Yazar "Gunes, Mehmet Emin" seçeneğine göre listele
Listeleniyor 1 - 3 / 3
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Assessment and effects of self-esteem on organ donation attitudes among medical residents(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2017) Gunes, Mehmet Emin; Conak, OzgeObjective: In the study, along with demographical and informative questions, Organ Donation Attitude Scale that have 24 five points Likert type questions, Rosenberg Self-Esteem Lower Scale include 4 points Likert type 10 questions, which reflect individual's vision of self-worth as a human being, were applied. Methods: In the study, along with demographical and informative questions, 5 points Likert type 24 questions for Organ Donation Attitude Scale and Rosenberg Self-Esteem Lower Scale including 4 points Likert type 10 questions which reflect individual's vision of self-worth as a human being. 126 medical residents participated the study. Data has been analyzed with SPSS v20 software program. Results: According to Rosenberg Self-Esteem Lower Scale, medical residents have medium level (intermediate) self-esteem. 71.4% (90) of the participants have defined themselves as faithful (religious). Attitude scale for fear and anxiety lower score concerning organ donation for those who are faithful is found significantly higher (p<0.05) than those who were not. Attitude scale for fear and anxiety lower score concerning organ donation for males have been found significantly higher (p<0.05) than females. There is a positive significant correlation between age and the Rosenberg score (p<0.05). Conclusions: Informing the society, effects the attitude for organ donation greatly. Along with the target population, if appropriate channels and methods through which the health professionals contact with the necessary informative sources about organ donation are established, then the process can be managed effectively.Öğe Diagnostic value of platelet indices in acute appendicitis and comparison with histopathology(Edizioni Luigi Pozzi, 2017) Gunes, Mehmet Emin; Deniz, Mehmet Mehdi; Yilmaz, SerhanBACKGROUND: Acute appendicitis is one of the most common surgical emergencies. An early and accurate diagnosis of acute appendicitis is vital. Evidence for a link between platelets indices and inflammation disease comes from recent studies. We aimed to evaluate preoperative diagnostic values of platelet indices (Mean platelet volume-MPV; Platelet Distribution Width-PDW, Plateletcrit-PCT) and leukocyte count (WBC) in comparison with post -operative histopathology results in patients who underwent appendectomy. METHODS: The 165 patients who underwent appendectomy, were evaluated retrospectively. Patients' demographic characteristics, imaging findings, preoperative laboratory markers and postoperative histopathology results were recorded. The patients were divided into three groups based on the histopathologic findings; perforated appendicitis, acute appendicitis without perforation and negative appendectomy group. The specificity, sensitivity, positive predictive value (PPV) and negative predictive value (NPV) of the laboratory markers were measured. Additionally potential correlation among laboratory markers analysed. RESULTS: The negative appendectomy rate was 15.1% in 165 patients. The leukocyte count was statistically higher in acute appendicitis (14.9x103/mu L) group than negative appendectomy (6.9x103/mu L) group. There was also statistically significant difference between groups according to the PCT levels. The leukocyte count achieved sensitivity, specificity, PPV, and NPV of 95.9, 24, 99.1, and 92.7% respectively. A significant positive correlation between WBC and PCT were obtained. Inflammatory markers were not directly related to the severity of the disease. CONCLUSIONS: Elevated leukocyte count and PCT levels support diagnosis of acute appendicitis in correlation with pathological findings. Thereby combination of the inflammatory markers, positive clinical and radiological findings would improve diagnostic accuracy in acute appendicitis.Öğe Multiple plastic biliary stent placement in the management of large and multiple choledochal stones: single center experience and review of the literature(Termedia Publishing House Ltd, 2017) Bektas, Hasan; Gurbulak, Bunyamin; Sahin, Zeynep Deniz; Duzkoylu, Yigit; Colak, Sukru; Gurbulak, Esin Kabul; Gunes, Mehmet EminIntroduction: Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy is the first step treatment modality of choledocholithiasis. In spite of an extended sphincterotomy, 10-15% of complex choledochal stones (larger than 15 mm and/or more than 3 stones) cannot be removed and recurrent ERCP procedures may be needed. Aim: To evaluate the role and efficiency of multiple biliary stent application in the treatment of large and multiple choledochal stones. Material and methods: Patients with complex choledochal stones and patients with inadequate choledochal clearance during ERCP were included in the study. The study group was divided into 2 groups as the placement of single (n = 27 patients) or multiple stents (n = 58 patients). After a mean time interval of 21 days (10-28), the ERCP procedure was tried for the second time and a stent was placed in case of recurrence. Results: Successful biliary drainage was provided in both groups. The decrease in the longitudinal or transverse size of the stones after stent placement was found to be statistically significant in both groups (p = 0.001). Cholestatic enzymes (alkaline phosphatase (ALP), g-glutamyltransferase (GGT)) and bilirubin levels decreased significantly in both groups following stenting (p = 0.001). Additionally, multiple stents functioned as a bridge starting from the first ERCP to full clearance in patients with large and multiple stones which could not be removed at once and saved them from the possible morbidities of an invasive operation. Conclusions: Endoscopic multiple biliary stent placement should be preferred in the treatment of patients with complex choledochal stones and high rates of co-morbidity, as a safe alternative to surgery.
