Browsing by Author "Gul, A."

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The Comparison of Misoprostol and Oxytocin Efficacy in the Prevention of Postpartum Hemorrhage Related To Uterine Atony
(2000) Gul, A.; Zeteroglu, S.; Karayel, M.; Sahin, G.; Kocar, M.; Surucu, R.
OBJECTIVE: To compare the efficacy of misoprostol and oxytocin in the prevention of early postpartum hemorrhage related to uterine atony. STUDY DESIGN: Ninenty-nine women with normal pregnancy in active phase of labor were enrolled in to this study between January 1999 and May 1999. Pregnancy malpresentation, multiple gestations, toxemia of pregnancy and placental abnormality were excluded. Patients were divided into two groups. In the group 1, only one dose of 600 μg misoprostol (Cytotec® 200 μg tb, Ali Raif) was administered by oral route at the end of second phase of the labor in 50 cases. In the group 2, 20 IU oxytocin in 1000 cc 0.9 % NaCl and was administered as intravenous infusion at a dose of 10 cc/min for the first five minutes and continued at a dose of 2 cc/min. Cases were followed up for duration of third phase of labor, early postpartum hemorrhage (≥500 cc), antepartum and postpartum values of hemoglobin and hematocrit, and adverse effects swoh as nausea, vomiting, diarrhea and trembling. The weight of all neonates was recorded. RESULTS: There was no statistically significant difference between two groups in terms of maternal age, weight, gravida antepartum and postpartum levels of hemoglobin and hematocrit, body temperature, gestational age and neonatal weight. The mean duration of third phase of labor in group 1 and in group 2 were 7.32±3.77 min (1-15 min) and 20.85±4.46 min (12-36 min), respectively. Statistically significant difference was detected between the two groups (p<0.05). The mean decrease of hemoglobin level at postpartum period with respect to antepartum level in group 1 and group 2 was 0.3 g/dL and 0.50 g/dL, respectively, and there was no statistically significant difference between two groups (p>0.05). The rate of early postpartum hemorrhage was 4 % (n=2) in group 1 and 14.29 % (n=7) in group 2, and statistically significant difference was detected between the two groups (p<0.05). The occurrence of trembling in group 1 and group 2 was 82 % (n=41) and 20.4 % (n=1), respectively, and statistically significant difference was detected between the two groups. Mean body temperature at the postpartum first hour were 37.10±0.11°C (36.60-37.60°C) in group 1 and 36.60±0.86°C (35.50-36.80°C) in group 2, and there was statistically significant difference between the two groups (p<0.05). CONCLUSION: We concluded that misoprostolis more effective in the prevention of early postpartum hemorrhage, in decreasing blood loss, and in shorthening the third phase of labor. Although, misoprostol has some transient and unimportant side effects, it can be used as an alternative to oxytocin.
Contraceptive Health Services Provided in the Region of Van During 1998
(1999) Zeteroglu, S.; Gul, A.; Sahin, G.
Objective: The aim of this study was to asses the health services provided for contraception in the center of Van during 1998. Study design: The health services provided for contraception during 1998 was studied retrospectively by collecting data from Yuzuncu Yil University Faculty of Medicine Research Hospital, Maternal and Children Health-Family Planning Center, Maternal Hospital of Van, Family Planning Center of Social Security Services Hospital and Obstetric and Gynecology Department of the Military Hospital. Results: According to data collected from the health centers, the services for contraception were given to a total of 2535 couples. Oral contraceptives and condom were used by 461 (18.2%) and 221 (8.72%) couples respectively. Long acting injectable hormone contraceptive was given to 456 (18%) couples. Four hundred and twenty five of them started to use this method one year before (in 1997), whereas only 31 women started to use it in 1998. Intrauterine devices (IUD's) and tubal ligation were applied to 946 (37.3%) and 237 (35.1%) women, respectively. There was only one vasectomy operation which was performed in Yuzuncu Yil University Faculty of Medicine. Dilatation and curettage was performed to 165 (6.51%) women for pregnancy termination and in our opinion more than that rate was performed in private offices. Conclusion: Only 19.31% of women who need contraception admitted to health centers for information. From this point view, a more wide spread health service for contraception is warrented. In our region, due to increased rate of grand multiparities and difficulties in readmitting to health personel tubal ligation must be encouraged as a contraception method. Long acting injectable hormonal contraception and IUD should also become one of the first choices of contraception.
Prevalence of Eimeria Species in Cattle
(indian veterinary Journal, 2008) Gul, A.; Ayaz, E.
Eimeriosis is the most important worldwide parasitic infection in poultry and it also causes problems in cattle, sheep, goats, pigs, horses and rabbits (Kreier and Baker, 1987). Eimeria bovis and E.zuernii are the most pathogenic species in cattle (Soulsby, 1986). This study was conducted to determine the prevalence of Eimeria species in cattle in Bitlis province in Turkey.
Prevalence of Eimeria Species in Goats
(indian veterinary Journal, 2008) Gul, A.; Aydin, A.; Goz, Y.
Eimeriosis is the most important parasitic infection in poultry worldwide and 5 p it also causes problems in cattle, sheep, goats, pigs, horses and rabbits (Kreier and Baker, 1987). Clinical coccidiosis in goats is most frequently caused by-E.-arlaffig-1 (Sayin et al., 1997) and E. ninakohli-yakimovae (Yvore et al., 1985). There have been some studies on caprine coccidiosis in Turkey. In these studies the Eimerian oocysts have been found in the faeces of 94.8% of 147 goats (Guler et al., 1990), 53.3% of 353 goats (Deger et al., 2003). This study was conducted to determine the prevalence and intensity of Eimeria species in goats in Hakkari province in Turkey.
Prevalence of Gongylonema Pulchrum in Sheep
(indian veterinary Journal, 2008) Gul, A.
Gongylonema pulchrum is found in all domesticated mammals and humans, especially sheep and goats (Dunn, 1978). Human infection is presumably due to accidentally ingestion of infected insects or drinking of contaminated water (Eberhard and Busillo,1999). This study was conducted to determine the prevalence of G. pulchrum in sheep Van province in Turkey.
Prevalence of Paramphistomum Infection in Cattle and Sheep in Van Province, Turkey
(versita, 2010) Ozdal, N.; Gul, A.; Ilhan, F.; Deger, S.
This study was carried out in naturally infected cattle and sheep from May, 2006 to April 2007 in Van province, in the eastern of Turkey, to assess the prevalence of paramphistomosis. The rumen and reticulum of slaughtered cattle and sheep were collected monthly from abattoirs (Van Municipality of Slaughterhouse) to monitor the seasonal occurrence of paramphistomosis. 447 cattle and 948 sheep were examined, out of which 8.95 and 4.43 % were positive for Paramphistomum infection, with the mean intensity +/- standard error of mean of 97.55 +/- 12.50 and 89.17 +/- 13.02, respectively. The highest infection in the cattle and sheep infected with Paramphistomum spp. was found during the autumn (September to November) (14.10 %, 8.33 %) and fallowed by the summer seasons (June to August) (9.02 %, 5.18 %).
Primary Gestational Choriocarcinoma of the Uterine Cervix and Fallopian Tube: the Diagnosis of Ectopic Pregnancy Is Not Always a Benign Condition
(Bmj Publishing Group, 2019) Karaman, E.; Kolusan, A.; Alkis, I.; Karaaslan, O.; Sahin, H. G.; Gul, A.