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Öğe Comparison of the effects of variables in sperm preparation techniques on pregnancy rates in intrauterine insemination(2019) Kocaman, NevinAim: To investigate the effects of two sperm preparation techniques, density gradient centrifugation (DGC) and swim-up, on the pregnancy rates per cycle and per group in two intrauterine (IUI) cycles. Material and Methods: The retrospective study reviewed 634 patients who presented to Firat University Medical School Hospital and underwent a total of 1,032 IUI cycles. Group I consisted of 306 (48.3%) patients who underwent a total of 524 IUI cycles between January 2012 and January 2016 and Group II included 328 (51.7%) patients who underwent a total of 508 IUI cycles between April 2015 and January 2019. The study investigated the effects of technical changes applied to sperm preparation techniques on pregnancy rates in both groups. Results:A significant difference was found between the clinical pregnancy rates of the two groups with regard to the numbers of patients and IUI cycles (p0.001). The technique used in Group II increased the pregnancy rate by 3.195 times compared to the technique used in Group I. A logistic regression analysis revealed that the pregnancy rate in the first cycle was 3.530 times higher than that of the second cycle in both groups.Conclusion: The results indicated that the application of suitable alterations in sperm preparation techniques by taking into account the potential effect of all factors is likely to affect clinical pregnancy rates in IUI.Öğe HSP70 immune reactivity and TUNEL positivity in the liver of toluene-inhaled and melatonin-treated rats(Sage Publications Inc, 2013) Tas, Ufuk; Ogeturk, Murat; Kuloglu, Tuncay; Sapmaz, Hilal Irmak; Kocaman, Nevin; Zararsiz, Ismail; Sarsilmaz, MustafaToluene is a clear, colorless and volatile hydrocarbon that is metabolized in liver, produced free oxygen radicals and can mediate cellular damage. Melatonin which is a pineal gland hormone is a very potent antioxidant. It can make the cellular membrane more durable against oxidative attacks and protect nuclear DNA from oxidative damage. This study aimed to investigate heat shock protein (HSP)70 immune reactivity and terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) positivity (apoptotic activity) in the liver of toluene-inhaled and melatonin-treated rats. A total of 21 adult male Wistar albino rats were divided at random into 3 equal groups. Animals in group I were designated as control. The rats in group II were exposed to toluene (3000ppm/1h/day) for 30 days, while the rats in group III were treated with melatonin (10mg/kg/day, intraperitoneally) plus toluene inhalation. At the end of the 30-day experimental period, all rats were killed by decapitation. Then the liver tissues of rats were removed and tissue specimens were embedded in paraffin blocks. The specimens were stained with periodic acid-schiff (PAS) following routine histological procedures. Sections obtained from paraffin blocks were used for immune detection of TUNEL and HSP70. In light microscopic observations of tissues from toluene-inhaled rats, massive hepatocyte degeneration, ballooning degeneration and decreased PAS positivity were observed. Increased TUNEL positivity and HSP70 immune reactivity were determined in toluene-inhaled group and melatonin treatment decreased all these adverse effects.