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The relationship of postpartum depression with sociodemographic factors

Aim: In this study, we aimed to assess the incidence of postpartum depression, factors affecting the development of postpartum depression and to make a

detailed analysis of intimate partner violence (IPV) during pregnancy and its effects on postpartum depression. Material and Method: This study enrolled 220

participants who were 2-6 months in puerperiumperiod. The ssociodemographic features of the participants and the levels of physical, economic, sexual, and

psychological IPV exposed during pregnancy were rated using Edinburgh Postpartum Depression Scale (EPDS) that determines the risk of postpartum depression.

A p-value less than 0.05 was considered statistically significant. Results: The mean age of 220 participants was 30.84±6.032 years. Thirty-five (15.9%)

participants scored 13 or higher in the EPDS score; these 35 participants were considered to have postpartum depression (PPD). There was a significant difference

between the EPDS scores by the educational levels of the partners (p<0.05). EPDS score was affected significantly by having a delivery under urgent

conditions, developing any infantile complication during delivery, physical and psychological IPV had a significant effect on EPDS (p<0.05). Marriage age and

educational level had a significant correlation with physical IPV (p<0.05). Discussion: PPD is a highly prevalent disorder that adversely affects the quality of life

of a mother, infant, and all family members. Mothers in the postpartum period should be more closely followed and PPD must be questioned in family health

centers.

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Cardiothoracic area ratio for evaluation of ejection fraction in patients

Aim: The advent of digital radiology and computerized workstations renders it very easy to measure cardiothoracic ratio (CTR) and cardiothoracic area ratio (CTAR) on chest radiographs. The aim of this study was to assess whether CTAR correlates with the left ventricular ejection fraction (EF) better than CTR in healthy individuals and patients with congestive heart failure. Material and Method: The study included 156 healthy individuals and 98 heart failure patients undergoing echocardiography and digital chest radiography. The CTR was calculated in the traditional manner, and the CTAR was taken as the ratio between the pixel counts of the cardiac area and whole thoracic area. Results: The traditional CTR showed an inverse correlation with ejection fraction in both healthy individuals (r = -0.13) and heart failure patients (r = -0.19). The CTAR showed an improved correlation (r = -0.32 for healthy individuals and r = -0.37 for heart failure patients). If it is assumed that an ejection fraction of 55% or more indicates normal cardiac function, a value of 50% or less for CTAR can be taken as normal. Discussion: Digital chest radiography is widely used as a popular technique for diagnosing various thoracic and cardiac diseases. Cardiomegaly is associated with an adverse outcome in patients with heart disease. Therefore, evaluation of heart size is an important clinical variable, and changes in heart size may be used to monitor and grade cardiac disease severity. Conclusion: Our findings suggest that the CTAR correlates better with cardiac function as assessed by the ejection fraction than the traditional CTR.

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The effect of using a larger port on reducing the complications of laparoscopic cholecystectomy: A randomized trial

Aim: Laparoscopic cholecystectomy (LC) is the gold standard treatment method for cholelithiasis. There are many complications related to LC and many different

microinvasive interventions have been performed to decrease the complication rate. In this study, we aimed to demonstrate the surgical results of the

LC that was performed with a 15-mm port tool. Material and Method: Two-hundred patients who underwent LC in our clinic were included in this study. These

cases were randomized as 10-mm port tool group (n=100) and 15-mm port tool group (n=100) according to the port-tool diameter that was used in LC. The

gallbladder extraction time, port site complications, length of hospital stay, postoperative pain and cosmesis scores were compared between two groups.Results:

The gallbladder extraction time was 135.3 sec in the 10-mm port tool group and 13.4 sec in the 15-mm port tool group (p<0.05). The complication rate

was 53% (53cases) in the 10-mm port tool group and 13% (13cases) in the 15-mm port tool group (p<0.05). The duration of hospitalization was the same in

both groups. The port site pain was 5.4 (2–9) in the 10-mm port tool group and 4.3 (1-7) in the 15-mm port tool group (p<0.05). None of the patients in either

group had port site hernias or infections, and there was no significant difference between the two groups with regard to the port site incision scarring. Discussion:

It was thought that it can reduce the operation time, the need for fascial expansion, gallbladder perforations during removal, and postoperative port site

pain. Moreover, it does not increase the risk of a port site infection or a hernia and is not different from wound scarring.

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