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Öğe Atypical eclampsia and postpartum status epilepticus(African Field Epidemiology Network-Afenet, 2015) Dag, Zeynep Ozcan; Isik, Yuksel; Turkel, Yakup; Alpua, Murat; Simsek, YavuzPreeclampsia is an entity that may present from 20th week of gestation up to 48 hours postpartum and is associated with hypertension and proteinuria. Eclampsia is emergence of convulsions pre-eclampsia in pregnant women with signs and symptoms. Recent studies showed that in some women, preeclampsia and even eclampsia may occur without hypertension or proteinuria. Here, we present a case of 26 years old women who had an uneventful pregnancy until 30 weeks' of gestation. She had only proteinuria in laboratory tests and was diagnosed as status epilepticus in early postpartum period. Preeclampsia and eclampsia is related with serious fetal and maternal morbidity and mortality and may present with atypical course. The awareness of atypical cases of preeclampsia enhances early diagnosis and management which are critical to avoid feto-maternal complications.Öğe Early postpartum lactation effects of cesarean and vaginal birth(Via Medica, 2016) Isik, Yuksel; Dag, Zeynep O.; Tulmac, Ozlem B.; Pek, ErenObjectives: Breastfeeding has positive effects for both, the mother and the infant. The purpose of the study was to examine how cesarean delivery and vaginal delivery influenced subsequent breastfeeding. The study was conducted at the Kirikkale University Medical School. Material and methods: Breastfeeding outcomes after an elective cesarean delivery and after a planned vaginal delivery were compared. The study included 169 consenting mothers who gave birth to healthy infants (86 cesarean deliveries and 83 vaginal deliveries) between March and September 2001. All cesarean deliveries were performed under regional anesthesia. Results: Elective cesarean delivery was performed at a significantly earlier gestational age as compared to vaginal delivery (p = 0.001). Maternal age in the planned vaginal delivery group was significantly lower (p = 0.003). As for the change in prolactin levels, the results were similar but not statistically significant (p = 0.21). The frequency of breastfeeding per day did not differ significantly between the groups (p = 0.20). However, women after cesarean delivery tended to breastfeed more often than after vaginal delivery (p = 0.003). Mean number of points recorded at the first breastfeeding session, according to the LATCH charting system, was lower in the group after cesarean delivery as compared to vaginal labor. The difference between the average point scores of vaginal delivery and cesarean delivery mothers was found to be meaningful in favor of the women after vaginal delivery (p = 0.05). Conclusions: Elective cesarean section has negative effects on breastfeeding. Our results indicate that cesarean section constitutes a risk factor for delayed lactogenesis.Öğe Effect of delivery mode and anaesthesia methods on cardiac troponin T(ELSEVIER MASSON, CORP OFF, 2020) Bakirci, Sukru; Tulmac, Murat; Dag, Zeynep Ozcan; Sayan, Cemile Dayangan; Isik, Yuksel; Gencay, Isin; Boyunaga, Hakan[Özet Yok]Öğe The evaluation of temperament and quality of life in patients with polycystic ovary syndrome(Taylor & Francis Ltd, 2017) Dag, Zeynep Ozcan; Alpua, Murat; Isik, Yuksel; Buturak, S. Visal; Tulmac, Ozlem B.; Turkel, YakupAims: To evaluate the temperament and quality of life (QoL) of patients with PCOS. Materials and methods: Fifty-three adult patients with PCOS and 38 healthy controls were enrolled in the study. Demographic characteristics including age, education and body mass index (BMI) were recorded. Affective temperaments were assessed by the temperament evaluation of Memphis, Pisa, Paris and San Diego-autoquestionnaire version (TEMPS-A) scale. The general health-related quality of life (HRQoL) instrument used in this study was short Form 36. Hospital anxiety and depression scale (HADS) were also performed. Results: The patients with PCOS had significantly higher rates of depressive, anxious and hyperthymic scores compared to controls. The PCOS patients had significantly lower mean SF-36 health summary scores. Conclusions: TEMPS-A seems to be an easy and reliable test to evaluate temperament in PCOS patients.Öğe A giant adenomyotic cyst originating from the cervix(Elsevier Ireland Ltd, 2015) Isik, Yuksel; Dag, Zeynep O.; Celik, Handan…Öğe Personality profile in patients with polycystic syndrome(Taylor & Francis Ltd, 2015) Dag, Zeynep Ozcan; Oguzturk, Omer; Isik, Yuksel; Turkel, Yakup; Bulcun, EmelAim: To investigate the personality traits of patients with polycystic ovary syndrome (PCOS). Methods: Forty-nine patients with PCOS and 34 healthy controls were enrolled in the study. Psychometric evaluation was made with the Minnesota Multiphasic Personality Inventory. Additionally, Short Form-36 (SF-36) and Hospital Anxiety and Depression Scale (HADS) were also performed. Results: Polycystic ovary syndrome patients had significantly higher absolute and clinical elevation scores on depression, hysteria, psychasthenia and hypomania compared with the controls. Patients with PCOS had lower SF-36 physical and mental health summary scores and higher HADS anxiety and depression subscale scores. Conclusion: Polycystic ovary syndrome patients seem to have depressive, hysterical, psychasthenic and hypomanic personality traits.Öğe A very rare cause of recurrent back pain: hematocolpometra(Soc Romana Ultrasonografe Medicina Biologie-Srumb, 2016) Dag, Zeynep Ozcan; Tulmac, Ozlem Banu; Isik, Yuksel…