Browsing by Author "Akay, A"

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    Prenatal, Obstetric, Neonatal Outcomes and Contraceptive Behaviors in Women with Four or More Pregnancies
    Akay, A; Yanikkerem, E
    Background: The aim of the population-based study was to determine prenatal, obstetric, neonatal outcomes and contraceptive behaviors in women with four or more pregnancies. Methods: This study was conducted with women (n=294) using a questionnaire in two family centers of Manisa, Turkey where the fertility rate was high. Results: In the study, the mean number of pregnancies was 5.6+/-1.5. Loving children, willing to have a larger family and to have a male child were determined the main reasons of extreme fertility. Although 93.2% of women did not desire to have children in the future, only 43.3% of them used a birth control method. The rates of gestational diabetes, hypertension, depression, physical violence, lower weight of baby, risk of miscarriage, preterm birth and cesarean section were higher in the women with more pregnancies. Conclusions: It is very important to provide women with more pregnancies who had unmet need with client-centered counseling to encourage them to use more effective methods.
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    Results of the oxygen Fick method in a closed blood circulation model including total arteriovenous diffusive shunt of oxygen
    Özbek, M; Akay, A
    It is considered that arteriovenous diffusive shunts of oxygen may cause inaccuracy of the oxygen Fick method as UpVO(2) > Q(CaO2 - CvO(2)) where UpVO(2) is the pulmonary oxygen uptake, Q is the cardiac output, and CaO2 and CvO(2) are the arterial and venous oxygen contents, respectively. A simple circulation model, including the whole circulation with nine well-mixed compartments (C1,...,C9), is constructed: the Q is assigned as constant as 6000 ml min(-1); the blood portions of 60ml move at an interval of 600ms. C1 and C2 compartments, each having 60ml volume, represent the blood of pulmonary microcirculation, C3 represents the arterial blood with a volume of 1500ml, C4,...,C8, each also having a volume of 60ml, represent the blood of peripheral microcirculation, whereas C9 represents the venous blood with a volume of 3000 ml. The pulmonary oxygen uptake (UpVO(2)), related to C1 and C2, the oxygen release (relVO(2)), related to C4,...,C8, as well as a total arteriovenous diffusive shunt of oxygen (avVO(2),), from the arterial blood (C3) to the venous blood (C9), are calculated simultaneously. The alveolar gas has a constant oxygen partial pressure, and the pulmonary diffusion capacity is also constant; similar to modeling the pulmonary oxygen diffusion, constant partial oxygen pressures for all peripheral tissues as well as constant diffusion capacities for all peripheral oxygen diffusion are also assigned. The diffusion capacities for the avVO(2), (between C3 and C9) are arbitrarily assigned. The Fick method gives incorrect results, depending on the total arteriovenous diffusive shunt of oxygen (avVO(2)). But the mechanism determining the magnitude of avVO(2) remains unclear.