olup olmadığını tespit etmek ve evlilikte suçu affetme ve yüklemenin evlilik doyumları üzerinde yordayıcı etkisi olup olmadığını incelemektir. Araştırma örneklemi İstanbul ilinde yaşayan 190 kişiden oluşturmaktadır. Araştırmada; “Evlilik Doyum Ölçeği”, Evlilikte Suçu Affetme Ölçeği” ve “İlişkilerde Yükleme Ölçeği” kullanılmıştır.  Yapılan araştırma bulgularına göre, evlilik doyumu ve evlilikte suçu affetmenin dargınlık-kaçınma alt boyutu arasında negatif yönde anlamlı bir ilişki vardır ve suçu affetmenin dargınlık- kaçınma alt boyutu evlilik doyumu yordamaktadır. Elde edilen bir başka sonuç ise evlilik doyumu ve ilişkilerde yüklemenin arasında negatif yönde anlamı bir ilişki vardır. İlişkilerde yükleme, evlilik doyumunu anlamlı düzeyde yordamaktadır. Anahtar Sözcükler: Evlilik Doyum, ilişkilerde yükleme, suçu affetme, evlili

Computed tomography enteroclysis in the diagnosis of intestinal diseases

The role of computed tomography (CT) enteroclysis in the imaging of small bowel diseases is expanded with recent technological advances in multidetector CT system. Computed tomography enteroclysis is the examination of choice for patients with symptoms of intermittent small bowel obstruction, especially when there is a history of prior complex abdominal surgery, abdominal tumor, radiation therapy, and also in high grade obstructions with suspicion of extraintestinal internal fistula. Computed tomography enteroclysis is becoming the first-line modality for the evaluation of advanced and complicated small bowel Crohn disease. Computed tomography enteroclysis can also become an important complementary imaging technique to capsule endoscopy in the assessment of small bowel neoplasms and occult gastrointestinal hemorrhage. In this study, the technique and clinical applications of CT enteroclysis are reviewed; its advantages and limitations compared with the other imaging techniques and capsule endoscopy are discussed

Transrectal US-guided seminal vesicle aspiration in the diagnosis of partial ejaculatory duct obstruction

There has been recent interest in techniques for diagnosing ejaculatory duct obstruction (EDO), especially when the partial form of the disease is suspected clinically. Currently, there is no gold standard technique for diagnosing EDO. Transrectal ultrasonography (TRUS), which is the technique used most widely, can overdiagnose EDO. As adjunctive diagnostic techniques, duct chromotubation and seminal vesiculography cannot distinguish patients with partial obstruction from those without EDO. TRUS-guided seminal vesicle aspiration can be used in conjunction with TRUS to confirm the diagnosis pre-operatively, especially in patients with seminal vesicle dilation and a prostatic midline/ejaculatory duct cyst on TRUS. In patients with findings of chronic inflammation, such as ejaculatory duct calcifications and seminal vesicle atrophy/hypoplasia on TRUS, proximal vasal obstruction or functional EDO should be excluded

Endosonographic imaging of anorectal diseases

Objective. The normal sonographic anatomy of the anorectum, sonographic findings of anorectal diseases, and indications and limitations of endosonography compared with magnetic resonance imaging are reviewed. Methods. Endosonographic imaging was performed with a Siemens (Erlangen, Germany) FI 400 ultrasound scanner with an end-fire 7.5-MHz biplane endorectal probe and a B-K Medical (Sandhoften, Denmark) scanner with an 1850 axial-type side-fire 5.0- to 10.0-MHz rotating endoscopic probe. Results. Rectal carcinoma appears on endorectal sonooraphy as a low-echogenicity lesion that abruptly interrupts the normal sequence of layers. The internal anal sphincter is seen very clearly on endoanal sonography, and it is easy to appreciate atrophy and small tears of this sphincter Endoanal sonography cannot accurately show thinning of the external anal sphincter Peroxide-enhanced endoanal sonography is especially useful for patients with recurrent perianal fistulas in whom scarring should be distinguished from recurrent fistulas and detection of the internal opening. However, sonography does not provide an adequate deep and global display of all adjacent pelvic and perineal spaces. Conclusions. Endosonography can accurately stage primary rectal tumors and assess the internal anal sphincter. Peroxide-enhanced 3-dimensional imaging can increase the utility of endoanal sonography in detection and characterization of perianal fistulas and planning of optimal therapy. However, magnetic resonance imaging can be used a complementary modality to endosonography, especially for evaluation of external anal sphincter atrophy and deep pelvic inflammation