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    Pittsburgh Sleep Quality Index scores and their relationship with body measurements in late menopause patients
    (Tubitak Scientific & Technological Research Council Turkey, 2014) Ayrim, Aylin; Aktepe Keskin, Esra; Ozol, Duygu
    Background/aim: With an increase in life expectancy, women live about one-third of their lives in the postmenopausal period. Our aim was to investigate the findings regarding quality of sleep and sleep apnea in postmenopausal women and research the relationship between sleep complaints and body measurements. Materials and methods: The Pittsburgh Sleep Quality Index (PSQI) was administered to all participants and their height, weight, and neck circumferences were measured. Results: A total of 206 patients (mean age: 61.4 +/- 8.8 years) were included. Their mean weight gain after menopause was 8.1 +/- 12.8 kg, and their mean neck circumference and body mass index was 39.7 +/- 2.6 cm and 33.4 2.1, respectively. The rate of patients who snored each night increased from 3.4% to 13.2% (P = 0.000) after menopause. The rate of self-reported poor sleep quality was found in 57.8% of patients according to the PSQI global score (>= 5). The prevalence of sleep medication usage increased from 5.8% to 11.2% with menopause. Although body measurements were a little lower in patients with a total PSQI score of less than 5, this difference was insignificant. Conclusion: The prevalence of self-reported poor sleep quality was high in the postmenopausal period and the prevalence of snoring increased significantly with weight gain after menopause.
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    Prohepcidin in maternal circulation: is it related to spontaneous preterm labor?
    (Tubitak Scientific & Technological Research Council Turkey, 2014) Onaran, Yuksel; Aktepe Keskin, Esra; Iltemir Duvan, Zehra Candan; Simavli, Serap Aynur; Koca, Cemile; Kafali, Hasan; Turhan, Nilgun
    Background/aim: To investigate whether spontaneous preterm labor (PTL) with intact membranes is associated with changes in maternal serum prohepcidin concentrations. Materials and methods: The study consisted of patients with spontaneous PTL with intact membranes (n = 25), a control group of healthy pregnant women between the 24th and 37th gestational weeks (n = 22), and uncomplicated term pregnancies in spontaneous labor (n = 19). Blood samples were collected from patients at the time of clinical diagnosis. Levels of prohepcidin, hemoglobin, serum ferritin, serum iron, unsaturated iron binding capacity, total iron binding capacity, transferrin and transferrin saturation, C reactive protein, and interleukin-6 were measured. Results: Patients with spontaneous PTL had significantly lower maternal serum prohepcidin concentrations than term delivery and control subjects. Conclusion: Maternal serum prohepcidin concentration is lower in patients with spontaneous PTL compared to term delivery and control subjects. This suggests that measuring maternal serum prohepcidin concentrations in PTL may be a feasible method for understanding etiologic causes of spontaneous preterm delivery, but, before suggesting this as a course of action, low levels of prohepcidin in patients with PTL need to be more fully investigated.