Rheumatic heart disease with pregnancy is still predominant in Turkey. Most of the patients were in a good functional group. Maternal morbidity strongly correlates with maternal cardiac classification.

The main purpose of this prospective study is to examine possible influences of abnormalities of sperm nuclear condensation and chromatin decondensation with sodium dodecyl sulphate (SDS)-EDTA on outcomes of intrauterine insemination (IUI) or intracytoplasmic sperm injection (ICSI) cycles. Semen samples from 122 IUI and 236 ICSI cycles were evaluated. Before semen preparation for IUI or ICSI, basic semen analysis was performed and a small portion from each sample was spared for fixation. The condensation of sperm nuclear chromatin was evaluated with acidic aniline blue, followed by sperm chromatin decondensation by SDS-EDTA and evaluation under light microscope. Ongoing pregnancy rate was 24% and 26.2% in the IUI and ICSI groups respectively. The chromatin condensation rate was significantly higher in the ongoing pregnancy-positive group compared to the negative group, both in IUI (P = 0.042) and ICSI groups (P = 0.027), and it was positively correlated with ongoing pregnancy rate in both IUI and ICSI groups (P = 0.015, r = 0.214 and P = 0.014, r = 0.312 respectively). Chromatin decondensation rates were not significantly different in neither of the groups. These results indicate that IUI and ICSI outcome is influenced by the rate of spermatozoa with abnormal chromatin condensation. Sperm chromatin condensation with aniline blue is useful for selecting assisted reproduction techniques (ART) patients.

The preoperative vaginal cleansing with povidone iodine could reduce the postoperative pain, analgesic need and infection parameter.

Öz Amaç: Postoperatif dönemde flatulans ve defekasyon zamanı hasta konforu ile morbiditesini belirleyen ana etmenlerden biridir. Bu çalışmada komplikasyonsuz term sezaryen doğumlarda postoperatif sakız çiğneme ve kafeinsiz kahve içiminin barsak motilitesine etkisi prospektif randomize kontrollü klinik çalışma ile test edilmiştir. Gereç ve Yöntem: Çalışmaya sezaryen ile komplikasyonsuz doğum yapan 100 gebe basit randomizasyon yöntemiyle 4 gruba ayrıldı: Grup 1 (postoperatif 2. saaten sonra defekasyon olana kadar 4 saat arayla şekersiz sakız çiğnetilenler) n:25; Grup 2 (postoperatif 2. saatten itibaren defekasyon olana kadar 4 saat arayla günde 3 kez olmak kaydıyla 100 ml kahve içirilenler) n:25; Grup 3 (postoperatif 2. saatten itibaren defekasyon olana kadar 4 saat arayla 3 kez 100 ml sıcak su içenler: Sham grubu) n:25; Grup 4 (kontrol grubu) n:25. Hastaların ilk barsak hareketini hissettikleri, ilk gaz çıkışının gerçekleştiği ve defekasyon zamanları gruplar arasında karşılaştırıldı. Bulgular: Olguların ilk barsak hareketi hissi ve ilk gaz çıkış zamanı Grup 1'de sham ve kontrol gruplarına göre anlamlı olarak daha kısa saptandı. Gruplardaki hastaların defekasyon zamanı karşılaştırıldığında kontrol grubuna göre Grup 1, 2 ve 3'deki hastalarda süre anlamlı olarak daha kısa saptandı. Tüm gruplar arasında ise anlamlı farklılık bulunmadı. Tartışma: Sezaryen sonrası postoperatif dönemde şekersiz sakız çiğneme ve kafeinsiz kahve içilmesi uygulamaları ile hastaların gaz çıkışı ve defekasyon zamanları, dolayısıyla hospitalizasyon süreleri kısaltılabilir.Abstract Aim: The time to first postoperative flatulence and defaecation are two of the main factors that determine caesarean patient comfort and morbidity. In this study, the effect of postoperative gum chewing and decaffeinated coffee consumption on intestinal motility was tested in full-term caesarean sections without complication with a prospective, randomised controlled trial. Material and Method: 100 women who underwent caesarean section without a complication were divided into 4 groups using the simple randomisation method: Group 1 (women given sugar-free gum at 4-hour intervals after postoperative hour 2 until defaecation) n:25; Group 2 (women given 100 mL coffee at 4-hour intervals beginning from postoperative hour 2 until defaecation for three times a day) n:25; Group 3 (Sham group-women given 100 ml hot water at 4-hour intervals beginning from postoperative hour 2 until defaecation for three times a day) n:25; and Group 4 (control group) n:25. Time to sensation of first bowel movement and time to passage of first flatus and defaecation were compared between the groups. Results: Times to sensation of first bowel movement and passage of first flatus were significantly shorter in Group 1 compared to the sham and control groups. Time to first defaecation was also detected to be significantly shorter in Groups 1, 2, and 3 compared to the control group. No significant difference could be detected between the groups. Discussion: Sugar-free gum chewing and decaffeinated co...

Our results suggest that significantly increased oxidative burden and slightly decreased antioxidative capacity of saliva may be involved in the pathogenesis of HG and this condition may be the result of HP infection which was found to be significantly more common in women with poor oral hygiene and HG.