These results show that the perinatal care is fairly improved in Turkey.
The incidence was calculated to be 0.38 per 1,000 deliveries. According to the evaluated data of 364 patients, the median age at diagnosis was 31 years (range, 15-59 years). A histopathological diagnosis was present for 45.1% of the patients, and invasive mole, choriocarcinoma and PSTTs were diagnosed in 22.3% (n=81), 18.1% (n=66) and 4.7% (n=17) of the patients, respectively. Regarding final prognosis, 352 (96.7%) of the patients had remission, and 7 (1.9%) had persistence, whereas the disease was mortal for 5 (1.4%) of the patients. Conclusions: Because of the differences between countries, it is important to provide national registration systems and special clinics for the accurate diagnosis and treatment of GTN.
Introduction: Female genital tract anomalies may have a devastating impact on the potential for sexual activity and fertility. Microperforate (pinhole) hymen is one of them. Microperforate hymen can lead to infertility, primary amenorrhea, acute or chronic pelvic pain, abnormal vaginal bleeding, dysuria, pollakiuria or a foul-smelling vaginal discharge. Aim: We aim to report a patient who had intercourse problems and infertility complaints later found to have a microperforate hymen. Discussion: Pinhole opening of hymen may permit passage of fluids. Consequently spontaneous pregnancy can occur rarely. A few reports showed pregnancies with intact hymen without penetration of penis. But in general patients have fertility problems. Conclusion: The results of the surgery are similar in all techniques and the particular surgical centre will have its own preference of which technique it prefers since after diagnosis definitive treatment is surgical and effective. Failure to manage these patients correctly may have long-term sequelae for their psychological, sexual and reproductive health.
Objective: The aim of this study was to assess the achievement of pregnancy as well as the reproductive outcome after hysteroscopic septum resection in women with recurrent abortions or infertility. Design: retrospective, clinical trial. Setting: University hospitals. Patient(s): Fourty women with a diagnosis of uterine septum who had a history of pregnancy loss or infertility. They were randomized into two groups. Group I includes 18 infertile women and Group II includes 22 recurrent miscarriage women. Intervention(s): Hysteroscopic metroplasty was performed on all patients in both groups. Result(s): 40 patients who were diagnosed with a partial septate uteri had hysteroscopic septum resection and were divided into two groups: Group I (18 patients) presented with infertility and Group II (22 patients) with recurrent abortions. The mean post-operative follow up period was 24 months. Group I, 12 patients (66.6%) and Group II, 17 patients (77.2%) achieved pregnancy, with respective abortion rates of 2 (11.1%) and 4 (18.1%). Conclusion(s): Using hysteroscopy to perform metroplasty on septate uteri makes the procedure safer, easier, and less complicated. This procedure is recommended for all cases diagnosed with an uterine septum.
Türkiye'de meydana gelen ölümlü ve yaralanmalı trafik kazaları verilerinin T.C. Emniyet Genel Müdürlüğünden temin edilmesi çalışmanın başlangıç noktasını oluşturmaktadır. Bu çalışmada veri madenciliğine ilişkin genel bir bilgi verilerek Türkiye sınırları içinde bulunan devlet karayolu kesimine ait 2015-2021 yıllarını kapsayan, 3.532 km Otoyol, 30.965 km Devlet Yolu ve 34.029 km İl Yolu olmak üzere toplam 68.526 km yol ağında yedi yılda (2015-2021) gerçekleşen ölümlü ve yaralanmalı trafik kaza verileri, veri ön işleme teknikleri kullanıldıktan sonra verilere ait tanımlayıcı bilgiler elde edilmiştir. Bu incelenen yedi yılda, motorlu taşıt sayısında her yıl artış olmuş, ölümlü ve yaralanmalı kaza sayısı bu oranda artmamıştır. 2019-2020 yıllarında kaza sayısındaki düşüşün özel bir sebebi olup bu COVID-19 pandemisidir. Bu yıllarda sokağa çıkma yasakları, evde çalışma gibi durumlardan dolayı trafikteki taşıt sayısının azalması kaza sayısının da azalmasını sağlamıştır.
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