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Öğe Anxiety and Depression in Medical Students Related to Desire for and Expectations From a Medical Career(UNIV WEST INDIES FACULTY MEDICAL SCIENCES, 2010) Karaoğlu, N.; Şeker, M.Objective: In this article, we aimed to analyse the anxiety and depression levels of medical student's' related to their desire for a career in medicine and expectations from that career Methods: In a cross-sectional design, students from the first two years of medical school filled-out a questionnaire consisting of demographics, Hospital Anxiety and Depression Scales (HADS) and questions about their medical career decision. Results: The mean anxiety score was 7.66 +/- 3.21 and the mean depression score was 5.77 +/- 3.45. According to cut-off levels, 20.3% of medical students had anxiety, 29.3% had depressive symptoms. Males and second year students had significantly high levels of depression (p < 0.05). Students who were pressured to become doctors and who expected to gain much money were both more anxious and more depressed (p < 0.05). Conclusion: External pressures, desire to become a medical doctor and expectations from a medical education have significant effects on anxiety and depression levels of medical students. Guidance for affected students is important and this is the responsibility of medical educators and faculties.Öğe An Investigation of the Conus Medullaris and Filum Terminale Variations in Human Fetuses(Springer Verlag, 2000) Salbacak, A.; Büyükmumcu, M.; Malas, M. A.; Karabulut, A. K.; Şeker, M.The morphologic structure of the conus medullaris and filum terminale was investigated by dissection in 123 human fetuses, obtained from Selcuk University, Faculty of Medicine and Maternity hospital of Konya between 1992-1995. In 78 fetuses, the conus medullaris and filum terminale had a normal morphologic aspect, whereas there was a slight depression or groove formation in the closure region of the caudal neuropore in 45 fetuses. In 15 fetuses, important malformations of the cranium and vertebral column were observed. The morphologic aspects of the conus medullaris in 30 fetuses were abnormal in shape and position, among them 24 fetuses had an abnormal filum terminale (grooved, depressed, thickened or duplicated) whereas it was normal in 6. Deficiency of closure of the caudal neuropore was considered to have a negative effect on the fetal development of the filum terminale.Öğe Multiple Variations of the Abdominal Aorta in a Single Cadaver(SINGAPORE MEDICAL ASSOC, 2010) Uysal, I. I.; Çiçekçibaşı, A. E.; Yılmaz, M. T.; Şeker, M.; Şanlı, O.Numerous variations of the abdominal aorta were observed during a routine dissection of the abdominal region in a 60-year-old male cadaver in the Department of Anatomy, Meram Faculty of Medicine, Selcuk University, Turkey. In the present case, a common inferior phrenic trunk arose from the abdominal aorta and then divided into two branches. The left gastric artery arose from the front of the abdominal aorta, with an accessory right hepatic artery arising from the superior mesenteric artery. Although the single right renal artery originated from the abdominal aorta, double left renal arteries were found to originate from the abdominal aorta. Knowledge of these variations could help surgeons to identify and protect the abdominal aorta during surgery.Öğe The possibility of deep peroneal nerve neurotisation by the superficial peroneal nerve: an anatomical approach(CAMBRIDGE UNIV PRESS, 1999) Büyükmumcu, Mustafa; Üstün, Mehmet Erkan; Şeker, M.; Kocaoğullar, Yalçın; Sağmanlıgil, AyhanNeurotisation involves transfer of nerves for the restoration of function following injury. A number of nerves have been used in different part of the peripheral nervous system. This study was undertaken to develop a practical and relatively safe surgical approach to the treatment of L4 root lesion's. We examined the effectiveness and safety of neurotisation of the deep peroneal nerve and its branches by the superficial peroneal nerve. Twelve legs of dissected cadavers provided for teaching purposes in the anatomy laboratory were used to display the common peroneal nerve and its branches. Each branch was measured using calipers and analysed to investigate the possibility of neurotisation of the deep peroneal nerve by the superficial peroneal nerve and its branches. It was found that of the measured branches, transposition was possible between those to peroneus longus and tibialis anterior on the basis of their diameter and length. In recent decades, advances in microsurgical reconstruction and understanding of the microanatomy have played major roles in improving the results of surgical treatment of nerve injuries. There is a need for further experimental studies on the feasibility of this surgical approach.Öğe The Use of Basic Clinical and Exercise Variables in Postmenopausal Women for the Diagnosis of Coronary Artery Disease(Springer New York, 2000) Cin, V. G.; Tartanoğlu, O.; Düzenli, A.; Sarıgüzel, A.; Şeker, M.The diagnostic utility of clinical and exercise parameters in women with possible coronary artery disease are underestimated and considered unreliable, in most cases. This seems to be mainly due to the lower likelihood of the disease in selected populations. In this study, postmenopausal women with variable clinical and exercise parameters were tried to be correlated with significant coronary artery disease. One hundred twenty patients with atherosclerotic risk factors, typical angina, or atypical chest pain with ischemic ECG changes were involved. All patients underwent exercise stress test, and 110 suitable patients had coronary angiography. Nonsignificant and significant coronary stenoses (50% narrowing, at least) were investigated due to the parameters involved. Single vessel disease was detected as the most extensive form of the disease, whereas significant lesions correlated only with diabetes, peripheral artery disease, multiple risk factors, typical angina at exercise, insufficient maximum workload, and early ST/T changes. A positive predictive value of 78.5% and a negative predictive value of 80% were determined. The diagnosis of significant coronary artery disease, using basic parameters, is similar to that of men, provided that factors leading to lower likelihood of the disease are excluded. This is a contrasting result with earlier studies which imply unreliable results attributable to female gender.
