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Öğe Aggressive angiomyxoma of the female pelvis and the labium(Wiley-Blackwell, 2003) Yalinkaya, A; Askar, I; Bayhan, G; Kilinc, N; Yayla, M[Abstract Not Available]Öğe Antalya consensus on perinatal care: The report of the 2nd World Congress of Perinatal Medicine for Developing Countries, 1-5 October 2002, Antalya, Turkey(Walter De Gruyter & Co, 2003) Sen, C; Yayla, M; Levene, MThe goal of antenatal care is to help the mother to maintain her wellbeing and achieve a healthy outcome for herself and her infant. Education about pregnancy, childbearing and childrearing is an important part of antenatal care. Because of the perception that pregnancy is a physiologic event, even today lots of women do not seek medical care until a problem occurs during their pregnancy. There are still unacceptable differences in the extent of perinatal problems in developed and developing countries. Over the last century almost all countries have accepted antenatal care principles.However, insufficiency of resources and a lack of womens compliance have proved to be obstacles in developing countries and have compelled the application of various standard programs. Unfortunately, these programs are not sufficiently effective in preventing and treating maternal mortality. A safe pregnancy and delivery is a human right. Maternal mortality and morbidity should not be ranked with other diseases, because child bearing is not a disease.For this reason a global ethical consideration imposes an obligation upon society to avoid these almost totally preventable deaths.Ensuring access to family planning is an important way of decreasing maternal death. Maternal morbidity and mortality as well as perinatal mortality can be reduced through the synergistic effect of combined interventions, without first attaining high levels of economic development.These interventions include: education for all, universal childbirth, access to family planning services, attendance at birth by professional health workers, access to good quality care in case of complications, and policies that raise womens social and economic status and increase their access to property and the labor force.Öğe Cis-platinum combination chemotherapy during pregnancy for mucinous cystadenocarcinoma of the ovary.: Case report(S O G Canada Inc, 1999) Bayhan, G; Aban, M; Yayla, M; Gül, T; Yaldiz, M; Erden, AC[Abstract Not Available]Öğe Do cellular phones alter blood parameters and birth weight of rats?(Marcel Dekker Inc, 2000) Dasdag, S; Akdag, MZ; Ayyildiz, O; Demirtas, ÖC; Yayla, M; Sert, CThe present study aimed to investigate the effects of microwaves (MW) emitted by cellular phones (CPs) on peripheral blood parameters and birth weights of rats. Thirty-six albino rats were divided into four groups, male (n = 6) and female sham-exposed groups (n = 12) and male (n = 6) and female experimental groups (n = 12). No blood parameters differed following exposure (p > 0.05). The birth weight of offspring in the experimental group was significantly lower than in the sham-exposed group (p < 0.001). No significant differences were observed between rectal temperatures of rats in the sham and experimental groups (p > 0.05). The specific absorption rate (SAR) was found to be 0.155 W/kg for the experimental groups. All parameters investigated were normal in the next generation of rats (p > 0.05).Öğe Genital trauma in children(Elsevier Science Inc, 2005) Onen, A; Öztürk, H; Yayla, M; Basuguy, E; Gedik, SObjectives. To determine the severity and, accordingly, the treatment of genital trauma in a pediatric population. Methods. A total of 116 children with genital trauma and anorectal injury were retrospectively reviewed. The severity of trauma was graded according to the genital injury score (GIS), which we developed as a genital trauma scoring system. Results. The median age was 8 years. Of the 116 children, 80 were girls and 36 were boys. The etiology of the trauma was traffic road accident (53 patients), fall, sexual abuse, and gunshot wound. Sixty-one patients had additional organ injuries. The GIS was I for 25 children, 11 for 19, 111 for 32, IV for 23, and V for 17. In addition to the primary repair, colostomy was performed in 22 patients. The most frequent postoperative complication was wound infection. The postoperative complication rate was significantly greater in patients with an injury severity score greater than 15, severe contamination, prolonged delay (longer than 8 hours), and a GIS of IV or V. Conclusions. The clarification of the mechanism and severity of the genital injury and associated organ injuries under general anesthesia may help in the appropriate classification. Primary repair should be the standard approach in genital trauma patients with a GIS of IV or less. Those with a GIS of V associated with severe contamination and prolonged delay require colostomy for improved outcome. (c) 2005 Elsevier Inc.Öğe JJS application in acute symptomatic hydronephrosis in pregnancy(Elsevier Sci Ireland Ltd, 1997) Sahin, H; Bircan, MK; Yayla, M[Abstract Not Available]Öğe Laparoscopy-assisted transinguinal extracorporeal gonadectomy in six patients with androgen insensitivity syndrome(Elsevier Science Inc, 2003) Yalinkaya, A; Yayla, MObjective: To describe a new surgical technique to treat prophylactic gonadectomy in patients with androgen insensitivity syndrome. Design: Prospective study. Setting: University hospital. Patient(s): Six patients with androgen insensitivity syndrome. Intervention(s): Laparoscopy-assisted transinguinal or suprapubic extracorporeal gonadectomy. Main Outcome Measure(s): Accessibility, operation time, and cost-effectiveness. Result(s): Laparoscopy-assisted transinguinal extracorporeal gonadectomy under general anesthesia was performed successfully, with no complications, in all patients as a one-day procedure. The operation times were 12 to 22 minutes (average, 16 minutes). Histopathologic examination revealed testicles in all cases. The cost of each operation was approximately $500 to $1,000. Conclusion(s): Laparoscopy-assisted transinguinal or suprapubic and extracorporeal gonadectomy has several advantages over laparotomy and operative laparoscopy, including short operating time, safety, simplicity, and cost-effectiveness. (C) 2003 by American Society for Reproductive Medicine.Öğe Maternal mortality in developing countries(Walter De Gruyter Gmbh, 2003) Yayla, MOf all health statistics mentioned by the World Health Organization (WHO), maternal mortality is unique in showing the largest discrepancy between developed and developing countries. Approximately 90% of maternal deaths (more than 0.5 million each year) occur in developing countries. Over the last century, almost all countries have accepted antenatal care principles. However, insufficiency of resources and lack of womens compliance were the main handicaps in developing countries and compelled these countries to apply various standard programs. Unfortunately, these programs are not sufficiently effective in the prevention and treatment of maternal mortality. Fixing the number (quantity) of antenatal visits and the static approach affect the quality of antenatal care. Bleeding, chronic anemia, hypertensive disorders, obstructed labor, unsafe abortions and infections are the main factors leading to maternal mortality.The majority of these factors are preventable. It is important to suspect the presence of any of these factors and to intervene promptly both during antenatal care and immediately after delivery. The evidencebased approach is a way of reaching this solution. Antenatal care is a concept that extends from prepregnancy to postpartum, leading to effective emergency care for unpredictable and predictable complications during pregnancy and childbirth.Worldwide policies are not always applicable to each country, coercing national policies.There is still a need for prospective randomized trials to clarify this concept and the relevant policies.Öğe The use of recombinant factor VIIa in a primigravida with Glanzmann's thrombasthenia during delivery(Walter De Gruyter Gmbh, 2004) Kale, A; Bayhan, G; Yalinkaya, A; Yayla, MGlanzmanns thrombasthenia is an inherited hemorrhagic disorder characterized by a severe reduction in, or absence of, platelet aggregation in response to multiple physiologic agonists due to qualitative or quantitative abnormalities of platelet glycoprotein IIbIIIa. Glanzmanns thrombasthenia is characterized by potentially major mucocutaneous bleeding and prolonged bleeding time. Platelet counts, platelet morphology, prothrombin, and activated thromboplastin times are all within normal ranges in patients with Glanzmanns thrombasthenia. Pregnancy and delivery are rare in Glanzmann thrombasthenia patients and have been associated with immediate postpartum hemorrhage. We describe the peripartum management of a 31-yearold primipara with Glanzmanns thrombasthenia who underwent spontaneous vaginal delivery. Four units of singledonor platelets, two units of packed red blood cells, 36 g/kg recombinant human coagulation Factor VIIa (rFVIIa) were given during peripartum management.