The assessment of twin pregnancies delivered in our clinic: three-year experience

Objective: Twin pregnancies constitute 1–2% of all pregnancies. With the recent developments in assisted reproductive technologies, the incidence of multiple pregnancy has increased. Preterm labor is held responsible for the poor neonatal outcomes primarily. In our study, we aimed to assess fetal-maternal outcomes of twin pregnancies seen in our clinic. Methods: One hundred and thirty twin pregnancy cases out of 4241 pregnant women who delivered in our clinic between 01.01.2017 and 01.01.2020 were included in the study. The labor records of the patients were reviewed retrospectively and their data for age, week of gestation, delivery type, birth weight, fetal sex, chorionicity characteristics and laboratory parameters were recorded. Definitive statistics and SPSS 21.0 for statistical analyses were used to evaluate the data obtained from the study. The data were presented as mean ± SD (standard deviation). Results: The incidence of twin pregnancy was found 3%. In the ultrasonographic imaging evaluated during diagnosis, 27.7% of the cases were monochorionic and 72% of them were dichorionic. Of the pregnant women, 12.3% were at term and 87.7% were at preterm period. When the preterm fetuses were evaluated, 37.7% of 114 preterm fetuses were delivered at late preterm period, 29.2% of them at mid-preterm period and 20.8% at premature preterm period. The rates of treatment pregnancy (pregnancy provided by ovulation induction and assisted reproductive technologies) and spontaneous twin pregnancy were 20% and 80%, respectively. Mean maternal age was found 31.3. When evaluated in terms of maternal morbidity, preterm labor and premature rupture of membrane were the most common problems. Mean newborn weight was 1832g and 59.3% of the newborns had low birth weight and 21.8% of them had very low birth weight. While one fetus had transverse presentation in 12.5% of the patients, at least one fetus had breech presentation in 53.1% of the cases and 34.4% of the cases had head-head presentation. Conclusion: Twin pregnancies are characterized by the increased feto-maternal risks. Therefore, both antenatal and intrapartum management should be maintained diligently

Evaluation of the effectiveness of Ampicillin and Lactobacillus casei rhamnosus treatment in cases of preterm premature rupture of membranes remote from term

Objectives: Preterm premature rupture of membranes (PPROM) remote from term is an important obstetric cause of maternal and fetal adverse outcomes. The aim of our study is to examine the efficacy of ampicillin and Lactobacillus casei rhamnosus treatment in cases of PPROM remote from term. Material and methods: The study was carried out by examining the results of cases who were given Ampicillin and Lactobacillus casei rhamnosus treatment. The patients were divided into two groups. Group 1 who didn’t develop clinical chorioamnionitis and Group 2 who developed clinical chorioamnionitis. Obstetric characteristics, neonatal outcomes, adverse events were recorded. Results: A total of 46 pregnant women, 40 in Group 1 and six in Group 2, were included in the study. The frequency of clinical chorioamnionitis developing during the treatment was found to be 13.0%. Mean gestational age at diagnosis was 28.43 ± 2.38 and 28.17 ± 1.33 for Groups 1 and Group 2, respectively. Mean gestational age at the time of delivery was 32.38 ± 2.07 31.33 ± 1.63 for Group 1 and Group 2, respectively. The mean latency period for Group 1 and Group 2 was 27.45 ± 1.71 days, 23.66 ± 4.53, respectively. Sepsis developed in six newborns (15%) in Group 1, while it developed in three newborns (50%) in Group 2. While 90% of the babies in Group 1 were discharged from the hospital, this rate was 66.7% in Group 2. Conclusions: Ampicillin + Lactobacillus casei rhamnosus is an effective treatment method in PPROM cases and positively affects perinatal outcomes

The assessment of maternal deaths between 2015 and 2020 in Elazığ, Turkey

Objective: To determine the maternal deaths and the factors affecting them in our city. Methods: The maternal deaths occurred in our city between January 2015 and June 2020 were reviewed retrospectively. The review was conducted by checking “Maternal Death Registry Forms” of the Provincial Directorate of Health. In cases where additional data related with the cause of death were required, the relatives of the cases, associated family practitioner, The Council of Forensic Medicine or local authorities were contacted. The data of the cases including age, gravida, parity, abortion, delivery type, week of gestation during delivery, period of death and maternal deaths due to direct, indirect and incidental causes were recorded. Based on total live births and maternal deaths within 6.5 years, maternal mortality rate was found as the maternal death number per 100,000 live births. Descriptive statistics were used for the statistical analysis of the data. Results: A total of 46.618 live births occurred between 2015 and 2020 in Elazığ. The number of maternal deaths due to direct and indirect causes is 7, and maternal mortality rate was found 15.01/100,000. Hypertensive diseases during pregnancy (n=3, 42.8%), pulmonary embolism (n=1, 14.3%) and cerebral thrombosis (n=1, 14.3%) were among the natural causes of maternal deaths. Indirect cause for maternal death was cardiac diseases (n=2, 28.6%). When they were categorized according to the Three Delays Model, there were 3 death cases in the first delay model and 2 death cases in the third delay model, but there was no maternal death in the second delay model. Conclusion: Maternal death is an significant public health issue which develops due to the generally preventable causes and maintains its importance. The factors contributing to death should be paid attention in order to decrease maternal death rates

The arcaheobotanical evaluation of plant remains from early, middle and late bronze periods of Tatarli Höyük (Ceyhan/Adana) 2011-2012 excavation seasons.

TEZ12796Tez (Doktora) -- Çukurova Üniversitesi, Adana, 2020.Kaynakça (s. 238-255) var.XXV, 265 s. :_res. (bzs. rnk.), tablo ;_29 cm.Bu çalışmada, Adana İli Ceyhan ilçesinde bulunan Tatarlı Höyük’te 2011-2012 yılları kazı sezonlarında Erken Tunç Çağı, Orta Tunç Çağı ve Geç Tunç Çağı tabakalarından elde edilen arkeobotanik veriler değerlendirilmiştir. Bu dönemlere ait 8 açmadan mekân içi, ocak, fırın, çöp çukuru, seramik kap içi vb. yerlerden toplam 90 adet toprak örneğinden kuru ve ıslak eleme yöntemleri kullanılarak karbonlaşmış bitki kalıntıları elde edilmiştir. Taksonomik olarak familya, cins veya tür seviyesinde teşhisleri yapılan bitki kalıntılarından 54 takson bulunmuştur. En yoğun tespit edilen tarım bitkileri Triticum monococcum (Siyez buğdayı), Triticum dicoccum (Gernik buğdayı), Triticum aestivum (ekmeklik buğday), Hordeum vulgare (Arpa) ve Lens culinaris (Mercimek) türleridir. Tespit edilen Vitis sylvestris (Yabani asma), Vitis vinifera (Asma) ve Olea europea (Zeytin) türlerine ait tohumlar meyve yetiştiriciliğinin ve buna bağlı olarak da şarap ve zeytinyağı üretiminin de bu dönemlerde yapıldığını göstermektedir. Yabani bitkilerden toplam 45 taksona ait kalıntılarında bulunması geçmiş dönem florasına ait önemli bilgiler sağlamıştır.In this study, archaeobotanical data obtained from the Early Bronze Age, Middle Bronze Age and Late Bronze Age layers of the Tatarlı Höyük 2011-2012 excavation seasons in Ceyhan district of Adana Province were evaluated. In 8 trenches belonging to these periods, inside space, stove, oven, garbage pit, ceramic pot etc. carbonized plant remains were obtained by using dry and wet sieving methods from 90 soil samples.Taxonomically 54 taxa were found from plant remains identified at family, genus or species level. The most intensely identified agricultural plants are Triticum monococcum (Einkorn wheat), Triticum dicoccum (Emmer wheat), Triticum aestivum (Bread wheat), Hordeum vulgare (Barley) and Lens culinaris (Lentil) species. The determined Vitis sylvestris (Wild vine), Vitis vinifera (Vine) and Olea europea (Olive) species show that fruit cultivation and, accordingly, wine and olive oil production was made during these periods. The presence of a total of 45 taxa residues from wild plants provided important information about the flora of the past periods.Bu Çalışma Ç.Ü. Bilimsel Araştırma Projeleri Birimi Tarafından Desteklenmiştir. Proje no: FEF-2012-D15

Burnaz kumullarının (Adana) flora ve vejetasyonu

TEZ5729Tez (Yüksek Lisans) -- Çukurova Üniversitesi, Adana, 2006.Kaynakça (s. 73-76) var.vii, 77 s. : res. ; 29 cm.This research was carried out to determine the flora and vegetation of Burnaz/Erzin coastal sand dunes. In an evaluation of 421 herbarium specimens collected from this area in 2005, a total of 147 genera and 229 taxa belonging to 45 families were identified. Seven of the 229 taxa are endemics. The largest four families according to taxa numbers are as follows: Leguminosae 48 taxa (%20.96), Gramineae 28 taxa (%12.23), Compositae 27 taxa (%11.79) ve Cyperaceae 14 taxa (%6.11). The scattering ratios of the taxa for the phytogeographic regions are as follows: Mediterranean elements 67 taxa (%29.26), Euro-Siberian elements 12 taxa (%5.24), Irano-Turanian elements 7 taxa (%3.06), Cosmopolitans 4 taxa (%1.75),widespread and unknown scatteries 139 taxon (%60.70). The vegetation of the study area was investigated into two parts: sand dune and wetland vegetation. Plant associations on dunes were evaluated in three categories; embryonic dunes, mobile dunes and fixed and semi-mobile dunes. The wetland vegetation was classified into two groups: river banks and fresh water ponds.Bu arastırma, Erzin/Burnaz kıyı kumullarının flora ve vejetasyonunu saptamak amacıyla yürütülmüstür. 2005 yılında toplanan 421 bitki örneginin degerlendirilmesi sonucunda 45 familyaya ait 147 cins, 229 tür ve türaltı takson tespit edilmistir. Tespit edilen taksonların 7'si endemiktir. içerdikleri takson sayısına göre en büyük dört familya söyledir: Leguminosae 48 takson (%20.96), Gramineae 28 takson (%12.23), Compositae 27 takson (%11.79) ve Cyperaceae 14 takson (%6.11). Taksonların fitocografik bölgelere göre dagılımı ise söyledir: Akdeniz elementleri 67 takson (%29.26), Avrupa-Sibirya elementleri 12 takson (%5.24), İran-Turan elementleri 7 takson (%3.06), Kozmopolitler 4 takson (%1.75), genis ve bilinmeyen 139 takson (%60.70). Arastırma alanının vejetasyonu kumul ve sulak alan vejetasyonu olmak üzere iki kısımda incelenmistir. Kumullarda gelisen bitki birlikleri, embriyonik ön kumullar, hareketli kumullar, sabit ve yarı hareketli kumullar olmak üzere üç farklı kategoride degerlendirilmistir. Sulak alan vejetasyonu ise dere kenarları ve göletler olmak üzere iki gruba ayrılmaktadır.Bu çalışma Ç.Ü. Bilimsel Araştırma Projeleri Birimi Tarafından Desteklenmiştir. Proje No: FEF2004YL3

Breast cancer screening: An outpatient clinic study

Introduction: Systematic screening for breast cancer is performed to reduce the current mortality rate and incidence by diagnosing the patients during the early stage and asymptomatic phase of the disease. A high quality screening program may produce a long-lasting decrease in mortality only if the treatment is of an equal standard. Patients and Method: 350 patients’ medical records, including breast physical examinations, age, gender, mammography findings, number of gravidity, parity and abortion, curettage, whether or not there is systemic and endocrinological disease present and pelvic masses were analyzed retrospectively. Result: Most of the patients (91.1%) had no breast pathological findings. 2.6% of patients had fibroadenoma and 4.6% had fibrocystic breast changes exhibited through mammography. One patient was found to have a breast mass. In that patient, tru-cut biopsy revealed infiltrating ducal carcinoma. Conclusion: A multidisciplinary cancer screening program should be maintained. With such a process, the aim is to reduce the morbidity and mortality of the disease without adversely affecting the health conditions of asymptomatic individuals based on the screening. Success is brought about by the combination of individual features. [Arch Clin Exp Surg 2017; 6(1.000): 23-27

Nitrofurantoin inhibits contractions of myometrium isolated from pregnant and nonpregnant rats

We aimed to investigate the effects of nitrofurantoin, a commonly used antibiotic for urinary tract infections, on spontaneous contractions of rat myometrium isolated from 16-day pregnant and nonpregnant rats. Myometrial strips were suspended in a standard organ bath and after the manifestation of spontaneous contractions under 1 g of resting tension, nitrofurantoin was applied to the organ bath as 50, 250 and 500 µM doses. Amplitude and frequency of contractions were recorded for 20 minutes before and after application of the drug. The bath was washed to remove the drug from the medium after recording the effect of each dose and the contractions were enrolled again to show the reversible effect of the drug. The effects of nitrofurantoin on amplitude (milligrams) and frequency of spontaneous contractions were evaluated. Data were statistically analyzed using the Students t test and p [Med-Science 2018; 7(2.000): 315-8