Browsing by Author "Ozgokce, Cagdas"

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Evaluation of Sexually Abused Cases in Childhood in Eastern Turkey
(Galenos Yayincilik, 2010) Kurdoglu, Mertihan; Kurdoglu, Zehra; Guler, Ayse; Ozgokce, Cagdas
Objective: To evaluate the cases who were consulted to Department of Obstetrics and Gynecology in Yuzuncu Yil University Faculty of Medicine for sexual abuse. Design: A retrospective study. Setting: Yuzuncu Yil University Faculty of Medicine, Department of Obstetrics and Gynecology, Van. Patients: Sexually abused children in the 4-14 age group. Interventions: None Main Outcome Measures: Demographic characteristics and physical findings of sexually abused children. Results: When the records between January 2007 and July 2009 were examined, it was determined that 52 children in the 4-14 age group had been sexually abused. Of these, 42 (80.77) were girls and 10 (19.23%) were boys. Of girls, hymen defloration was detected in twelve (28.57 %), anal abuse in 7 (16.67 %), and both in 4 cases (9.52%). Of boys, anal abuse was detected in 6 (60%) while signs of physical violence were observed in 7 cases (70%). It was understood that, while four (9.52%) girls and 2 (20%) boys were abused by more than one person at the same time; 3 of girls (7.14%) and 1of boys (10%) were repeatedly abused by the same individual or individuals. Conclusions: Since child sexual abuse in our region is often hidden due to ethnic and cultural values, we think that sexually abused children are actually much more than we have detected.
The Role of Ultrasound and Mitofusin-2 Levels To Predict Pregnancy Outcomes in Patients With Severe Preeclampsia: a Case-Control Study
(Assoc Medica Brasileira, 2024) Uckan, Kazim; Ozgokce, Cagdas; Baskiran, Yusuf; Eyisoy, Omer Gokhan; Celegen, Izzet; Akbay, Halil Ibrahim
OBJECTIVE: The aim of this study was to evaluate mitofusin-2 levels and fetal Doppler ultrasonography effects in patients with severe preeclampsia. METHODS: This single-center case-control study was conducted in the gynecology service of the university hospital in Van. A total of 90 pregnant women aged 18-40 years were included in the study. Of these, 30 are normal, 30 have mild preeclampsia, and 30 are pregnant with severe preeclampsia. In this study, especially in severe preeclampsia patients, serum mitofusin-2 levels and important fetal Doppler flows such as uterine arterial pressure, umbilical arterial pressure, and 1st and 5th minute Apgar scores, birth weight, and the relationship between postnatal outcomes such as week of birth and the number of patients in the neonatal intensive care unit were investigated. RESULTS: There was a significant difference between the three groups in terms of mitofusin-2 levels, which was the highest in the group (p<0.05). Maternal serum mitofusin-2 levels were positively correlated with uterine arterial pressure (r=0.543, p=0.007), umbilical arterial pressure (r=0.238, p=0.008), diastolic blood pressure, and systolic blood pressure (p<0.001). Receiver operating characteristic curve of mitofusin-2 in predicting preeclampsia is as follows: optimal cutoff 1.6 ng/mL; area under the curve: 0.861; 95%CI: 0.786-0.917; sensitivity: 83.9%; and specificity: 70.0%, (p <= 0.001). A one-unit increase in mitofusin-2 resulted in a statistically significant 4.21-fold increase in preeclampsia risk. CONCLUSION: This study recommends the use of mitofusin-2 together with fetal Doppler ultrasound findings as a reliable indicator of preeclampsia severity.