Objective:To evaluate the effect of a pre-procedural information video on anxiety levels in patients undergoing hysterosalpingography (HSG).Material and Methods:Among a total of 131 primary or secondary infertile patients, 66 were shown an information video and 67 control patients received standard care between August 2014 and January 2016. The video included information on the procedure, personnel, and the room for the procedure; the video was shown on the morning of the procedure. Patients were randomized using the complete randomization technique through which patients were included in the study and control groups week by week, randomly. The Beck Anxiety Inventory scale was conducted to the patients one hour before the procedureResults:There were no differences in demographic data. The history of previous gynecologic operations was higher in the control group. The Beck Anxiety score was significantly lower in the study group compared with the control group (6 vs 10).Conclusion:Our findings suggest that as an easy intervention to implement, a pre-procedural video education may be a beneficial tool for the management of HSG-related anxiety.
Tuberculosis is an infectious disease which typically affects the lungs and caused by Mycobacterium tuberculosis. Genital tract is commonly affected secondary to a primary lesion via peritoneal, hematogenous or lymphatic spread. It causes destruction in tissue due to granulomatous reaction and is a cause of infertility in affected patients when the infection locates on genital tract. The aim of this study was to report two cases of genital and peritoneal tuberculosis of a 20 year-old women that underwent surgery because of bilateral pyosalpinx and another case with genital and peritoneal tuberculosis of a 27year-old women that underwent surgery because of bilateral adnexal mass.
ntikoagülasyon amaçlı kullanılan ajanlar; heparin, düşük molekül ağırlıklı heparinler ve warfarindir. Heparin domuz barsağı ya da sığır akciğerinden elde edilen doğal antikoagülan olup, değişken uzunluktaki lineer polisakkarid zincirlerinden oluşmaktadır ve ortalama moleküler ağırlığı 12.000-15.000 Dalton (Da)'dur.1 Heparin, antitrombin III ile bağlanarak faktör IIa, IXa, Xa, XIa ve XIIa'yı inhibe ederek antikoagülan etki gösterir. Düşük molekül ağırlıklı heparinler ise heparinin enzimatik veya kimyasal depolimerizasyonu ile oluşurlar ve ortalama molekül ağır-lıkları 4.000-5.000 Da'dır. Düşük molekül ağırlıklı heparinler, antitrombin III ile bağlanarak, molekülün konformasyon değişmesine neden olarak sadece faktör Xa inhibisyonu yaparlar. Bu ajanlar, klinikte hiperkoagülabilite olan (kanser, kalıtsal veya edinsel trombofililer) veya olması muhtemel durumlarda (ortopedik cerrahi, majör cerrahi) sıkça kullanılan, hem hastanede yatan hastalarda hem de poliklinik hastalarında sıkça kullanılan ilaçlardır.
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