Prenatal Diagnosis of Thoraco-Omphalopagus Conjoined Twins At 13+ Weeks of Pregnancy: A Case Report

Conjoined twins result from division of the embryonic disk after day 13 from conception. Thoracoomphalopagus twinning, a rare type of conjoined twins, is characterized by the anterior union of the thorax and abdomen. The prognosis for thoraco-omphalopagus twins who share a heart is extremely poor. Thus early prenatal diagnosis is important for the patients who want to undergo a therapeutic abortion. We present a case of thoraco-omphalopagus diagnosed with transabdominal ultrasound at 13+ weeks of gestation

Effects of lavender scent on patients' anxiety and pain levels during gynecological examination

ata, elvan emine/0000-0002-5920-8207; KARAKUS, SEMA/0000-0001-7615-4581; Demirel, Gulbahtiyar/0000-0003-2258-7757WOS: 000407722900009PubMed: 28779939

Adolescent Pregnancy and Its Problems

Objective: The purpose of this study was to determine the adverse outcomes and pregnancy problems of adolescent pregnancy. Material and Method: Results of 171 adolescent pregnant between 10-19 age, who had given birth in our hospital between 2009 and 2016 were retrospective evaluated. The patients were seperated into adolescent early period (10-15 ages) and adolescent late period (>15-19 age). Babies,with birth weigt under 2500 gr were evaluated as low-birth-weight baby. The rates of gestational weeks, pregnancy history, preterm birth, Intrauterine mort fetüs (IUMF), preterm premature rupture of membranes (PPROM), preeclampsia and mode of delivery of groups were determined. Results: The age average of adolescent early period were determined as 14,6 ± 0,5, and the age average of adolescent late period were determined as 17,7 ± 0,5. In 3 cases (37.5 %) of adoscent early period and in 66 cases (40.5%) of adoscent late period were preterm birth  and in adoscent early period were IUMF, PROM and preeclampsia without determination. Preeclampsia were determined in 5 cases (2.9%) IUMF, in 6 cases (3.7%) PPROM and in 4 cases (2.5%) in adolescent late period were. There was no significant difference in pregnancy weeks, obstetrical history, birth-weight and preterm delivery between two groups at birth. Conclusion: Because of Births, which come true during the adolescent period, create a serious problem by formation of healthy generations; it is a problem which have to be tackle carefully. Studies, which will done with large groups of adolescent pregnancy will give more informations on this topic

Comparison of the efficacy and adverse effects of Trospium chloride and Tolterodine in the treatment of overactive bladder symptoms

AMAÇ: Aşırı aktif mesane şikayetleri olan hastalarda iki anti-muskarinik ajanın (Trospiyum Klorid ve Tolterodine-L- Tartarat ) etkinliğinin ve yan etki profillerinin karşılaştırılması. MATERYAL-METOD: 2005 yılı boyunca, Tıp Fakültesi Jinekoloji Polikliniğimiz’e sıkışma inkontinansı şikayeti ile başvuran ve aşırı aktif mesane değerlendirme anket formunu dolduran, Tolterodin-L- Tartarat (Detrusitol ®) 2 mg tb 2x1 (n: 38) ve Trospiyum Klorid (Spazmex ®) 30 mg tb 2x1 (n: 41) kullanan hastalar retrospektif olarak değerlendirildi. Her iki ajanı alan hastalar, tedavinin başlangıcından 1 ve 3 ay sonra, anket formundaki sorulara göre ajanların etkinliği ve yan etkileri açısından puan verilerek değerlendirildi. BULGULAR: Her iki tedavi grubunun yaş, gravida, parite gibi demografik verileri istatiksel olarak benzerdi (p >0.05). Her iki grupta da tedavi sonrası puanların, tedavi öncesi puanlardan anlamlı olarak düşük olduğu gözlendi (p 0.05).OBJECTIVE: To compare the efficacy and adverse effects of two antimuscarinic agents ( trospium chloride (TCl), tolterodine L-tartrate) in patients having overactive bladder symptoms. MATERIAL-METHODS: During 2005, patients admitted with urge incontinence to Faculty of Medicine, Gynaecology Clinic and answered overactive bladder evaluation questionnaire form, and given Tolterodine-L- Tartrate (Detrusitol ®) 2 mg, 2x1 (n: 38), Trospium chloride (Spazmex ®) 30 mg tb 2x1 (n: 41), were retrospectively evaluated. Patients taken both drugs were determined by giving points regarding efficacy and adverse effects as questioned in the questionnaire form at the 1st and 3rd months following the initiation of treatment. RESULTS: Demografic data were similar in both groups (p>0.05). Points given after treatment were found significantly lower than the points given before treatment in both groups (p<0.001). The efficacy and adverse effects of both drugs were found statisticaly similar (p>0.05). CONCLUSION: In the highligths of retrospevtive data, we concluded that Trospium chloride and Tolterodine may be used alternatively to each other in treatment of overactive bladder

The Significance of Neutrophil-Lymphocyte Ratio and Mean Corpuscular Volume in Diagnosis of Preeclampsia

OBJECTIVE: The aim of this study is to evaluate the diagnostic values of neutrophil to lymphocyte ratio (NLR) and mean corpuscular volume (MCV) in patients with preeclampsia. STUDY DESIGN: A retrospective analysis of patients with documented preeclampsia and uncomplicated pregnancy was carried out. Two hundred and twelve women with preeclampsia, and 58 healthy pregnant women as controls were included in the study. NLR and MCV values were calculated from complete blood count analysis. RESULTS: White blood cell, NLR and MCV values were higher in the preeclamptic patients than those of the controls. The study groups had similar features with regard to the maternal age, gravidity, parity, and mode of delivery. Gestational age, newborn weight, and Apgar scores of the newborns were found lower in the preeclampsia group. CONCLUSION: NLR may be helpful in the differential diagnosis of preeclampsia. Large-scale prospective studies with categorized study groups according to the severity of preeclampsia need to be performed to determine the optimal NLR values useful for the assessment of severity of preeclampsia

Evaluation of Ovarian Reserve with Anti-Müllerian Hormone in Familial Mediterranean Fever

Objective. To investigate ovarian reserves in attack-free familial Mediterranean fever (AF-FMF) patients at the reproductive age by anti-Müllerian hormone (AMH), antral follicle count (AFC), ovarian volume, and hormonal parameters. Methods. Thirty-three AF-FMF patients aging 18–45 years and 34 healthy women were enrolled and FSH, LH, E2, PRL, and AMH levels were measured in the morning blood samples at 2nd–4th days of menstruation by ELISA. Concomitant pelvic ultrasonography was performed to calculate AFC and ovarian volumes. Results. In FMF patient group, median AMH levels were statistically significantly lower in the M69V mutation positive group than in the negative ones (P=0.018). There was no statistically significant difference in median AMH levels between E148Q mutation positive patients and the negative ones (P=0.920). There was also no statistically significant difference in median AMH levels between M680I mutation positive patients and the negative ones (P=0.868). No statistically significant difference was observed in median AMH levels between patients who had at least one mutation and those with no mutations (P=0.868). We realized that there was no difference in comparisons between ovarian volumes, number of follicles, and AMH levels ovarian reserves when compared with FMF patients and healthy individuals. Conclusions. Ovarian reserves of FMF pateints were similar to those of healthy subjects according to AMH. However, AMH levels were lower in FMF patients with M694V mutation