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Objectives: Adolescent period transition from childhood to adulthood between 10-19 years is a dynamic stage in which physical, psychological and social differentiations occur and lifestyle behaviours gained. The objectives of this study were to guide policies about adolescent menstruation management by studying the emotional reactions to menarche, menstruation perception, source of menstruation knowledge, selfcare practices among adolescent girls. Materials and Methods: This descriptive cross-sectional study was conducted on Turkish postmenarcheal adolescents, aged 10-19 years admitted "Youth Center" of our hospital for examination or consultancy service between July-August 2018. Ages, father's job, mother occupational statuses, school statuses, menarchial age, menstruation duration, emotional reactions to menarch, the source of knowledge about menstruation, the knowledge about the source of blood during menstruation, use and disposal way of sanitary pads, bathing habits during menstruation were asked. Adolescents who gained the knowledge about menstruation from school constitute Group I and from other sources Group II. Results: Three hundred and six adolescent girls between 10-19 years were included in our study. The mean age of girls was 16.54±2.10 years (min 10-max 19) and menstruation durations were 6.19±3.60 days (min 1-max 15). 139/306 (45.42%) of adolescents experienced negative emotional reactions to menarch. 300/306 (98.03%) girls used sanitary pads as menstrual absorbent. Expressions of adolescents were like these; 247/306 (80.71%) taking shower during mensturation, 153/306 (50%) gained knowledge about menstruation from school, 203/306 (66.33%) gave 'Uterus' answer to the question about the source of blood. 89/306 (29.08%) of adolescent reported appetite increase during menstruation. The percentage of adolescents gained knowledge about menstruation before menarch were 175/306 (57.18%). 99/153 (64.70%) of Group 1 were gained knowledge about menstruation before menarch. There were statistically significant differences between Group 1 and Group 2 according to percentage of adolescents gained knowledge before menarch (p=0.01). 27/153 (17.64%) of Group 1 didn't have bathing habits and 98/153 (64.05%) of them gave 'Uterus' answer to question about menstrual blood source, and there weren't statistically significant differences with Group 2 (p=0.4, p=0.3). 104/167 (%62.27) of adolescents experienced positive emotional reactions to menarch were informed about menstruation before menarch and positive emotional reaction probability of informed adolescents were significantly higher (p = 0.04). Conclusion: Disposal of sanitary pads in the scope of medical waste is important for the prevention of public health. Menstruation knowledge and attitude among fertile women are shaped during adolescent period. Making regulations by looking over the content, timing and effectivenes of reproductive health education as the source of restrained and accurate knowledge at schools will lead to healthy menstrual practices of fertile women. [ABSTRACT FROM AUTHOR]

Aim: Our aim was to assess the incidence and risk factors of the puerperal genital hematomas (PGH).Methods: We retrospectively reviewed recorded cases of PGH at Zekai Tahir Burak Research and Training Hospital, Ankara, Turkey, between January 2010 and 2014. Next three patients were chosen as control group.Results: There were 47 cases of PGH with an incidence of 1 in 762 deliveries. Patients with PGH were younger, more likely to be nulliparous and had a greater weight gain during pregnancy than the control group. Patients with PGH had a longer first and second stage of labor than the control group. Mediolateral episiotomy and operative delivery were more frequently performed in patients with PGH than the control group. Neonates born to mothers with PGH were heavier than the control group (3525 ± 428 versus 3325 ± 579; p = 0.031). In the logistic regression model, nulliparity (OR: 8.68, 95% CI = 2.96-25.3), instrumental delivery (OR: 7.96, 95% CI = 1.37-49.0) and mediolateral episiotomy (OR: 6.67, 95% CI = 2.61-17.1) were factors which had an independent impact on risk of PGH.Conclusions: Nulliparity, instrumental delivery and mediolateral episiotomy are the main risk factors for hematomas. [ABSTRACT FROM AUTHOR]

The ovaries are common site of metastasis in a variety of primary neoplasms. Multiple tumors such as breast, lung, and pancreas have been reported to metastasize to the ovary, however; the colon and stomach are the most common primary cancer sites that of ovarian metastasis. An ovarian mass mostly originates from its self-tissue, but sometimes it can be a metastasis of a gastrointestinal system tumor. Such cases are often misdiagnosed as primary ovarian cancers. A 42-year-old woman was admitted to our hospital with pelvic pain. She had a history of her complaints for two months. Bilateral large ovarian mass was detected in transvaginal ultrasound. Laparotomy was performed, the pathologist suggested inspection of the stomach after the frozen section analysis; therefore, an irregular mass on the stomach was detected. The general surgeon was attended to the operation, and an inoperative stomach tumor was reported by the general surgeon. After that due to the partial obstruction of jejunum, a gastrojejunostomy was performed. It is in fact difficult to distinguish between metastatic mucinous carcinomas and primary mucinous carcinomas of the ovary, due to the similar appearance of as cystic tumors on gross examination. The clinicians should be aware of the likely concomitant gastrointestinal system tumor when a large and bilaterally mass was detected on physical examination. This case also reminds that a systemic examination is necessary even if the large ovarian tumors suspicious of primary malignancy were noticed. [ABSTRACT FROM AUTHOR]

Intracranial subdural hematoma after spinal anesthesia is a rare and life-threatening complication of spinal anesthesia. The most common complication of spinal anesthesia is the postdural puncture headache. When severe and persistent headache after spinal anesthesia occur, differential diagnosis can be explored. In this report, we aimed to evaluate a patient with persistent headache following spinal anesthesia for cesarean section in a 31-year-old woman,and emphasize a rare complication of spinal anesthesia which is subdural hematoma. [ABSTRACT FROM AUTHOR]

Objective: Intracranial subdural hematoma after spinal anesthesia is a rare and life-threatening complication of spinal anesthesia. The most common complication of spinal anesthesia is the postdural puncture headache. When severe and persistent headache after spinal anesthesia occur, differential diagnosis can be explored. In this report, we aimed to evaluate a patient with persistent headache following spinal anesthesia for cesarean section in a 31-year-old woman ,and emphasize a rare complication of spinal anesthesia which is subdural hematoma.