Browsing by Author "Kurdoglu, M."

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Can Monoclonal Antibody Against Laminin Receptor-1 Be a Novel Therapy for Preeclampsia: a Hypothesis for Further Studies on a Rat Model
(Wiley-blackwell, 2014) Kurdoglu, M.; Sendag, S.; Kurdoglu, Z.; Wehrend, A.
Catalase Activity, Serum Trace Element and Heavy Metal Concentrations, and Vitamin A, D and E Levels in Pre-Eclampsia
(Sage Publications Ltd, 2008) Kolusari, A.; Kurdoglu, M.; Yildizhan, R.; Adali, E.; Edirne, T.; Cebi, A.; Yoruk, I. H.
Catalase (antioxidant enzyme) activity in erythrocytes and serum levels of trace elements (copper, iron, zinc), heavy metals (cadmium, cobalt) and vitamins A (retinol), D (cholecalciferol) and E (alpha-tocopherol) were measured in 145 subjects comprising 47 pre-eclamptic pregnant women (PE), 48 healthy pregnant women (HP) and 50 healthy non-pregnant controls (NP). Catalase, vitamins A, D and E and levels of cobalt were significantly lower in the PE group compared with the HP and NP groups, whereas levels of copper, iron and cadmium were significantly higher in the PE group than in the HP and NP groups. Levels of zinc were significantly lower in both the PE and HP groups compared with the NP group. This assessment of oxidant/antioxidant imbalance in pregnant women could be useful in the early identification of pre-eclampsia and antioxidant supplementation in the early weeks of gestation might be useful.
Catalase Activity, Serum Trace Element and Heavy Metal Concentrations, Vitamin A, Vitamin D and Vitamin E Levels in Hydatidiform Mole
(Imr Press, 2009) Kolusari, A.; Adali, E.; Kurdoglu, M.; Yildizhan, R.; Cebi, A.; Edirne, T.; Yoruk, I. H.
Purpose of investigation: In this study we aimed to measure the activity of catalase, which is an antioxidant enzyme, the concentrations of some trace elements and heavy metals, and vitamin A, D and E levels in serum samples of patients with hydatidiform mole, normal pregnancies and healthy non pregnant women. Methods: Seventy-two women were enrolled in this study. Of these, 24 were healthy women in the first trimester of pregnancy (HP), 24 were healthy non-pregnant women (NP) and 24 were patients with complete hydatidiform mole (CHM). Results: Serum levels of catalase, Zn, Co, vitamin A, D and E were significantly lower in the CHM group when compared with the HP and NP groups (p < 0.001). Serum levels of Cu, Fe, and Cd were significantly higher in the CHM group when compared with the HP and NP groups (p < 0.001). Conclusion: The assessment of oxidant/antioxidant imbalance in pregnant women could be useful in the early determination of molar pregnancy and supplementation with antioxidants may be useful in the treatment of CHM, and may prevent recurrent molar pregnancy.
Delayed Diagnosis of an Atypical Rupture of an Unscarred Uterus Due To Assisted Fundal Pressure: a Case Report
(2009) Kurdoglu, M.; Kolusari, A.; Yildizhan, R.; Adali, E.; Sahin, H.G.
Introduction: Although rare, rupture of an unscarred uterus is one of the most dangerous obstetric complications, resulting in maternal and fetal jeopardy. Case presentation: A 30-year-old grand multiparous Turkish woman without any history of uterine surgery gave birth vaginally at 37 weeks of gestation with fundal pressure applied in the second stage of labor. Transabdominal sonography performed 32 hours after delivery due to postural hypotension and a drop in hemoglobin values in the postpartum period revealed massive intraabdominal free fluid. On emergency laparotomy, serosal rupture of the uterus on the left posterior side was observed. She underwent a subtotal hysterectomy and did well postoperatively. Conclusion: Postural hypotension in postpartum patients without any evident vaginal bleeding may be an early sign of possible uterine rupture, even if the vital signs are stable. Early diagnosis is important if maternal morbidity and mortality are to be decreased. © 2009 Kurdoglu et al; licensee Cases Network Ltd.
Early Prenatal Diagnosis of Conjoined Twins at 7 Weeks and 6 Days' Gestation With Two-Dimensional Doppler Ultrasound: a Case Report
(2009) Taner, M.Z.; Kurdoglu, M.; Taskiran, C.; Kurdoglu, Z.; Himmetoglu, O.; Balci, S.
This case report presents the prenatal diagnosis of conjoined twins at 7 weeks and 6 days' gestation according to the last menstrual period and 6 weeks and 4 days' gestation according to crown-rump length in a 32-year-old Turkish woman, using two-dimensional Doppler ultrasound. The twins were fused to each other at the thoracic region (thoracopagus). In the light of previous reports of conjoined twins this appears to be one of the earliest prenatally diagnosed cases in the medical literature. © 2009 Taner et al; licensee Cases Network Ltd.
Eclampsia With Neurological Complications: a Five-Year Experience of a Tertiary Centre
(I R O G Canada, inc, 2013) Kurdoglu, Z.; Ay, G.; Sayin, R.; Kurdoglu, M.; Kamaci, M.
Purpose: The neurological signs and symptoms in 107 pregnant women with eclampsia in the last five years at the Department of Obstetrics and Gynecology at the Yuzuncu Yil University School of Medicine are presented. Materials and Methods: The medical records of 107 pregnant women with eclampsia in the Clinic of Obstetrics and Gynecology at the Yuzuncu Yil University consulted with neurology clinic from September 2005 to December 2010, were evaluated. Results: The most common symptoms of the patients were seizure, headache, and seeing spots of light. Although neurologic examination was normal in 81 patients, 26 had pathological signs. The most common neurologic pathologic signs determined were alterations in consciousness. Conclusion: In eclamptic patients, brain scanning might reveal pathological results in spite of normal neurological examination. With neurological examination and brain scanning, it may be possible to diagnose and treat severe complications that may otherwise result in maternal mortality.
Evaluation of Maternal Mortality Ratio and Causes in a University Hospital in Eastern Turkey
(S.O.G. CANADA Inc., 2015) Kurdoglu, Z.; Dalbudak, T.; Kurdoglu, M.; Yildizhan, R.; Sahin, H.G.
Aim: To investigate the maternal mortality ratio (MMR) and causes of maternal death in order to decrease these deaths. Materials and Methods: The number of live births, maternal deaths, and the causes of deaths in Yuzuncu Yil University were recorded between 2004 and 2013. Results: The MMR was 268 per 100,000. Forty-nine maternal deaths were examined in terms of cause. The most frequent cause of death is eclampsia (33%) and associated intracerebral complications. The antenatal follow-up rate was 23.3%. The majority of patients had low income (92.3%), 72.2% were from rural areas, and 95.5% were illiterate. Conclusion: The high MMR may arise from the high incidence of pregnancy complications in eastern Turkey, the rareness of antenatal follow-ups, and the present hospital being a referral hospital. The most frequent cause of maternal mortality is eclampsia and associated complications, followed by bleeding.
Evaluation of the Relationship Between Endogenous Gonadotropins and Female Sexual Function and Psychological Status in Predialysis and Hemodialysis Patients
(C I C-edizioni int Srl, 2012) Kurdoglu, Z.; Soyoral, Usul Y.; Tasdemir, M.; Kurdoglu, M.
Evisceration of the Fallopian Tube at the Site of a Pezzer Drain After Caesarean Section: Is Conservative Management Possible
(Taylor & Francis inc, 2015) Kurdoglu, Z.; Elci, E.; Cetin, O.; Kurdoglu, M.
Fetal Death Due To Upper Airway Compromise Complicated by Thyroid Storm in a Mother With Uncontrolled Graves' Disease: a Case Report
(2009) Yildizhan, R.; Kurdoglu, M.; Adali, E.; Kolusari, A.
Introduction. We report an unusual case of upper airway compromise complicated by thyroid storm in a pregnant woman with Graves' disease, ending with the in utero death of the fetus. This complication might have developed due to upper airway edema as a result of poorly controlled hyperthyroidism. Case presentation. A 41-year-old Turkish woman at 27 weeks' gestation suffering from Graves' disease was referred to our emergency department with a diagnosis of respiratory arrest. She was unconscious and had been intubated. Her laboratory results were compatible with thyrotoxicosis. The patient had suffered from respiratory difficulty for a long time and had stopped using her antithyroid medications after the first trimester of pregnancy. One day before, she had visited an obstetrician because her respiratory distress had increased. At that time, her fetus was still alive. She was given oxygen therapy and then sent home. With a presumptive diagnosis of thyroid storm, she was admitted to the intensive care unit and treated with aggressive medical therapy. The baby was found to be no longer alive and was delivered vaginally after labor induction. The mother was discharged 10 days later with maintenance therapy. Conclusion. Hyperthyroidism during pregnancy warrants very close attention and should almost always be treated with appropriate antithyroid medications. Maternal respiratory distress in such patients can be an early sign of impending upper airway compromise and thyroid storm, which can endanger the mother and fetus unless prompt and aggressive therapy is initiated. © 2009 Yildizhan et al; licensee Cases Network Ltd.
Is There a Role of Laminin Receptor-1 in Brucella-Related Abortions
(Wiley-blackwell, 2015) Kurdoglu, M.; Sendag, S.; Kurdoglu, Z.
Leiomyosarcoma of the Broad Ligament: a Case Report and Review of the Literature
(I R O G Canada, inc, 2009) Kolusari, A.; Ugurluer, G.; Kosem, M.; Kurdoglu, M.; Yildizhan, R.; Adali, E.
Leiomyosarcoma of the broad ligament is a rare turnout, since only 15 cases have been reported thus far in the English literature. We describe the case of a 35-year-old patient with primary leiomyosarcoma of the broad ligament. The histologic diagnosis and management of this rapidly progressive and highly malignant tumour are also discussed. The tumor had high mitotic activity and more than ten mitotic figures were found for ten high-power fields. The treatment consisted of total abdominal hysterectomy, bilateral salpingo-oophorectomy and pelvic lymph node dissection. The patient received pelvic radiotherapy and chemotherapy considering the high grade of malignancy. No evidence of metastasis has been noted after a follow-up of 12 months.
The Nutritional Habits and Relationship Between The Antioxidant Activity and Iron Deficiency Anemia During Pregnancy
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Guven, S.; Meral, I.; Kurdoglu, M.; Demir, H.
The aim of this study was to investigate the changes in nutritional habits, and also relationship among oxidative stress, iron deficiency anemia and some antioxidant enzyme activities during pregnancy. Twenty pregnant women in the first trimester, 20 pregnant women in the last trimester and 20 non-pregnant women (control group) were included in the study. The study groups were similar in terms of age and body mass index. None of the participants had any systemic disease or smoked. After having filled out the questionnaire about nutritional habits, the blood samples were collected, and the malondialdehyde (MDA) level and activities of superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) and catalase (CAT) enzymes were measured together with hemoglobin (Hgb), hematocrit (Hct), iron, ferritin and the mean erythrocyte volume (MCV) levels. The most frequent meat consumption was on every other day in controls, but once a week in the first and last trimester groups. In addition, the most frequent egg consumption was on every other day and once a week in contro ls, but rare in the first trimester group, and once a week in the last trimester group. Although iron and vitamin use was 10% and 30% in the first trimester group, it was 50% and 65% respectively in the last trimester group. The MDA level was higher, and t he SOD, CAT and GSH-Px enzyme activities were lower in both pregnant groups than controls. The Hgb and Hct values were lower in the last trimester group compared to the controls and the first trimester group. The first trimester group and the controls were similar in terms of Hgb and Hct levels. There was no significant difference among groups in terms of ferritin, iron or MCV values. It was concluded that; a) the egg and meat consumption might decrease with the progress of pregnancy, b) the oxidative stress increased in pregnancy, c) Hgb and Hct values might be lower in the last trimester group despite increased intake of oral iron and vitamin supplements, and normal serum iron levels due to decreased CAT activity. Therefore, more studies are needed to demonstrate the relationship among oxidative stress, anemia and CAT enzyme activity in pregnancy. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Ovarian Stimulation in Obese and Non-Obese Polycystic Ovary Syndrome Using a Low-Dose Step-Up Regimen With Two Different Starting Doses of Recombinant Follicle-Stimulating Hormone
(Sage Publications Ltd, 2008) Yildizhan, R.; Adali, E.; Kolusari, A.; Kurdoglu, M.; Yildizhan, B.; Sahin, H. G.; Kamaci, M.
Sixty-seven infertile women with polycystic ovary syndrome (PCOS) were divided into two groups, obese and non-obese, according to their body mass index. Waist-to-hip ratio, insulin resistance, total testosterone and dehydroepiandrosterone sulphate levels were significantly elevated in obese, compared with non-obese, patients. Both groups were treated with a low-dose step-up protocol of recombinant follicle-stimulating hormone (rFSH) with a starting dose of 50 IU/day and, every third day, a 25-IU increase in the dose until the appropriate dose was achieved for each individual, up to a maximum of 175 IU/day. In the obese group only, repeat therapy commenced in the second ovulatory cycle in women who had not become pregnant, however a starting dose of 75 IU/day was then used, with incremental and maximum dose as before. The results of the starting dose of 75 IU/day rFSH were compared with the results of a 50 IU/day rFSH starting dose in the obese group. A starting dose of 50 IU/day rFSH in a low-dose step-up regimen was found to be effective, safe and well-tolerated for inducing follicular development in non-obese infertile women with PCOS. However, for obese PCOS patients, a starting dose of 75 IU/day rFSH is recommended.
Primary Abdominal Ectopic Pregnancy: a Case Report
(2009) Yildizhan, R.; Kolusari, A.; Adali, F.; Adali, E.; Kurdoglu, M.; Ozgokce, C.; Cim, N.
Introduction: We present a case of a 13-week abdominal pregnancy evaluated with ultrasound and magnetic resonance imaging. Case presentation: A 34-year-old woman, (gravida 2, para 1) suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital. A transabdominal ultrasound and magnetic resonance imaging were performed. The diagnosis of primary abdominal pregnancy was confirmed according to Studdiford's criteria. A laparatomy was carried out. The placenta was attached to the mesentery of sigmoid colon and to the left abdominal sidewall. The placenta was dissected away completely and safely. No postoperative complications were observed. Conclusion: Ultrasound examination is the usual diagnostic procedure of choice. In addition magnetic resonance imaging can be useful to show the localization of the placenta preoperatively. © 2009 Yildizhan et al.; licensee Cases Network Ltd.
The Relationship Between Clinico-Biochemical Characteristics and Psychiatric Distress in Young Women With Polycystic Ovary Syndrome
(Sage Publications Ltd, 2008) Adali, E.; Yildizhan, R.; Kurdoglu, M.; Kolusari, A.; Edirne, T.; Sahin, H. G.; Kamaci, M.
The relationship between clinico-biochemical characteristics and self-reported psychological parameters in 42 women with polycystic ovary syndrome (PCOS) and 42 age-matched healthy controls was examined. The General Health Questionnaire was used (GHQ-12) to ascertain emotional distress and the Beck Depression Inventory (BDI) to determine depressive symptoms. Emotional distress, depressive symptoms, hirsutism score, body mass index (BMI), waist-to-hip ratio (WHR), luteinizing hormone/follicle-stimulating hormone ratio, serum total testosterone, dehydroepiandrosterone sulphate levels and the insulin resistance index were significantly greater in women with PCOS than in healthy women. The BDI and GHQ-12 scores of the women with PCOS were significantly higher than those of the control group (BDI, 11.69 +/- 9.49 vs 5.80 +/- 4.58; GHQ-12, 3.38 +/- 3.38 vs 1.54 +/- 1.97, respectively), and BMI and WHR were positively correlated with the BDI and GHQ-12 scores. Clinicians should be aware of the increased risk of emotional distress and depression in women with PCOS, especially those who are obese, and of the need to screen these patients for such symptoms.
Reversible Acute Cortical Blindness Associated With Eclampsia in Complete Hydatidiform Mole
(Springer London Ltd, 2011) Adali, E.; Kurdoglu, M.; Avcu, S.; Yildizhan, R.; Adali, F.; Kolusari, A.
Eclampsia is rare in molar pregnancy. Sudden cortical blindness in eclampsia is an uncommon but very dramatic experience for the patient. Because of its rarity, blindness associated with eclampsia may pose a significant problem for the obstetrician. We describe cortical blindness and posterior reversible encephalopathy syndrome (PRES) complicating molar pregnancy-related eclampsia. The clinical presentation in our patient was consistent with PRES associated with eclampsia together with magnetic resonance imaging (MRI) findings. Preeclampsia and eclampsia are regarded as common causes of PRES, which is considered to be the result of vasogenic brain edema caused by a rapid raise in blood pressure. Clinical and imaging findings are usually reversible. Early diagnosis and elimination of possible causes are important in order to avoid permanent visual or brain injury. Imaging (especially MRI) should be carried out in eclamptic patients with visual disturbance in order to exclude other causes of blindness.
Serum Myeloperoxidase and Adenosine Deaminase Activities in Polycystic Ovary Syndrome
(2012) Kurdoglu, Z.; Ozkol, H.; Kurdoglu, M.
Objective: To evaluate serum myeloperoxidase (MPO) and adenosine deaminase activities and to investigate whether there was a correlation between these and sex hormones, and lipids in polycystic ovary syndrome. Design and methods: Forty-five women with polycystic ovary syndrome and 40 healthy controls were included in this study. Leukocyte counts, serum MPO and adenosine deaminase activities, and high-sensitive C-reactive protein (hs-CRP), sex hormone and lipid levels were assessed. Results: Leukocyte counts and serum MPO activities were higher (p<0.01 and p<0.05, respectively) and there was a significant correlation between serum adenosine deaminase and hs-CRP level in women with polycystic ovary syndrome (r=0.853, p<0.01). Serum MPO and adenosine deaminase levels did not correlate with sex hormones or lipid profiles in these patients. Conclusion: Polycystic ovary syndrome may involve an inflammatory process by increasing serum MPO activity independent of sex hormones, body mass index and lipid profiles. © 2012 Informa UK, Ltd.
Serum Trace Elements and Heavy Metals in Polycystic Ovary Syndrome
(Sage Publications Ltd, 2012) Kurdoglu, Z.; Kurdoglu, M.; Demir, H.; Sahin, H. G.
Objective: We aimed to investigate the serum levels of essential trace elements copper (Cu), zinc (Zn), manganese (Mn), magnesium (Mg) and heavy metals cadmium (Cd), cobalt (Co) and lead (Pb) in the patients with polycystic ovary syndrome (PCOS). Methods: A total of 65 (35 patients with PCOS and 30 healthy controls) women were included in the study. Serum Cu, Zn, Mn, Pb, Mg, Co and Cd levels were analyzed using atomic absorption spectrophotometric method. Results: Serum Cu and Zn levels were significantly higher, but Mn and Pb levels were lower in patients with PCOS compared with the healthy participants (p<0.01). There was no difference between patients with PCOS and the controls with respect to the serum levels of Mg, Co and Cd. Conclusions: This is the first study investigating serum Cu, Zn, Mn, Pb, Co, Mg and Cd levels in the patients with PCOS. The serum levels of trace elements and heavy metals might change in patients with PCOS. The findings in this study should be investigated with further trials in order to obtain new insights into PCOS.
Sigmoid Volvulus in Pregnancy and Puerperium: a Case Series
(2009) Kolusari, A.; Kurdoglu, M.; Adali, E.; Yildizhan, R.; Sahin, H.G.; Kotan, C.
Intestinal obstruction due to sigmoid volvulus during pregnancy is rare. The presenting signs/symptoms seen in these patients are the same as with non-pregnant patients. Fetal and maternal mortality rates are higher during pregnancy due to delays in diagnosis. We aimed to present four patients diagnosed with sigmoid volvulus during pregnancy and puerperium in our clinic. Diagnosis requires a high index of suspicion in a patient who presents with complaints of abdominal pain and evidence of bowel obstruction. Prompt intervention is necessary to minimize maternal and fetal morbidity and mortality. © 2009 Kolusari et al.; licensee Cases Network Ltd.