Aim: To determine the prevalence of depressive symptoms in adolescents and explore the association of socio-demographic factors with depression. Methods

Objective: This study aimed to investigate the relationship between indications and histopathological results in patients undergoing endometrial sampling.Materials and Methods: Data of 4,247 patients undergoing endometrial sampling due to non-obstetric gynecological causes between January 2010 and October 2016 were retrospectively evaluated using the archives of the Gynecology and Obstetrics Clinic of Konya Training and Research Hospital. Results:The mean age of patients was 46.8 ± 8.22 years; the most common indication was menometrorrhagia/menorrhagia (70.66%), and the least common indication was cervical polyp (1.34%). The most common histopathological result was proliferative-secretory endometrium (63.62%); simple hyperplasia with atypia (0.56%) was determined to be the least common result. Endometrial cancer was observed more frequently in the post-menopausal bleeding and increased endometrial thickness group (23.11%). Of patients in whom biopsy was performed, 52.18% had undergone hysterectomy, as a result of which proliferative-secretory endometrium was most commonly (59.52%) and simple hyperplasia with atypia least commonly found as the histopathological diagnosis.Conclusion: Although sampling should be performed following endometrial evaluation in patients with postmenopausal bleeding or increased endometrial thickness, according to the results of our study, routine endometrial biopsy should not be preferred in the other indications. Bulgular: Olguların yaş ortalaması 46,8+8,22 olup en sık endikasyon menometroraji-menoraji (%70,66) iken en az servikal polip (%1,34) idi. Endometriyal biyopsi sonucu proliferatif-sekretuar endometriyum (%63,62) en sık atipili basit hiperplazi (%1,13) en az histopatolojik sonuç olarak tespit edildi. Endometriyum kanseri postmenaposal kanama ya da endometriyal kalınlık grubunda daha fazla oranda gözlendi (%23,11). Biyopsi yapılan olguların %52,18%'ne histerektomi ameliyatı yapılmıştı. Histerektomi sonucu proliferatif-sekretuar endometriyum (%59,52) en sık atipili basit hiperplazi (%1,13) en az histopatolojik sonuç olarak tespit edildi.Sonuç: Postmenapozal kanama ya da endometrial kalınlık artışı olan olgularda endometriyal değerlendirmeyi takiben örnekleme yapılması uygunken, çalışmamız sonuçlarına göre diğer endikasyonlarda rutin olarak endometrial biyopsi tercih edilmemelidir.Anahtar Kelimeler: Endometriyal örnekleme, endometriyum kanseri, histerektomi, histopatolojik inceleme Eurasian

Objective: Analysis of the annual distribution of cesarean sections and indications between 2010 and 2015 in our clinic. Material and methods:Medical records of 10,437 cesarean section patients from a total number of 24,283 deliveries performed at Department of Obstetrics and Gynecology between 2010-2015 were evaluated retrospectively. The indications for Cesarean section were analyzed and compared based on years. Results:The lowest cesarean section rate was 18.67% in 2011 and the highest rate was 24.5% in 2013, and the annual rates were close to each other in this 6-year period (p > 0.05). History of uterine surgery was the indication with the highest rate of 49.52%, while fetal distress was the second most frequent with 12.53%; presentation anomalies were observed as the most frequent third indication with 7.55%, and umbilical cord prolapse was the least frequent indication with 0.33%. Conclusions:Patient education about normal delivery and providing means for pain control during normal delivery, improvement in physical conditions of the clinics, frequent and regular training of the assisting staff with obstetrics physicians are important to diminish the rates of primary cesarean sections. In addition, a normal delivery after a previous cesarean section must be encouraged.

Organizmanın sağlıklı bir şekilde hayatta kalması ve devamlılığını sürdürebilmesi için beslenme önemlidir. Özellikle beslenmenin yeterliliği, hastalıklardan korunma ve iyileşme sürecini etkileyen önemli unsurlardan biridir. Pediatrik onkoloji hastalarında hastalığa bağlı olarak; besin alımının yetersizliği, emilimi ve metabolize olmasının gerilemesi hastalığın ilerleyişini de olumsuz etkilemektedir. Pediatri onkoloji hastalarında beslenmenin yeterliliğinin sağlanması ile; malnütrisyonun önlenmesi, kemoterapinin daha kolay tolere edilmesi, enfeksiyonların önlenmesi, komplikasyonların azalması, iyileşmenin hızlanması ve hastanın yaşam kalitesinin artması sağlanabilmektedir. Bu noktada sağlık ekibinin etkisi büyüktür. Özellikle hemşirelik bakımı, ailenin eğitimi, takibi; hasta ve ailesini bu konuda destekleyen önemli bir unsurdur. Bu nedenle sağlık çalışanları (hekim, hemşire), bu tür hastalarda beslenme durumunu değerlendirmeli, beslenme desteğini sağlamalı ve eğitim ve takibini yapabilmelidir.

Objective:To determine the level of contraceptive method use and factors that influence the preference of method among women of reproductive age that live in Meram, the central district of Konya. Material and Methods:Parameters such as age, duration of marriage, number of pregnancies and births, socioeconomic status, education level, and preferred contraceptive method of women who presented to the family planning outpatient clinic of our hospital over a five-year period between January 1 st , 2010, and December 31 st , 2015, were recorded and evaluated. Results:The mean age of the women was identified as 31.57±8.14 years, the mean duration of marriage was 10.3±8.14 years, the mean number of births was 1.92±1.01, and the mean number of children was 1.83±0.90. Among the women in the study group, 65% were high school graduates, 88.92% had social security, and 82.84% were in the middle-income group according to their financial status. Only 31 patients were not married officially. It was observed that the most preferred method was intrauterine device (IUD), and the least preferred method was subcutaneous implant (SI). The use of IUD, oral contraceptives, and SI increased as the socioeconomic status and educational level improved (p<0.05). Conclusion:To ensure that women of reproductive age use effective family planning methods, the education levels and socioeconomic status of women must be improved. (J Turk Ger Gynecol Assoc 2017; 18: 72-6)