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Koleksiyon [7]
Tam Metin [1]
Yayın Türü [3]
Yazar [20]
Yayın Yılı [8]
Konu Başlıkları [20]
Yayıncı [3]
Yayın Dili [2]
Dergi Adı [14]
Primary brain T-Cell lymphoma during pregnancy

Ilker A. | Aykut B. | Muge H. | Ibrahim H.M. | Ulkua O.B. | Tugba D. | Oktay E.

Article | 2012 | Journal of the Pakistan Medical Association62 ( 4 ) , pp.395 - 396

The incidence of non-Hodgkin's lymphoma (NHL) during pregnancy is about 0.8 cases per 100,000 women. We describe a case of a 33-year-old woman with primary brain Tcell NHL who was diagnosed at the 32nd week of gestation. She visited the emergency room complaining of a headache, vomiting and drowsiness. Her pregnancy had been uneventful prior to the admission. Brain magnetic resonance imaging (MRI) revealed a mass at the anterior cranial fossa in the mid liner in the front of the lateral ventricle of the brain. She was hospitalised and monitored regarding her complaints until the foetal lungs matured. During her stay, systemic evalua . . .tion revealed no other pathology. She delivered a healthy baby in the 34th week of gestation by Caesarean section and the tumour was evacuated while under the same anaesthesia. She underwent another surgery 12 hours after the first operation because of cerebral herniation. Despite aggressive treatment in the neurosurgical intensive care unit, her condition continued to deteriorate and she died on the tenth postpartum day. Examination of the patient at necropsy revealed no other pathology. The lymph nodes and bone marrow were not involved Daha fazlası Daha az

Dyspeptic complaints after 20 weeks of gestation are not related to Helicobacter pylori seropositivity

Tanriverdi H.A. | Ustundag Y. | Tekin I.O. | Barut A.

Article | 2005 | Medical Science Monitor11 ( 9 ) , pp.395 - 396

Background: This study was to test whether an association exists between Helicobacter pylori seropositivity and severity of dyspeptic symptoms after 20 weeks of gestation in pregnant women. Material/Methods: Pregnant women (n=103) with gestational ages between 20-41 weeks and healthy non-pregnant women (controls, n=79) were prospectively enrolled in the study. Anti-H. pylori IgG serum antibody was tested to establish seropositivity. The dyspeptic symptoms were evaluated by the Glasgow Dyspepsia Severity Score in the pregnant group and classified as asymptomatic (score 0), mildly symptomatic (score 1-5), and severely symptomatic (sco . . .re ?6). The severity of dyspeptic symptoms was compared in pregnant women with H. pylori seropositivity, and pregnant and non-pregnant women were compared for H. pylori seropositivity and prevalence of dyspeptic symptoms. The results were analyzed using Student's t, Mann-Whitney-U, and chi-square tests. Results: The prevalence of H. pylori seropositivity was not different among pregnant and non-pregnant women. The median dyspeptic scores were 5 and 4, respectively, for H. pylori seropositive and negative pregnant women. Dyspeptic scores of H. pylori seropositive pregnant women were not different from those of uninfected pregnant women. H. pylori seropositivity did not differ among asymptomatic and mildly and severely symptomatic pregnant women. The non-pregnant women were more often asymptomatic than pregnant women. Conclusions: Our findings do not support any association between H. pylori seropositivity and severity of dyspeptic symptoms in late pregnancy. It seems unreasonable to screen women in late pregnancy for H. pylori seropositivity, even if they suffer from severe dyspeptic symptoms. © Med Sci Monit, 2005 Daha fazlası Daha az

Gestational lyme disease as a rare cause of congenital hydrocephalus

Önk G. | Acun C. | Kalayci M. | Çagavi F. | Açikgöz B. | Tanriverdi H.A.

Article | 2005 | Journal of the Turkish German Gynecology Association6 ( 2 ) , pp.156 - 157

Lyme disease is an inflammatory disorder caused by infection with Borrelia burgdorferi. In this report a rare case of a girl surviving intrauterine Lyme disease, who subsequently developed triventricular hydrocephalus and aquaductus cerebri stenosis was presented. In earlier cases modern imaging techniques have not been used. In our patient, intrauterine magnetic resonance imaging technique has been helpful in the diagnosis and management of the therapy.

Influence of smoking on human milk tumor necrosis factor-?, interleukin-1ß, and soluble vascular cell adhesion molecule-1 levels at postpartum seventh day

Ermis B. | Yildirim A. | Tastekin A. | Ors R.

Article | 2009 | Pediatrics International51 ( 6 ) , pp.821 - 824

Background: The aim of this study was to investigate the effect of maternal smoking during pregnancy on human milk interleukin-1ß, tumor necrosis factor-? (TNF-?) and soluble vascular cell adhesion molecule-1 levels at the postpartum seventh day. Methods: Forty-four mothers (age range: 21-34 years) were enrolled in the study. Mothers were interviewed and classified according to their smoking status into one of two groups: the smoking mothers (n = 21) and the nonsmoking mothers (n = 23). Results: There were no significant differences between study groups with respect to human milk interleukin-1ß (P = 0.12) and soluble vascular cell a . . .dhesion molecule-1 levels (P = 0.83). However, TNF-? levels were found to be significantly lower in the smoking mothers compared with the controls (P = 0.002). Conclusion: This study shows that maternal smoking during pregnancy affects the levels of TNF-? in milk. The protective effect of human milk against infections seems to be impaired in smoking mothers. © 2009 Japan Pediatric Society Daha fazlası Daha az

Pregnancy-associated osteoporosis with vertebral fractures and scoliosis [1]

Sarikaya S. | Özdolap S. | Açikgöz G. | Erdem C.Z.

Letter | 2004 | Joint Bone Spine71 ( 1 ) , pp.84 - 85

[No abstract available]

Recurrent partial hydatidiform mole

Barut A. | Arikan I. | Harma M. | Harma M.I. | Barut F. | Coskan A.

Article | 2011 | Journal of the Pakistan Medical Association61 ( 10 ) , pp.1016 - 1017

Hydatidiform moles are abnormal conceptions characterised by atypical hyperplastic trophoblasts and hydropic villi. Their incidence is approximately 1 in 1000 pregnancies. The recurrence risk of hydatidiform mole is approximately 1 in 60 in a subsequent pregnancy and 1 in 6.5 in the third pregnancy. In cases with recurrence, the majority of moles are of the same type as that in the preceding pregnancy. Here, we describe the case of a recurrent partial hydatidiform mole after an initial healthy pregnancy. Both pregnancies were evacuated by suction curettage, and the patient was followed by serial monitoring of ß-human chorionic gonad . . .otropin levels. Recurrent molar pregnancy is not an indication for chemotherapy, and subsequent pregnancies do not have an increased risk for other obstetric complications Daha fazlası Daha az

Fatal course of acute monocytic leukemia at second trimester of pregnancy

Vural M. | Koyuncu B.U. | Akkoyunlu M.E. | Tanriverdi H.A.

Article | 2006 | Case Reports and Clinical Practice Review7 , pp.216 - 219

Background: Leukemia is a rarely encountered disease during pregnancy, and it is hard to manage. Acute myeloid leukemia accounts for almost 60% of all leukemias during pregnancy. It is related with poor prognosis for both pregnant and the fetus. Treatment strategies differ according to the gestational week. Without considering pregnancy at all weeks, immediate appropriate treatment is advised. Case Report: We present a case of acute monocytic leukemia which is diagnosed at 17th week of gestation. Patient has been referred because of thrombocytopenia and leukocytosis during pregnancy. Although proper treatment was initiated immediate . . .ly after the diagnosis, patient died due to progression of disease in few days, probably due to intracranial hemorrhage. Conclusions: Thrombocytopenia and leukocytosis are important signs of the hematological malignancy and needs urgent management Daha fazlası Daha az

Intravenous iron treatment for iron deficiency anemia in pregnancy

Barut A. | Harma M.

Review | 2009 | Journal of the Turkish German Gynecology Association10 ( 2 ) , pp.109 - 115

Iron deficiency anemia in pregnancy can have serious deleterious effects for both mother and fetus. Estimates of prevalence vary widely, but those based on hemoglobin determinations are always considerably higher than those based on ferritin, emphasizing the need for a full hematological work-up in diagnosis. Intravenous therapy usually results in a more rapid increase in hemoglobin and iron stores, but unresolved concerns of possible teratogenicity mean that it should not be used in the first trimester, while cost considerations make it a second choice to oral treatment in the second trimester where this is feasible and effective, . . .except in severe anemia where a more rapid response is desirable. On the other hand, intravenous administration is the first choice treatment in the third trimester and postpartum. All the available intravenous iron preparations are similar in molecular composition, but the exact nature of the complex determines the molecular weight and particle size, which to a large extent determine the properties of the preparation. All are effective and relatively safe, but the higher molecular weight iron dextrans are associated with a greater number of adverse events, and there are concerns about iron toxicity with ferric gluconate. It seems that a degree of expertise and experience and rigorous adherence to protocols and precautions may be required for their safe and effective use Daha fazlası Daha az

What are the probable predictors of urinary incontinence during pregnancy?

Demircan N. | Özmen Ü. | Köktürk F. | Küçük H. | Ata S. | Harma M. | Arikan I.I.

Article | 2016 | PeerJ2016 ( 7 ) , pp.109 - 115

Objectives. The frequency, predisposing factors and impact of urinary incontinence (UI) on quality of life (QoL) during pregnancy were investigated. Materials and Method. A preliminary cross-sectional survey was studied among pregnant women between January and July of 2014. A total of 132 pregnant women were recruited using a questionnaire form for sociodemographic features, the Turkish version of the International Consultation on Incontinence-Short Form (ICIQ-SF), for the characteristics of UI and Wagner's Quality of Life scale to assess impact on QoL. p < 0.05 was set significant. Results. Urinary incontinence was present in 56 . . . out of 132 pregnant women (42.4%, UI-present group): mean age, 26:7±5.4y (p=0.780); median height, 160 cm (min- max: 153-176, p=0.037); median BMI, 28.7 kg/m2(min-max: 22.4-50.0, p=0.881); urine leakage occurred per week once (n=18, 32.1%), twice or thrice (n=8, 14.3%); per day few times (n=14, 25%), once (n=5, 8.9%) and always (n=8, 14.3%) with mainly a small amount of urine leakage (n=33, 58.9%) or a moderate (n=4, 7.1%). There were statistically significant relationships between QoL scores and frequency of UI (p = 0.002) or amount of leakage (p = 0.002). Impact on QoL scores ranged from mild (n = 33, 58.9%), moderate (n = 4, 7.1%) to severe (n = 4, 7.1%) levels in daily life. UI impacted the daily life activities of women by making them less likely to undertake activities outside their homes (23.2%), by affecting their working performance and friendships (8.9%), their daily home activities (7.1%), their general health status (12.5%), their sexual relations (12.5%), by making them more nervous or anxious (10.7%) and by the need to wear pads or protectors (25%). ANOVA,Tukey, and Tamhane tests as the minimal important difference model yielded significant relevance between statistical analyses and clinical outcomes by using standard deviations (p = 0.001, 0.001 and 0.005 respectively). The following features favored the occurence of UI: Age (OR = 0.845, 95% CI [0.268-2.669]), being a housewife (OR = 1.800, 95% CI [0.850-3.810]), anemia (OR=0.939, 95% CI [0.464-1.901]), parity (OR=0.519, 95% CI [0.325-0.829]), miscarriage (OR=1.219, 95% CI [0.588-2.825]) and living in rural areas (OR=1:800, 95% CI [0.887-3.653]). Height (p=0;037), educational status (0.016), miscarriage (0.002), parity (0.006) and place of living (0.020) were significant factors. Conclusions. Many pregnant women are suffering from UI, which warrants a significant public health consideration in the region. Age, height, being a housewife or graduation level higher than primary school, living in rural, parity, miscarriage, and anemia were the factors in favor of the onset of UI. The authors plan a health promotion program in the region according to the results in order to provide information to health caregivers, especially family physicians, and to educate women about the predictors of UI and pelvic floor exercises for primary prevention and secondary relief of UI during and after pregnancy and provide some hygienic supplies to the poor in this aspect. © 2016 Demircan et al Daha fazlası Daha az

Primary pulmonary sarcoma metastasising to the skin during pregnancy

Arikan I. | Barut A. | Harma M. | Harma M.I. | Erdem Z. | Gezer S.

Article | 2012 | Journal of the Pakistan Medical Association62 ( 12 ) , pp.1342 - 1343

Lung cancer during pregnancy is a rare situation which is being increasingly reported during the past two decades due to a rising trend of cigarette smoking among young women and the tendency to delay pregnancy to a later age in life. We describe the case of a 32-year-old woman with primary pulmonary sarcoma, diagnosed at 31st week of pregnancy. X-ray chest and thoracic magnetic resonance imaging revealed a 9 × 6 cm mass in the left mediastinum, with tracheal shift, and pleural effusion. Biopsy performed during broncoscopy, was reported as mesenchymal tumour. She delivered a baby by Caesarean section at the 32nd week of gestation du . . .e to the development of superior vena cava syndrome. A skin biopsy taken 3 weeks later from the nodular lesion at the periumblical region was reported as a tumour metastasis. She received radiotherapy for 10 days, but died in the intensive care unit. Malignancies, even those as uncommon as a pulmonary sarcoma, should be considered in the differential diagnosis of pleural effusion during pregnancy Daha fazlası Daha az

Influence of smoking on maternal and neonatal serum malondialdehyde, superoxide dismutase, and glutathione peroxidase levels

Ermis B. | Ors R. | Yildirim A. | Tastekin A. | Kardas F. | Akcay F.

Article | 2004 | Annals of Clinical and Laboratory Science34 ( 4 ) , pp.405 - 409

This cohort study investigated postnatal serum malondialdehyde (MDA), Superoxide dismutase (SOD), and glutathione peroxidase (GPx) levels in 14 active-smoking, 14 passive-smoking, and 15 non-smoking mothers and their newborns on day 7 post-partum. No significant differences were noted among the study groups with respect to MDA (p = 0.63) or SOD levels (p = 0.98) in either the mothers or their infants. However, there were significant differences among the study groups with respect to serum GPx activities in both the mothers (p = 0.028) and the infants (p = 0.039). When GPx activities were analyzed separately in both mothers and infan . . .ts, a significant difference was noted only between the infants of smoking mothers and the infants of non-smoking mothers (p = 0.015). In conclusion, there was a significant increase in GPx activities of smoking mothers and their infants, suggesting that they may have been exposed to more oxidant stress Daha fazlası Daha az

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