Goal: 16 - Barış, Adalet ve Güçlü Kurumlar
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Barış, Adalet ve Güçlü Kurumlar
Sürdürülebilir kalkınma için barışçıl ve kapsayıcı toplumlar tesis etmek, herkes için adalete erişimi sağlamak ve her düzeyde etkili, hesap verebilir ve kapsayıcı kurumlar oluşturmak.
Barış, istikrar, insan hakları ve hukukun üstünlüğüne dayalı etkin yönetim olmadan, sürdürülebilir kalkınma olmasını bekleyemeyiz. Gittikçe artan ölçüde bölünmüş bir dünyada yaşıyoruz. Bazı bölgelerde barış, güvenlik ve refah sürekli iken, diğer bazı bölgelerde ise bitmek bilmeyen çatışma ve şiddet sarmalı var. Ancak bu, hiçbir şekilde kaçınılmaz sonuç değildir ve mutlaka çözümlenmelidir.
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Publication Metadata only Relationship between fetal peak systolic velocity in Middle cerebral artery and umbilical blood gas values and hemoglobin levels in diabetic pregnant women(2018-07-01T00:00:00Z) KÜTÜK, MEHMET SERDAR; DOLANBAY, MEHMET; Karasu, AYŞE FİLİZ; ÖZGÜN, MAHMUT TUNCAY; KÜTÜK, MEHMET SERDAR; GÖKMEN KARASU, AYŞE FİLİZPurposeTo assess the relationship between peak systolic velocity in the middle cerebral artery (MCA-PSV) and fetal hypoxia in diabetic pregnant women requiring insulin therapy.Publication Metadata only Dental health dispositions of pregnant women: A survey from a hospital clinic in Istanbul.(2017-08-01) Gokmen, Karasu; KUTUK, NÜKHET; Aydin, SERDAR; Adanir, I; Ates, SEDA; Bademler, N; GÖKMEN KARASU, AYŞE FİLİZ; KÜTÜK, NÜKHET; AYDIN, SERDAR; ADANIR, İLKNUR; ATEŞ, SEDAPublication Metadata only Association between maternal vitamin D status and risk of gestational diabetes mellitus in pregnant women(2017-03-01) ATEŞ, SEDA; AYDIN, SERDAR; GÖKMEN KARASU, AYŞE FİLİZ; KILIÇOĞLU DANE, PAKİZER BANU; ATEŞ, SEDA; AYDIN, SERDAR; GÖKMEN KARASU, AYŞE FİLİZ; KILIÇOĞLU DANE, PAKİZER BANUPublication Metadata only Incidence and outcomes of eclampsia: a single-center 30-year study(2019-04-01T00:00:00Z) Uludag, Semih Zeki; Karasu, AYŞE FİLİZ; KÜTÜK, MEHMET SERDAR; TAKMAZ, TAHA; GÖKMEN KARASU, AYŞE FİLİZ; KÜTÜK, MEHMET SERDAR; TAKMAZ, TAHAObjective: We aimed to determine the incidence of eclampsia at Erciyes University Hospital which is a tertiary referral center situated at central Anatolia. Additionally, we investigated eclampsia-associated maternal and perinatal outcomes for the 30-year study period. Methods: A retrospective review was performed for all women who were diagnosed with eclampsia and admitted to the Erciyes University Medical School, Department of Obstetrics and Gynecology from January 1985 to December 2015. Improvement in management gained over time was determined by comparing the results of the years 2005-2015 with data which were already published from years 1985-1999 and 2000-2004. Results: Eclampsia prevalence was 289/46,928 (% 0.61). Maternal age at the time of diagnosis did not differ statistically; however, gestational age at diagnosis and birth weight decreased significantly throughout the years (p < 0.005). The perinatal mortality rate showed a slight decrease throughout the years (p = 0.238). Maternal mortality rate also decreased throughout the years; it was 1.7% in 2005-2009 and 0 % in 2010-2015 (p = 0.246). Conclusion: The prevalence of eclampsia cases has decreased over the years. Maternal mortality attributed to eclampsia has also declined. The early diagnosis and treatment of eclampsia have resulted in the increase of premature deliveries. The perinatal mortality rate showed a slight decrease throughout the years (p = 0.238); however, it is not at a desirable rate compared to developed countries.Publication Metadata only Amniotic fluid -sludge-; prevalence and clinical significance of it in asymptomatic patients at high risk for spontaneous preterm delivery(2018-01-01T00:00:00Z) Adanir, Ilknur; ÖZYÜNCÜ, ÖZGÜR; Karasu, AYŞE FİLİZ; Onderoglu, Lutfu S.; GÖKMEN KARASU, AYŞE FİLİZIntroduction: The aim of our study is to determine prevalence and clinical significance of the presence of amniotic fluid sludge among asymptomatic patients at high-risk for spontaneous preterm delivery, prospectively.Material and methods: In our study, 99 patients at high risk for spontaneous preterm delivery were evaluated for the presence of amniotic fluid sludge with transvaginal ultrasonography at 20-22, 26-28, and 32-34 gestational weeks, prospectively; between August 2009 and October 2010 in Hacettepe University Hospital. And, these patients were followed up for their delivery weeks and pregnancy outcomes. We defined the high-risk group as the patients possessing one or more of the followings; a history of spontaneous preterm delivery, recent urinary tract infections, polyhydramnios, uterine leiomyomas, mullerian duct anomalies, and history of cone biyopsy or LEEP. Patients with multiple gestations, placenta previa, fetal anomalies, or symptoms of preterm labor at first examination were excluded.We have obtained ethical board approval from Hacettepe University (16.07.2009-HEK/No:09-141-59).Results: The prevalence of amniotic fluid sludge in the study population was 19,6% (18/92). The rates of spontaneous preterm delivery at <37 weeks of gestation were 66,7% (12/18), within the patients with sludge and 27,0% (20/74) within the patients without sludge. Patients with sludge had a higher rate of spontaneous preterm delivery (p=0.002). A higher proportion of neonates born to patients with amniotic fluid sludge had a neonatal morbidity (50% (9/18) vs. 24,3% (18/74), p=0.044) and died in the perinatal period, (p=0,013) than those born to patients without sludge. When we combined sludge and cervical lenght (CL) (<25mm) and used it as a screening test to identify women at risk for preterm delivery; it catched more women with preterm delivery, (p=0.000). While sensitivity of sludge was 37,5%, and sensitivity of CL was 34%, sensitivity of sludge positive or CL25mm was 56% for preterm birth (PTB) in high-risk group.Conclusions: The prevalence of amniotic fluid sludge is 19,6% and sludge is an independent risk factor for spontaneous preterm delivery among asymptomatic patients at high-risk for spontaneous preterm delivery. PTB is by far the leading cause of infant mortality, and prevention of PTB has been an elusive goal. When sludge added to screening, we can catch more PTB.Publication Metadata only The predictive value of weight gain and waist circumference for gestational diabetes mellitus(2019-09-01T00:00:00Z) TAKMAZ, TAHA; Yalvac, Ethem Serdar; ÖZCAN, Pınar; Coban, Ulas; Karasu, AYŞE FİLİZ; Unsal, Mehmet; TAKMAZ, TAHA; ÖZCAN, PINAR; GÖKMEN KARASU, AYŞE FİLİZObjective: The first objective of this study was to investigate the relationship between gestational diabetes mellitus (GDM) and gestational weight gain (WG), waist circumference (WC), prepregnancy, and gestational body mass index (BMI). The second aim of our study was to assess the ability of WG, WC, prepregnancy, and gestational BMI with special reference to their cut-off points on predicting the risk of GDM in pregnant women in Turkey.Publication Metadata only Preliminary evaluation of foetal liver volume by three-dimensional ultrasound in women with gestational diabetes mellitus(2018-01-01T00:00:00Z) Ilhan, Gulsah; Gultekin, Huseyin; Kubat, Ayca; Karasu, AYŞE FİLİZ; Gungor, Emre Sinan; Zebitay, Galip Ali; Atmaca, Fatma Ferda Verit; GÖKMEN KARASU, AYŞE FİLİZThe aim of the study was to assess the standard foetal biometric measurements and foetal liver volume (FLV) in pregnancies complicated by gestational diabetes mellitus (GDM) at the time of GDM screening and to compare the results with foetuses in normal pregnancies. Ninety-seven pregnant women with normal singleton uncomplicated pregnancies between 24 and 28 weeks of gestation were allocated into GDM (+) (n: 33) and GDM (-) (n: 64) groups based on their 75 g oral glucose tolerance test results. Foetal biometric measurements and FLV measurements of the groups were compared. Although there were no significant differences in the standard biometric measurements between the two groups, FLV was significantly higher in the women with GDM (p < .01). The ROC analysis implied that with a cut-off value of FLV of 32.72 cm(3) for GDM prediction, the sensitivity was 78.8% and specificity was 56.3%. We suggest that FLV measurements during the second-trimester ultrasound scanning may be a tool for the prediction of GDM in the obstetric population.