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  1. Article ; Online: The Effect of Nonstress Device Noise Level on Stress Parameters in Primigravid Women: A Randomized Controlled Trial.

    Ayşenur, Turan / Nuran, Gençtürk / Cihan, Kaya / Huri, Bulut

    Journal of midwifery & women's health

    2024  Volume 69, Issue 2, Page(s) 279–286

    Abstract: Introduction: This study evaluated the effect of the noise level of the nonstress test (NST) device on stress parameters in primigravid women.: Methods: A total of 44 pregnant women participated in a randomized clinical trial between February and ... ...

    Abstract Introduction: This study evaluated the effect of the noise level of the nonstress test (NST) device on stress parameters in primigravid women.
    Methods: A total of 44 pregnant women participated in a randomized clinical trial between February and October, 2021. The participants were divided randomly into 4 equal groups using an automated web-based randomization system and ensuring allocation concealment: the control group (NST device volume turned off), intervention group I (1-35 dB(A)), intervention group II (36-60 dB(A)), and intervention group III (61 dB(A) and above). A data collection form was used to record personal information and stress parameters. Stress parameters (blood pressure, heart rate, oxygen saturation [SpO
    Results: NST sound levels above 35 dB(A) increased the average cortisol and ACTH levels in the posttest. NST sound levels were positively correlated with posttest cortisol (r = .448) and posttest glucose (r = .302). There was interaction effect on heart rate, glucose, and cortisol level by time, indicating that the intervention groups experienced a significant acceleration in heart rate, glucose, and cortisol level after a noise intervention compared with the control group.
    Discussion: Midwives should continue applying NST below 36 dB(A), considering the factors that may induce stress during the NST process.
    MeSH term(s) Humans ; Pregnancy ; Female ; Hydrocortisone ; Blood Glucose ; Glucose ; Adrenocorticotropic Hormone
    Chemical Substances Hydrocortisone (WI4X0X7BPJ) ; Blood Glucose ; Glucose (IY9XDZ35W2) ; Adrenocorticotropic Hormone (9002-60-2)
    Language English
    Publishing date 2024-01-04
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2008180-7
    ISSN 1542-2011 ; 1526-9523
    ISSN (online) 1542-2011
    ISSN 1526-9523
    DOI 10.1111/jmwh.13581
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  2. Article ; Online: Catamenial pneumothorax

    Cihan Kaya / Derya Iliman / Gun Eyuboglu / Ece Bahceci

    Polish Journal of Thoracic and Cardiovascular Surgery, Vol 17, Iss 2, Pp 107-

    multidisciplinary minimally invasive management of a recurrent case

    2020  Volume 109

    Abstract: Thoracic endometriosis syndrome (TES) is the presence of endometriotic foci within the respiratory system and involves a range of symptoms that coincide with the menses. These symptoms are defined as the presence of pneumothorax, hemothorax, hemoptysis, ... ...

    Abstract Thoracic endometriosis syndrome (TES) is the presence of endometriotic foci within the respiratory system and involves a range of symptoms that coincide with the menses. These symptoms are defined as the presence of pneumothorax, hemothorax, hemoptysis, lung nodules, isolated chest pain, and pneumomediastinum. Catamenial pneumothorax (CP) is described as recurrent abnormal air collection between the lung and chest wall that occurs within the first 72 hours of the menses and is the most common presentation of TES [1].
    Keywords Surgery ; RD1-811 ; Internal medicine ; RC31-1245
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher Termedia Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Laparoscopic Management of Abdominal Pregnancy Replaced in the Vesicouterine Pouch and Sacrouterine Ligament

    Cihan Kaya / Murat Ekin

    Gorm, Vol 23, Iss 3, Pp 171-

    2017  Volume 173

    Abstract: AAbdominal pregnancies are rare and life threatening conditions with increased maternal mortality rate. A 37-year old woman admitted with acute abdominal pain. She had a history of dilatation and curettage due to anembryonic pregnancy five days ago. A ... ...

    Abstract AAbdominal pregnancies are rare and life threatening conditions with increased maternal mortality rate. A 37-year old woman admitted with acute abdominal pain. She had a history of dilatation and curettage due to anembryonic pregnancy five days ago. A pelvic X Ray confirmed an abdominally located IUCD. Her serum β-human chorionic gonadotropin level was 5531 mIU/ml. A laparoscopy was performed and there was a round hemorrhagic mass in the vesicouterine pouch in exploration. The trophoblastic tissue was removed from the vesicouterine pouch and left sacrouterine ligament. The histopathology report revealed chorionic villi both of the excised specimens. The abdominal cavity should be explored carefully in suspicion of abdominal pregnancy and laparoscopic management is a feasible approach for this cases.
    Keywords Ectopic pregnancy ; Intrauterine devices ; Laparoscopy ; Medicine ; R ; Gynecology and obstetrics ; RG1-991
    Language English
    Publishing date 2017-12-01T00:00:00Z
    Publisher Medical Network
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Laparoskopik endometrioma kistektomi cerrahilerinde elektrokoagülasyon veya sütür tekniği ile sağlanan hemostazın rekürrens ve gebelik sağlama oranına etkisi

    Şükrü Yıldız / Cihan Kaya / İsmail Alay / Murat Eki̇n / Levent Yaşar

    Cukurova Medical Journal, Vol 45, Iss 2, Pp 482-

    2020  Volume 487

    Abstract: Amaç: Bu çalışmanın amacı, tek veya bilateral endometriomalarda laparoskopik kistektomi sonrası elektrokoagülasyon veya sütür tekniği uygulaması ile sağlanan hemostazın, endometrioma rekürrensi ve spontan gebelik oranlarına etkisinin değerlendirilmesidir. ...

    Abstract Amaç: Bu çalışmanın amacı, tek veya bilateral endometriomalarda laparoskopik kistektomi sonrası elektrokoagülasyon veya sütür tekniği uygulaması ile sağlanan hemostazın, endometrioma rekürrensi ve spontan gebelik oranlarına etkisinin değerlendirilmesidir.Gereç ve Yöntem: 18-42 yaş aralığında herhangi bir yardımcı üreme tedavisi desteği almayan 46 primer infertil hasta retrospektif olarak analiz edildi. Laparoskopik kistektomi operasyonu, sıyırma tekniği ile uygulandı. Over doku kanaması sütür (n=23) veya bipolar elektrokoagülasyon (n=22) ile kontrol edildi. Kist rekürrensi postoperatif olarak ultrason eşliğinde değerlendirildi. Spontan gebelik adet gecikmesi sonrası kan Beta- insan koryonik gonadotropin (B-hCG) seviyesi bakılarak saptandı.Bulgular: Ortalama yaş 31.62±6.55 olarak saptandı. Gruplar arasında istatistiksel olarak yaş, vücut kitle indeksi (BMI), preopertaif endometrioma büyüklüğü, pre/postoperatif hemoglobin (hb) ve hemotokrit (Hct) değeri ile anlamlı bir fark saptanmadı. Sütür grubunda rekürrens oranı fazla çıksa da istatistiksel olarak anlamlı bulunmadı. Spontan gebelik oranı her iki grupta benzer saptandı. Çalışma gruplarında endometrioma lateralitesinde istatistiksel olarak bir fark saptanmadı.Sonuç: Bu çalışma, Endometrioma cerrahisi sonrası uygulanan elektrokoagülasyon veya sütür tekniğinin endometrioma rekürrensi ve spontan gebelik oranlarına farklı etkisinin olmadığını göstermiştir.
    Keywords endometriosis ; recurrence ; haemostasis ; cystectomy ; endometriozis ; rekürrens ; hemostaz ; kistektomi ; Medicine (General) ; R5-920
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher Cukurova University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Short-term Efficacy of Dienogest in Improving Pain in Patients with Endometriosis

    Cihan Kaya / İsmail Alay / Hüseyin Cengiz / Ece Bahçeci / Murat Ekin / Levent Yasar

    European Archives of Medical Research, Vol 37, Iss 1, Pp 11-

    A Single-center Experience

    2021  Volume 14

    Abstract: Objective: Endometriosis is a common disease that affects 5%-15% of women of reproductive age. This study aimed to evaluate the effect of dienogest (DNG) on improving pain scores of patients with endometriosis.Methods:Data of 77 women who were admitted ... ...

    Abstract Objective: Endometriosis is a common disease that affects 5%-15% of women of reproductive age. This study aimed to evaluate the effect of dienogest (DNG) on improving pain scores of patients with endometriosis.Methods:Data of 77 women who were admitted to the endometriosis clinic from March 1, 2015, to March 1, 2017, were evaluated. Patients were divided into 2 groups: DNG group (n=46) or group that denied use of any medication (expectant management group, n=31). The main presenting symptoms were graded using the visual analog scale (VAS). Age, parity, gravidity, body mass index (BMI), VAS scores, and further surgery requirement of the study groups were compared.Results:The most common presenting symptom was dysmenorrhea (79.2%), and the least common was dysuria (7.8%). No statistically significant difference was found between the study groups in terms of age, parity, gravidity, BMI, and further surgery requirement. A significant difference was found in the reduction of dysmenorrhea, dyspareunia, dyschezia, and pelvic pain VAS scores between the study groups, and more reduction was observed in the DNG group after 6 months of follow-up (p<0.001, p=0.04, p=0.009, and p=0.01, respectively).Conclusion:DNG might be an alternative treatment for reducing pain symptoms related to endometriosis.
    Keywords dienogest ; endometriosis ; pelvic pain ; treatment outcome ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Hysterectomy by vaginal-assisted natural orifice transluminal endoscopic surgery

    Cihan Kaya / İsmail Alay / Murat Ekin / Levent Yaşar

    Journal of the Turkish-German Gynecological Association, Vol 19, Iss 1, Pp 34-

    Initial experience with twelve cases

    2018  Volume 38

    Abstract: Objective:To declare our initial experience on hysterectomy cases performed using vaginally-assisted natural orifice transluminal endoscopic surgery.Material and Methods:The study was conducted with data from 12 patients in our department who were ... ...

    Abstract Objective:To declare our initial experience on hysterectomy cases performed using vaginally-assisted natural orifice transluminal endoscopic surgery.Material and Methods:The study was conducted with data from 12 patients in our department who were recommended for hysterectomies for various indications between January 2017 and May 2017. The following data were collected retrospectively: age, body mass index (BMI), parity, previous abdominal or pelvic surgery, total operating time, preoperative hemoglobin (Hb), postoperative Hb, peri-operative complications and Visual Analogue Scale scores for evaluating postoperative pain. All patients were laid in the dorsal lithotomy position under general anesthesia. A cervical circumcision, as well as anterior and posterior colpotomy were performed. A self-constructed glove port was then inserted through the anterior and posterior colpotomy openings into the abdominal cavity. After pneumoperitoneum was achieved, a 10-mm rigid zero-degree telescope, disposable conventional laparoscopic grasping forceps, and a tissue sealer were used as standard equipment. After exploration of the abdominal cavity, all uterine vessels and ligaments were sealed and transected using the tissue sealer. After removing the uterus, the vaginal opening was closed using a Vicryl 1-0 suture.Results:The following are the mean values for each variable: patients’ age: 55.75±9.8 years (range, 43-72 years), BMI: 29.4±5.4 kg/m2 (range, 21-42 kg/m2), operation duration: 66.8±25.3 min (range, 42-120 min), decrease in Hb: 1.5±1 (0-4) gr/dL, and hospital stay: 2.1±0.3 (2-3) days. There were no vaginal wound infections or dehiscence, and no patients reported pain during postoperative pelvic examinations. Conclusion:Although these findings are from our initial experience, we can affirm the feasibility of this technique.
    Keywords hysterectomy ; laparoscopic surgery ; natural orifice transluminal endoscopic surgery ; Medicine ; R ; Gynecology and obstetrics ; RG1-991
    Subject code 610
    Language English
    Publishing date 2018-03-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Vulvar geniş fibroepitelyal polip

    Çağlar HELVACIOĞLU / Rafiga GASIMOVA / Cihan KAYA / Özlem HELVACIOĞLU / Murat EKİN

    Cukurova Medical Journal, Vol 43, Iss Ek 1, Pp 337-

    2018  Volume 338

    Abstract: ...

    Abstract -
    Keywords fibroepithelial polyps ; vulva ; fibroepitalyal polip ; Medicine (General) ; R5-920
    Language English
    Publishing date 2018-12-01T00:00:00Z
    Publisher Cukurova University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: A spontaneous heterotopic pregnancy presenting with acute abdomen treated with natural orifice transluminal endoscopic surgery procedure

    Keziban Doğan / Cihan Kaya / Derya Ece Ilıman / İbrahim Karaca / Hüseyin Cengiz

    Turkish Journal of Obstetrics and Gynecology, Vol 16, Iss 4, Pp 271-

    Case report

    2019  Volume 273

    Abstract: Heterotopic pregnancy occurs 1 in 30000 pregnancies. We present case of an acute abdomen caused by a ruptured ectopic component. Our patient had no known risk factors, which made the diagnosis even more challenging. Intrauterine pregnancy was desired by ... ...

    Abstract Heterotopic pregnancy occurs 1 in 30000 pregnancies. We present case of an acute abdomen caused by a ruptured ectopic component. Our patient had no known risk factors, which made the diagnosis even more challenging. Intrauterine pregnancy was desired by patient and her husband. A natural orifice transluminal endoscopic surgery (NOTES) procedure was performed, which is a next-generation minimally invasive procedure in this area. After the procedure, our patient was discharged one day after surgery with a viable intrauterine pregnancy.
    Keywords heterotopic pregnancy ; acute abdomen ; natural orifice transluminal endoscopic surgery procedure ; Medicine ; R ; Gynecology and obstetrics ; RG1-991
    Language English
    Publishing date 2019-12-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: A rare case of ovarian ectopic pregnancy mimicking rupture of corpus hemorrhagicum

    Cihan Kaya / Huseyin Cengiz / Murat Ekin / Levent Yasar

    Medical Journal of Bakirköy , Vol 11, Iss 3, Pp 131-

    2015  Volume 133

    Abstract: Ectopic pregnancy and the rupture of corpus hemorrhagicum are fatal gynecological emergencies that comprise an important part of the causes of referring to the emergency services. 26 year old-gravida 1, para 1 woman was referred to our clinic with lower ... ...

    Abstract Ectopic pregnancy and the rupture of corpus hemorrhagicum are fatal gynecological emergencies that comprise an important part of the causes of referring to the emergency services. 26 year old-gravida 1, para 1 woman was referred to our clinic with lower quadrant abdominal pain. In her medical history there were no delayed menstruation and the pregnancy test which practiced in an outside clinic, was reported as negative. According to the acute abdomen signs in the medical examination, emergency laparatomy has been performed. There was a mass that pretends to be ruptured hemorrhagic cyst prediagnostically was observed and excised. Pathology results of the patient, whose bhCG value was measured post operatively as 2090mIU/mL, was compatible with ovarian ectopic pregnancy. The case of ovarian ectopic pregnancy, which is a rare situation and can be interfering with the rupture of corpus hemorrhagicum cyst, is presented with a brief literature review.
    Keywords Pregnancy test ; corpus luteum cyst ; ovarian pregnancy ; Medicine (General) ; R5-920 ; Medicine ; R
    Subject code 150
    Language English
    Publishing date 2015-01-01T00:00:00Z
    Publisher Bakirköy Tip Dergisi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Laparoscopic Management of a Torsioned Round Ligament Fibroid

    Cihan Kaya / İsmail Alay / Günay Babayeva / Hakan Güraslan / Murat Ekin / Levent Yaşar

    Oman Medical Journal, Vol 33, Iss 5, Pp 441-

    2018  Volume 443

    Abstract: Round ligament fibroids are rare tumors and can present as inguinal, adnexal, or vulvar masses. Preoperative diagnosis can be made by ultrasonography or magnetic resonance imaging (MRI). A 28-year-old virgin female presented with pelvic pain that ... ...

    Abstract Round ligament fibroids are rare tumors and can present as inguinal, adnexal, or vulvar masses. Preoperative diagnosis can be made by ultrasonography or magnetic resonance imaging (MRI). A 28-year-old virgin female presented with pelvic pain that persisted for a few days. Her sonographic evaluation detected a well-defined hyperechoic 45 × 40 mm right adnexal mass interfering endometrioma. A contrast-enhanced pelvic MRI showed a 43 × 39 × 32 mm solid mass located in the right adnexa. Laparoscopic exploration revealed a well-defined double torsion around the peduncle pinky solid mass arising from the right round ligament. The mass was resected with the final histopathological diagnosis being leiomyoma. The diagnosis of round ligament fibroids can be challenging, and laparoscopy is one of the first options where surgical facilities are available.
    Keywords Fibroid Tumor ; Laparoscopy ; Round Ligaments ; Medicine ; R
    Language English
    Publishing date 2018-09-01T00:00:00Z
    Publisher Oman Medical Specialty Board
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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