Yazar "Aksu, Erson" seçeneğine göre listele
Listeleniyor 1 - 13 / 13
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe A rare cause of virilization; Ovarian steroid cell tumor, not otherwise specified (NOS)(Galenos Yayincilik, 2012) Taşdemir, Nicel; Çelik, Cem; Abalı, Remzi; Aksu, Erson; Öznur, Meltem; Yılmaz, MuratSex cord-stromal tumors account for 5% of ovarian tumors and 2% of malignant ovarian tumors. Steroid cell tumors (SCT), not otherwise specified (NOS), are rare sex cord-stromal tumors of the ovary and account for less than 0.1% of all ovarian tumors. We report a rare case of a postmenopausal woman presented with hirsutism, virilism and with findings of hyperestrogenism.Öğe Afektif Mizaçlar Postpartum Depresyonu Öngörebilir: Bir Ön Çalışma(2021) Aksu, Erson; Beyazyüz, ElmasAmaç: Postpartum depresyon (PPD) anne, bebek ve eşleri etkileyen ciddi bir klinik durumdur. PPD, duygudurum bozukluğu olarak kabul edilmekle birlikte, PPD ve gebelikte afektif mizaçları araştıran sınırlı sayıda çalışma vardır. Ayrıca, gebelikte afektif mizaçların PPD’yi yordayıp yordayamayacağını araştıran herhangi bir çalışma bulunmamaktadır.Gereç ve Yöntem: Alınma ve dışlanma kriterlerine göre 114 gebe çalışmaya dahil edildi. Hastalar, gebeliğin üçüncü trimesterinde Memphis, Pisa, Paris ve San Diego’nun Mizaç Değerlendirmesi anketi ile ve sosyo-demografik formlarla değerlendirildi. Doğumu takip eden ilk dört haftada, hastaların PPD’ye eğilimi olup olmadığını değerlendirmek için Edinburgh Doğum Sonrası Depresyon Ölçeği uygulandı.Bulgular: PPD eğilimi olan hastaların hipertimik mizaç dışındaki tüm afektif mizaç puanlarında anlamlı olarak daha yüksek puanları vardı. Lojistik regresyon analizinde, yüksek siklotimik mizaç ve anksiyete mizaç (AT) puanlarının doğum sonrası depresyona yatkınlıkla ilişkili olduğu bulunmuştur (Odds oranı: 1,26 ve 1,47).Sonuç: Siklotimik ve AT, doğum sonrası depresyon eğilimini yordamak için aday olabilirler. Özellikle siklotimik ve AT puanları yüksek olan gebeler afektif bozukluklar açısından değerlendirilmelidir.Öğe Altered Affective Temperaments in Women With Vaginismus(NLM (Medline), 2021) Aksu, Erson; Beyazyüz, Elmas; Albayrak, Yakup; Potas, Nihan; Kumandaş, Gökçen; Bağ, İdil; Beyazyüz, MuratOBJECTIVE: Vaginismus is one of the most frequently occurring genito-pelvic pain disorders in women. Sexual dysfunction commonly presents with comorbid psychiatric disorders, and many patients suffering from the former exhibit the latter. The objective of this study was to investigate the affective temperaments of women with vaginismus compared to healthy controls. METHODS: Forty-eight women with vaginismus and 42 age-matched healthy women were recruited and compared in terms of their scores on the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire and a sociodemographic instrument. RESULTS: Except for the scores for hyperthymic temperament, those for depressive, cyclothymic, irritable, and anxious temperaments were significantly higher in the vaginismus group than in the healthy controls (P<.05). The analysis of covariance indicated that the anxious temperament was significantly associated with covariants. CONCLUSIONS: On the basis of the preliminary results, women with vaginismus may be candidates for bipolar disorder. This population should therefore be screened more carefully in terms of the development of the disorder. Bipolar disorder should also be considered when treatments for comorbid psychiatric disorders are needed. © Copyright 2021 Physicians Postgraduate Press, Inc.Öğe Altered cooperativeness in patients with polycystic ovary syndrome(Taylor and Francis Ltd., 2019) Aksu, Erson; Beyazyüz, Elmas; Albayrak, Yakup; Potas, Nihan; Durankuş, Ferit; Uvaçin, Gamze; Beyazyüz, MuratOBJECTIVE: In the present study, we aimed to compare temperament and character traits between patients with polycystic ovary syndrome (PCOS) and age-body mass index-matched healthy controls (HC). We hypothesized that patient with PCOS would differ in terms of temperament and character traits compared with HCs. MATERIAL AND METHODS: Fifty patients who were diagnosed with PCOS and 42 age-body mass index-matched healthy controls (HC) were included in the study. The groups were compared in terms of temperament and character traits and anxiety status with the Temperament and Character Inventory (TCI) and State-Trait Anxiety Inventory (STAI-1 and STAI-2). FINDINGS: There was a statistically significant difference between patient and the control group in terms of cooperativeness dimension (t = ?2.81; p = 0.006). It was a lower mean in the PCOS group (20.98 ± 2.992). In addition, scores of STAI-1 and STAI-2 were significantly higher in the PCOS group compared with the HC group (respectively; t = 5.70; p < 0.001; t = 2.12; p = 0.037). The score of cooperativeness and multivariate analysis of variance was found to be significantly lower in the PCOS group. CONCLUSIONS: Patients with PCOS had significant a different character trait such as lower cooperativeness compared with HC. Additionally, we found that this different character dimension would be a trait in PCOS after covariant analysis. We suggest that our result supported the psychiatric background of PCOS. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.Öğe Distinct temperament and character traits in patients with hyperemesis gravidarum(Taylor & Francis Ltd, 2020) Aksu, Erson; Albayrak, Yakup; Beyazyüz, Elmas; Potas, Nihan; Durankuş, Ferit; Tenel, Burçak; Beyazyüz, MuratHyperemesis gravidarum (HG) is an extreme form of vomiting during pregnancy and is characterized with excessive vomiting and nausea and ketonuria, electrolyte imbalance, dehydration and severe nurtition deficiency. The etiology of HG is considered as multifactorial. Altough there is a great interest to HG in terms of psychiatric conditions, there have been limited numbers of studies that researched personality traits in patients with HG. In present study, we aimed to compare temperament and character traits between pregnant women with and without HG by Temperament and Character Inventory. 48 pregnant women with HG and 64 healthy pregnant women were included to study. The HG groups and control group were compared in terms of temperament and character traits and anxiety levels. The temperament scores of novelty seeking, harm avoidance and reward dependence were found to be similar between groups while the score of persistence was significantly lower in HG group compared with control group (p = .021). All character scores in HG group as cooperativeness, self-directedness, and self-transcendence were significantly lower compared with control groups (respectively;p = .002,p = .018 andp = .029). The scores of STAI-1 was higher in HG group compared with control group (p = .027) whereas the score of STAI-2 was found to be similar between groups. Present study is the first to demonstrate different temperament and character traits in patients with HG. We argue that our results support the psychiatric background of HG; however further studies are needed to confirm our results.Öğe Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?(2013) Çelik, C.; Abalı, Remzi; Taşdemir, Nicel; Aksu, Erson; Akkuş, Didem; Gül, A.Objective: The primary aim of this study is to evaluate the effects of previous abdominal surgery on the feasibility of performing and the safety of total laparoscopic hysterectomy (TLH). Material and Methods: In this retrospective study, we analysed 62 laparoscopic hysterectomies which were performed at our institute between February 2011 and January 2013. We chose to perform laparoscopic surgery for all patients, including those who had previously undergone abdominal surgery. The patients were classified into two groups: Group 1 included patients with a history of abdominal surgery (n=24) and Group 2 included patients without a history of abdominal surgery (n=38). Results: The operating period was compared in both groups: 184.43±51.0 min. for Group 1 and 195.41±64.1 min. for Group 2 (p=0.471). Postoperative hospital stay and blood loss was also compared. There was just 1 conversion from TLH to a laparotomy in both groups. None of the patients in Group 1 needed a blood transfusion, whereas 1 in Group 2 did. Conclusion: We found that operation time, postoperative hospital stay, blood loss, rate of operative complications or conversion rate to open surgery between patients with and without a history of abdominal surgery were comparable. Therefore, it appears that a history of abdominal surgery does not adversely affect the safety of TLH. © 2013 by the Turkish-German Gynecological Education and Research Foundation.Öğe Effects of Personality Traits on Clinical Outcomes of Premenstrual Dysphoric Disorder(2022) Aksu, Erson; Beyazyüz, ElmasObjective: Premenstrual dysphoric disorder is a condition characterized by psychological and somatic symptoms that manifest during the luteal phase of menstruation and disappear after menstrual bleeding. Personality traits have specific roles in several psychiatric and psychosomatic disorders, as well as in selfperceived health. The present study aimed to explore the associations between personality traits and the severity of premenstrual dysphoric disorder. Methods: Among 148 women newly diagnosed with premenstrual dysphoric disorder, 96 were included in the study. The patients were evaluated using the Premenstrual Symptoms Screening Tool, Premenstrual Symptoms Impact Survey, and Basic Personality Traits Inventory. Results: The regression model showed a significant association between Premenstrual Symptoms Screening Tool and neuroticism (B = 3.04, CI = 1.86-4.22, P <.001). It was also revealed that there was a significant association between Premenstrual Symptoms Impact Survey and neuroticism (B = 9.87, CI= 5.84-12.99, P <.001). Conclusion: The present study is the first to demonstrate the effects of neuroticism on premenstrual dysphoric disorder using reliable scales. A neurotic temperament can be considered as a predictor for worse symptomatology in premenstrual dysphoric disorder. Further studies are warranted to confirm our results. © 2022, Istanbul Universitesi. All rights reserved.Öğe Is subclinical hypothyroidism contributing dyslipidemia and insulin resistance in women with polycystic ovary syndrome?(Taylor & Francis Ltd, 2012) Çelik, Cem; Abalı, Remzi; Taşdemir, Nicel; Güzel, Savaş; Yüksel, Aytac; Aksu, Erson; Yılmaz, MuratWe aimed to analyze lipid parameters and determine the need for a 2-hour oral glucose tolerance test (OGTT) for the identification of IR and impaired glucose tolerance test (IGT) in subclinical hypothyroidism (SCH) women with and without polycystic ovary syndrome (PCOS). 20 patients with PCOS and SCH consisted of Group I and 39 patients with PCOS and normal thyroid function consisted of Group II and 53 healthy women with normal thyroid function consisted of Group III. Triglyceride levels were 143.26 +/- 99.86 mg/dL in group 1 and 88.56 +/- 37.56 mg/dL in group 2 and 83.71 +/- 31.94 mg/dL in group 3 which were statistically significant. Total cholesterol, HDL-cholesterol, LDL-cholesterol were found similar between the groups. Fasting insulin levels were 12.45 +/- 8.62 mu U/mL in group 1 and 8.60 +/- 5.35 mu U/mL in group 2 and 7.04 +/- 3.55 mu U/mL in group 3 which were statistically significant (P = 0.027). HOMA-IR were 2.92 +/- 2.34 in group 1 and 1.95 +/- 1.52 in group 2 and 1.60 +/- 0.86 in group 3 which were statistically significant (P = 0.046). This study showed that women with PCOS and subclinical hypothyroidism should be evaluated for dyslipidemia and Insulin resistance.Öğe Laparoscopic Management of a Unicornuate Uterus with Noncommunicating Rudimentary Horn: Case Report(2012) Çelik, Cem; Gökulu, Şevki Göksun; Taşdemir, Nicel; Abalı, Remzi; Aksu, Erson; Doğan, Nasuh UtkuNonkominikan Rudimente Korn ile Birlikte Olan Unikornuat Uterusun Laparoskopik olarak çıkarılması bildirilmektedir. Preoperatif tanı fizik muayene, pelvik ultrasonografi ve histerosalpingografi ile konmuştur. Hastaya Histeroskopi ve laporaskopi uygulanmış ve 24 saatte taburcu edilmiştir. Müllerian anomalilelrin tanı ve tedavisinde histeroskopi ve laporoskopi kullanılması pelvik anatominin daha iyi görüntülenmesini, yapışıklıkların minimal olmasını, operasyon sonrası ağrının azaltılmasını ve postoperatif dönemin kısaltılmasını sağlar.Öğe PREMALİGN SERVİKOVAGİNAL SMEAR SONUÇLARININ KOLPOSKOPİ VE LEEP İLE KORELASYONU(2020) Aslan, İlke Özer; Satılmışoğlu, Zeliha Zeynep; Aksu, ErsonAmaç: Bu çalışmada, serviks kanseri taramasında smear, kolposkopi ve LEEP/konizasyon aşamalarından geçen hastaların patoloji sonuçlarını değerlendirilerek birbirleri arasındaki uyumluluk derecesini incelemek ve tedavi sonuçlarını değerlendirebilmek amaçlandı.Materyal ve Metot: Ocak 2010-Aralık 2017 tarihleri arasında Namık Kemal Üniversitesi Kadın Hastalıkları ve Doğum polikliniğine başvuran LEEP işlemi uygulanmış 145 hasta çalışmaya dahil edildi. Bu hastaların LEEP, kolposkopik biyopsi ve smear patoloji sonuçları arasındaki uyumluluk dereceleri retrospektif olarak incelendi. İstatistiksel analizler için İstatistiksel analizler için NCSS (Number Cruncher Statistical System) 2007 (Kaysville, Utah, USA) programı kullanıldı.Bulgular: HPV DNA sonucu pozitif olup LEEP ve kolposkopi yapılan hastaların patoloji sonuçları incelendiğinde %62.9’unda CIN 2+3 saptanmakla birlikte, bu oran oldukça anlamlı düzeyde yüksek bulunmuştur. LEEP ve kolposkopi işlemi yapılan olguların histopatolojik sonuçları karşılaştırıldığında kolposkopi sonucu CIN 1 olan olguların %14.5’inde, CIN 2 olan olguların %35.2’sinde LEEP sonrasında daaynı histopatolojik sonuç ile karşılaşılmıştır. Dikkat çekici olarak kolposkopi sonrası lezyon saptanmayan olguların %2.8’inde CIN 1, %2.1’inde CIN 2+3 saptanıp, 1 olguda da invaziv karsinomla karşılaşılmıştır.Sonuç: Eksizyon tedavisi için uygun hastaların belirlenmesinde smear, kolposkopi ve LEEP birbirlerini bütünleyici olarak kullanılmalıdır. Bu yöntemlerin histopatolojik sonuçlarının klinik olarak korelasyonu önemlidir.Premalign lezyonların tespit edilmesinde kolposkopi eşliğinde yapılan biyopsinin güvenilir olduğu düşünülebilir. Ancak kesin tanı ve tedavi için servikal konizasyon yöntemi halen altın standart olarak kabul edilip hastalara bu yönde bilgi verilmesi uygun bir yönetim şekli olmalıdır.Öğe Primary ectopic breast cancer of the vulva: a case report with a short literature review(Edizioni Minerva Medica, 2024) Aksu, Erson; Kayali, Ayse; Spasova, Victoria; Koleva, Liliya; Kolev, Anatoli; Shumarova, Svetlana; Karamisheva, VeselaIt is extremely difficult to establish aberrant breast tissue, due to the low frequency and the need for the manifestation of clinical signs. Carcinoma developing on the basis of ectopic breast tissue metastasizes early and has a poor prognosis. Therefore, it is important to know the problem through case reporting in order to improve early diagnosis and treatment. The case presented by us is a 64 -year -old woman with primary ectopic breast cancer of the vulva and with distant metastases and the of radical treatment.Öğe Single-incision-two port laparoscopic tubal ligation: A cost comparison and technique description(Galenos Yayincilik, 2015) Taşdemir, Nicel; Abalı, Remzi; Çelik, Cem; Aksu, Erson; Akkuş, DidemObjective: Laparoscopic surgery is the principal minimally invasive technique that is used for the treatment of gynecologic pathologies. The single-incision laparoscopic surgery (SILS) is another innovation in minimally invasive medicine. The cost of the procedure correlates with the fundamental materials used to access the abdominal cavity and utilize trocars. Material and Methods: We applied the single-incision tubal ligation procedure to three patients. A 15-20-mm vertical incision was made in the umbilicus. Two trocars were inserted through the same incision at different fascial regions after insufflation of the abdomen. A 5-mm bipolar cautery was introduced through the accessory trocar, and the mid-portion of the tubes was coagulated and cut bilaterally. Results: The postoperative periods of the three patients were uneventful. All patients were discharged on the day of surgery. No major or minor complications occurred. Conclusion: The cost for the abdominal access will drop about 82%. When we consider the low pricing for the tubal ligation procedure, the single-incision technique will be more applicable by this method. Moreover, patients will have the advantages of single-incision laparoscopic surgery with low cost.Öğe Total Laparoscopic Hysterectomy Compared with Abdominal Hysterectomy; Clinical Outcomes(Derman Medical Publ, 2014) Çelik, Cem; Abalı, Remzi; Taşdemir, Nicel; Aksu, Erson; Çalışkan, Hatice; Akkuş, DidemAim: The purpose of this study was to confirm the positive intraoperative and postoperative outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH). Material and Method: We presented surgical procedures performed at Namik Kemal University Faculty of Medicine, Department of Obstetrics and Gynecology between September 2010 and December 2012, 47 patients who underwent TLH and 30 patients who underwent TAH were included in the present study. Results: Operating time in TLH group was significantly longer than in the TAH group (202.56 +/- 61.53 vs 138.06 +/- 40.52 min). There were no significant differences between the two groups regarding complications, conversion to laparotomy, intraoperative bleeding. We observed no differences in reoperation and transfusion rates between the two groups. Duration of hospital stay was statistically shorter in TLH group compared to the TAH group (3.93 +/- 0.70 vs 5.26 +/- 1.63 day). Discussion: Laparoscopic hysterectomy, compared to laparotomy regarding equal outcomes and lower perioperative morbidity, improvement of quality of life, shorter hospital stay and faster return to activity.
