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Öğe Anesthetic management of pregnant patients with Appendectomy(2013) Celik F.; Oguz A.; Yildirim Z.B.; Guze A.; Dogan E.; Ciftci T.; Aycan I.A.Our goal was to present our anesthesia procedure of pre-diagnosis and laparotomy on pregnant patients with acute appendicitis. After approval Ethics Committee, 77 pregnant patients with a diagnosis of acute appendicitis were evaluated. Patients were separated into two groups: group G (general anesthesia) and Group S (spinal anesthesia), according to the method of anesthesia applied. The patients' age, gestational age, method of anesthesia applied, duration of hospital stay, duration of anesthesia, number of pregnancies, leukocyte count and complications suffered were compared between the groups. After the surgery, with regular and adequate spontaneous respiration, protective airway reflexes present, and with vital parameters normal and within clinical limits, the patients were sent for internal evaluations. The demographic information of the cases is shown in table 1. In comparing the groups, the hospital stay duration of group S was significantly short. Looking at the incisions made for the surgical procedures, in group S relative to the pararectal incision average, the McBurney incision average was greater. In group G, the number of perforated appendicitis cases was higher. The anesthesia duration was short to a significant degree in group S. In order to protect the mother and baby from the negative effects of general anesthesia, as well as to lower costs by decreasing the duration of stay in the hospital, the spinal anesthesia technique could be a preferable procedure for selected pregnant acute appendicitis patients. G: general anesthesia, S: spinal anesthesia.Öğe A cardiac arrest associated with double lumen endobronchial tube: Case report(2011) Tufek A.; Celik F.; Tokgoz O.; Karaman H.; Ulku R.; Yildirim Z.B.; Kavak G.O.Double lumen tubes are used frequently in operations of Thorax Surgery Department. This case report presents a cardiac arrest towards the end of surgery in patient with placement of left bronchial double lumen tubes. Unexplained perioperative cardiac arrest may be due to obstruction of pulmonary artery flow associated with double lumen tube in thorax surgery.Öğe Determination of osteoporosis risk factors using a mutiple logistic regression model in postmenopausal Turkish women(2005) Akkus Z.; Camdeviren H.; Celik F.; Gur A.; Nas K.Objectives: To determine the risk factors of osteoporosis using a multiple binary logistic regression method and to assess the risk variables for osteoporosis, which is a major and growing health problem in many countries. Methods: We presented a case-control study, consisting of 126 postmenopausal healthy women as control group and 225 postmenopausal osteoporotic women as the case group. The study was carried out in the Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey between 1999-2002. The data from the 351 participants were collected using a standard questionnaire that contains 43 variables. A multiple logistic regression model was then used to evaluate the data and to find the best regression model. Result: We classified 80.1% (281/351) of the participants using the regression model. Furthermore, the specificity value of the model was 67% (84/126) of the control group while the sensitivity value was 88% (197/25) of the case group. We found the distribution of residual values standardized for final model to be exponential using the Kolmogorow-Smirnow test (p=0.193). The receiver operating characteristic curve was found successful to predict patients with risk for osteoporosis. This study suggests that low levels of dietary calcium intake, physical activity, education, and longer duration of menopause are independent predictors of the risk of low bone density in our population. Conclusion: Adequate dietary calcium intake in combination with maintaining a daily physical activity, increasing educational level, decreasing birth rate, and duration of breast-feeding may contribute to healthy bones and play a role in practical prevention of osteoporosis in Southeast Anatolia. In addition, the findings of the present study indicate that the use of multivariate statistical method as a multiple logistic regression in osteoporosis, which maybe influenced by many variables, is better than univariate statistical evaluation.Öğe Sedation during implant surgery(University of Dicle, 2015) Koparal M.; Alan H.; Gulsun B.; Celik F.Medical dentistry treatments take the form of practical applications rather than the use of medical therapies. Performing procedures under local anaesthesia can inhibit pain in patients but does not prevent fear and the physiological reactions that occur in response to it. This may affect the success of treatment. The use of implant surgery, one of the practical applications of medical dentistry, has been increasing gradually over the last 20 years. In order to perform surgery comfortably and prevent fear in patients during the procedure, sedation is established. In this article, we present the sedative agents administered during implant surgery and their usage.
