Investigation of the relationship between gestational week and sexuality

Background: The aim of the study was to twofold: to provide sociological data comparing sexuality both before and during pregnancy for women in developing countries as well as to look for differences in correlation between elements of sexuality and gestational age. Its intention is to help improve communication between physicians and patients in and from countries where social mores and traditions make such conversations difficult and uncommon. Methods: Participants in the study included 1026 pregnant women at different gestational ages that presented to an Antenatal Outpatient Clinic in Istanbul, Turkey between April 2017 and November 2017. The participants were given a questionnaire composed of 20 questions, 17 of which were multiple-choice. The pregnant women were asked to mark the most appropriate option for them. The questionnaire began by collecting demographic information. Participants were asked to provide their current gestational week, age, weight and height. In another question, they were asked about their gravidity, parity, abortions, cesarean sections and curettage as well as about the presence of any dyspareunia. Questions about libido were evaluated on a 12-point scale based on the Turkish Libido Scoring System. Results: The frequency of sexual intercourse, orgasm and masturbation as well as the gender of the partner initiating sexual intercourse were compared before and during pregnancy. Differences across gestational age (first, second and third trimester) were also considered where relevant. Notably, the frequency of sexual intercourse and orgasm decrease significantly during pregnancy; however, trends related to masturbation and gender of the partner did not change in any meaningful way. Conclusion: The frequency of sexual intercourse and related activities were determined to decrease significantly as gestational age increased. Sexual intercourse was determined to be mostly initiated by the male partner before and during pregnancy and this rate was found to mildly increase during pregnancy and the difference was determined to be statistically significant

Spontaneous pneumomediastinum following pneumonia in a 23-year-old male patient

Spontaneous pneumomediastinum (SPM) is defined as the presence of interstitial air in the mediastinum without any apparent precipitating factor. We present a case of 23 year old male patient, who has been referred to our outpatient clinic with the complaints of sudden chest pain, dyspnea followed by pneumonia and was diagnosed as SPM. The patient was treated with ampicillin sulbactam (4 gr/day) and methylprednisolon (20 mg/day) for 4 days. and oral intake was stopped during treatment. Post treatment, it was observed that the crepitations were disappeared thoroughly and vesicular sounds were heard by oscultation. The control values of arterial blood gas was as following: pH:7,39 pO2:95 mmHg, pCO2:37 mmHg, SaO2: %97. In the 5th day his oral intake was started and he was discharged.

Innovative approaches to clinical diagnosis: transfer learning in facial image classification for celiac disease identification

Background: Celiac disease arises from gluten consumption and shares symptoms with other conditions, leading to delayed diagnoses. Untreated celiac disease heightens the risk of autoimmune disorders, neurological issues, and certain cancers like lymphoma while also impacting skin health due to intestinal disruptions. This study uses facial photos to distinguish individuals with celiac disease from those without. Surprisingly, there is a lack of research involving transfer learning for this purpose despite its benefits such as faster training, enhanced performance, and reduced overfitting. While numerous studies exist on endoscopic intestinal photo classification and a few have explored the link between facial morphology measurements and celiac disease, none have concentrated on diagnosing celiac disease through facial photo classification. Methods: This study sought to apply transfer learning techniques with VGG16 to address a gap in research by identifying distinct facial features that differentiate patients with celiac disease from healthy individuals. A dataset containing a total of 200 facial images of adult individuals with and without celiac condition was utilized. Half of the dataset had a ratio of 70% females to 30% males with celiac condition, and the rest had a ratio of 60% females to 40% males without celiac condition. Among those with celiac condition, 28 were newly diagnosed and 72 had been previously diagnosed, with 25 not adhering to a gluten-free diet and 47 partially adhering to such a diet. Results: Utilizing transfer learning, the model achieved a 73% accuracy in classifying the facial images of the patients during testing, with corresponding precision, recall, and F1 score values of 0.54, 0.56, and 0.52, respectively. The training process involved 50,178 parameters, showcasing the model’s efficacy in diagnostic image analysis. Conclusions: The model correctly classified approximately three-quarters of the test images. While this is a reasonable level of accuracy, it also suggests that there is room for improvement as the dataset contains images that are inherently difficult to classify even for humans. Increasing the proportion of newly diagnosed patients in the dataset and expanding the dataset size could notably improve the model’s efficacy. Despite being the first study in this field, further refinement holds promise for the development of a diagnostic tool for celiac disease using transfer learning in medical image analysis, addressing the lack of prior studies in this area

Low molecular weight heparin treatment of acute moderate and severe pancreatitis: A randomized, controlled, open-label study

Conclusion: Low molecular weight heparin treatment is safe and provides better prognosis in MSAP

The Relationship Between Helicobacter Pylori Infection and Blood Group

INTRODUCTION: Our aim in this study is to investigate the relationship between Helicobacter Pylori (HP) and blood group and other risk factors. METHODS: 373 patients who underwent gastrointestinal system (GIS) endoscopy and gastric tissue biopsies were taken into the study between March-2017 and June-2018. Demographic data, risk factors, endoscopic appearance and histopathological data of all patients were documented. Patients were divided into two groups according to the presence of HP. Patients were divided into two groups as HP-positive and HP-negative according to the presence of HP. The groups were compared in terms of blood group and risk factors. RESULTS: 190 (50.9%) of the cases included in the study were women and the mean age of all patients was 45.1 +- 14.9 (range: 18-86) years. HP was positive in 53.8% of cases included in the study. HP positive patients were seen to be younger (p <0.05). In addition, while there was a significant relationship between HP positivity and working status, poor hand hygiene, smoking and alcohol use (p <0.05), no significant relationship was found with the blood group (p> 0.05). DISCUSSION AND CONCLUSION: As a result, in this study, soso-demographic factors such as age, working status, hand hygiene, smoking and alcohol use were found to be a risk factor for HP positivity, while no significant relationship was observed between ABO blood groups and HP

Acute Renal Failure due to Leukaemic Infiltration in Chronic Lymphocytic Leukaemia

Chronic lymphocytic leukemia (CLL) is a malignancy characterized by clonal proliferation and accumulation of B lymphocytes. Although leukaemic infiltration of the kidney is well recognized in CLL, acute renal failure (ARF) due to leukaemic infiltration is extremely rare. Here we present a case of ARF as the initial manifestation of CLL. The diagnosis was made by a kidney biopsy. Treatment with cyclophosphamide and prednisolone resulted in a completely improved renal function

Interferon Induced Focal Segmental Glomerulosclerosis

Behçet’s disease is an inflammatory disease of unknown etiology which involves recurring oral and genital aphthous ulcers and ocular lesions as well as articular, vascular, and nervous system involvement. Focal segmental glomerulosclerosis (FSGS) is usually seen in viral infections, immune deficiency syndrome, sickle cell anemia, and hyperfiltration and secondary to interferon therapy. Here, we present a case of FSGS identified with kidney biopsy in a patient who had been diagnosed with Behçet’s disease and received interferon-alpha treatment for uveitis and presented with acute renal failure and nephrotic syndrome associated with interferon

Kemik ve Lenf Nodu Tutulumu ile Birlikte Yaygın Metastazı Olan Gastrointestinal Stromal Tümör

Gastrointestinal stromal tümörler (GİST), gastrointestinal traktusun en sık görülen mezenkimal tümörleridir. GİST’lerin; mide (%60), ince barsak (%30), kolon ve rektum (%5-10), daha azı (%1) ise özofagus, omentum, mezenter veya retroperitonal bölgelerden kaynaklanmaktadır. Tanı konulduğunda vakaların yaklaşık yarısı metastaz yapmış durumdadır ve en sık karaciğer (%50-60) ve peritona (%20-43) metastaz yaparlar. GİST’lerde kemik ve lenf nodu metastazı ise literatürde oldukça az sayıda bildirilmiştir. Sunulan olguda midede 22 cm çaplı GİST saptanmış ve cerrahi ile tamamen eksize edilmiştir. Operasyon sonrası değerlendirmede metastazı olmayan olguya, kütle boyutunun büyük oluşu (>10 cm) ve artmış mitoz sayısı (>5/10 hpf) nedeni ile yüksek riskli kabul edilerek imatinib tedavisi verilmiştir. İmatinib tedavisinin altıncı yılında karın ağrısı ve şişkinlik şikâyetleri ile başvuran hastada karaciğer, periton, kemik ve lenf nodlarında yaygın metastaz saptanmıştır. Bu çalışmada, tamamen çıkarılmış ve imatinib tedavisinin altıncı yılında atipik metastazlarla başvuran GİST’li olgu literatür eşliğinde gözden geçirilmişti

Relationship between Helicobacter pylori Infections in Diabetic Patients and Inflammations, Metabolic Syndrome, and Complications

Helicobacter pylori infection and diabetes mellitus are two independent common diseases. It is showed that the worsening glycemic and metabolic control increases the rates of Helicobacter pylori infections and Helicobacter pylori is shown as one of the common problems in diabetic patients with complaints of gastrointestinal diseases. In this study, we aimed to investigate the prevalence and eradication rates of Helicobacter pylori in diabetic patients and the relationship of Helicobacter pylori with the risk factors and diabetic complications. In our study, in which we have included 133 patients, we have shown a significant relationship between Helicobacter pylori infections and metabolic syndrome, insulin resistance, inflammations, and diabetic complications