A comparative study of obstetric outcomes in electively or spontaneously reduced triplet pregnancies

This study aimed at evaluating the pregnancy outcomes of IVF triplets which are spontaneously or electively reduced to twins and to compare them with non-reduced triplets and twins

The effects of traffic accidents on pregnancy: Is hospitalization necessary in every case?

BACKGROUND: This study aimed to show whether it is necessary to hospitalize pregnant women who have been involved in traffic accidents. METHODS: Patients at a hospital in Istanbul, Turkey, who underwent traffic accidents between 2012 and 2018 were studied, and pregnant patients' files were evaluated. Demographic and obstetric features of patients, type of accident, type of trauma, Glasgow Coma Score, whether or not hospitalization were examined, the response of patients to hospitalization, and the obstetric and maternal results of accidents were assessed. RESULTS: In the present study, 95 patients were included. Overall, hospitalization was recommended for 50 patients, but of these, 58% refused to be admitted. No patients who refused hospitalization had complications. Preterm labor was seen in 3.2% of patients, while 3.2% had a fetal loss and 5.3% had a placental abruption. Only one mother was lost (1.1%) due to sustaining multiple traumas in a traffic accident. Hospitalization was increasingly indicated with increasing gestational age, but other parameters had no effect on hospitalization. CONCLUSION: The likelihood that hospitalization was recommended for pregnant women involved in traffic accidents increased with gestational age. Patients with minor trauma who refused hospitalization had no complications

Ovarian pregnancy: Case report

Ectopic pregnancy is location of gestational sac in any location other than uterine cavity. The fallopian tube is the most common site of ectopic implantation. Ovarian ectopic pregnancy is a rare form of ectopic pregnancy, with an estimated incidence ranging from 0.5% to 3% of the extrauterine pregnancies. Diagnosis of ovarian pregnancy is too difficult and it is many times an intraoperative diagnosis. Diagnosis can be made only with surgery and microscopic examination of tissue specimens. Surgery presently remains the mainstay of treatment for ovarian ectopic pregnancies. We present a 31-year-old woman with ruptured ovarian pregnancy who underwent laparoscopic ovarian wedge resection. She was normal on gynecologic examination except sensation on lower abdominal quadrants. Her vital signs and physical examination were normal. Transvaginal ultrasound examination revealed an image on right adnexial region that was suitable with ruptured ectopic pregnancy. Histopathological examinations of the tissue specimens revealed ovarian pregnancy. Copyright © 2012 by Türkiye Klinikleri

What Does High Incidence of Sharp Injury Reports Indicate?

Aim: The aim of this study was to evaluate needlestick and sharps injuries in our hospital for the last six years and the effects of education on the prevention of exposure to sharp instruments. Methods: We retrospectively evaluated sharp injuries occurred in our hospital between January 2007 and January 2013. Results: It was found that 229 sharp injuries were sustained within six years. During this period, 1.386 health-care workers received education and training on sharps injury prevention. Conclusion: We concluded that education and training of healthcare workers will increase sharps injury reporting rates and raise awareness and reduce the risk of sharps injuries. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 98-102

Positive Aspects of Caregiving Questionnaire for Family Caregivers of People with Dementia: Psychometric Properties of the Turkish Version

Objective: Negative and positive aspects of caregiving (PAC) are coexistent. Ignoring the PAC limits the overall understanding of caregiving adaptation and thus can undermines the development of initiatives. This study aimed to translate the PAC Questionnaire into Turkish and assess the psychometric properties of the T-PACQ. Materials and Methods: This study used a descriptive and methodological approach. After linguistic validity, we conducted a convenience sample of 222 family caregivers of PwD, all home dwellings, using a socio-demographic form, the Beck depression inventory (BDI), and the T-PACQ. Factor analysis [exploratory (EFA) and confirmatory (CFA)], analyses of discriminant validity, internal consistency (using Cronbach's alpha), item-total and item-sub-dimensions correlations, ceiling and floor effects, and the Hotelling's T-squared test were conducted. Results: The linguistic validity of the instrument was satisfactory. The total explained variance of the instrument consisting of two domain and ten items was determined as 48.40 %. According to confirmatory factor analysis, model fit indices were ≥ 0.90. The value of the Cronbach's alpha was found to be 0.80. No response bias or ceiling-floor effects were observed. Conclusion: This instrument is a short and robust measurement tool to assess family caregivers' perceptions of the PAC. It could be used to engage in appropriate initiatives for family caregivers and assess their effectiveness.</p

Down-regulation of adiponectin in patients with familial Mediterranean fever during attack-free period

To evaluate the circulating levels of adipokines (leptin and adiponectin) and ghrelin in patients with familial Mediterranean fever (FMF) and also to assess the relationships between these molecules and disease-related parameters. Forty-eight FMF patients in attack-free period (31 men, [M], 17 women, [F], mean age 35.8 +/- A 8.6 years, and a mean body mass index [BMI] of 24.7 +/- A 3.1) and 40 age-, sex-, and BMI-matched healthy controls (24 M, 16 F, mean age 35.5 +/- A 8.5 years, and a mean BMI of 24.5 +/- A 2.8) were included in the study. Patients and controls with a history of any other chronic diseases and obese or underweight subjects were excluded. High-sensitive C-reactive protein (hs-CRP), leptin, adiponectin, and total ghrelin concentrations were studied. Age, sex, BMI, waist circumference, and smoking status were similar between FMF patients and controls (P > 0.05). Adipose tissue-derived molecules including leptin, and adiponectin were lower than healthy controls but only adiponectin levels reached the statistically significance (16.7 +/- A 8.9 ng/ml vs. 27.7 +/- A 15.9 ng/ml, P < 0.001) and leptin concentrations just missed significance (25.2 +/- A 16.2 ng/ml vs. 34.9 +/- A 27.2 ng/ml, P = 0.051). Ghrelin concentrations were not different between the groups. Adiponectin levels were significantly and negatively correlated with hs-CRP (P < 0.05, r = -0.24). The results of this study suggest that low-grade chronic inflammation during attack-free period in FMF patients may suppress adiponectin production or low levels of adiponectin might contribute to subclinical inflammation in these patients