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Öğe The correlation between the neuron specific enolase and Glasgow coma scale in patients with sepsis and septic shock(SPRINGER HEIDELBERG, 2011) Buyukunaldi, P.; Gul, M.; Cander, B.; Ergin, M.; Erdem, S. S.; Bozdemir, M. N.; Kocak, S.[Abstract not Available]Öğe Etiologic factors in falls from height in pediatric cases(SPRINGER HEIDELBERG, 2012) Kocak, S.; Dundar, Z. D.; Yavuz, K.; Onal, M. A.; Dikmetas, C.; Girisgin, A. S.; Gul, M.In this study, factors causing falls from height and precautions taken for their prevention were investigated. The study was carried out prospectively between June 2009 and June 2010. Patients under 18 years of age presenting at the emergency department of a university hospital, for whom the primary reason for admission was an accidental fall from a height of at least one meter, were included in the study. The demographic characteristics of the patients, the characteristics of the falls, and clinical features were recorded. Data for 133 patients were evaluated. Among these patients, 72 (54.1%) were male; the median age was 4 (IQR 2-7). The most common fall site was a balcony (38%). Falls frequently happened in the spring and the summer. The mean fall height was 2.9 +/- A 2.5 m, the median GCS score was 15 (IQR 14-15), and the median PTS was 10 (IQR 9-11). The fall heights was higher in patients who lost consciousness (p < 0.001). Among the 95 patients who were 0-6 years old, it was found that about 55% were unaccompanied by their parents. The most common pathology in the patients was head trauma (63%), while 17.3% had multiple traumas. Since the vast majority of the fall cases were in the pre-school age group, most were due to falls from a balcony, and more than half of the cases were unaccompanied by parents or caregivers, there are two issues that need to be addressed in relation to pediatric falls from height: family education and legal regulations considering child safety in the design of doors, windows, and balconies of buildings.Öğe Evaluating the content and quality of information about premature ejaculation on the Internet: what are men being exposed to ?(WILEY, 2017) Gul, M.; Kaynar, M.Premature ejaculation is one of the most common male sexual dysfunctions; however, only a few patients with premature ejaculation are seeking professional help or advice. Internet has become an important source of knowledge, and thus, more patients are looking online for health information. According to our best knowledge, no study has evaluated the content and quality of websites on premature ejaculation. We, therefore, aimed to evaluate the content and quality of currently available Internet-based information on premature ejaculation. A sample was obtained comprising the 50 top sites retrieved from Google, Bing and Yahoo search engines using the terms premature ejaculation'. Each site then was reviewed based on some predefined evaluation criteria to determine the general quality, condition-specific content quality, popularity index and ownership. The websites reviewed were differed highly in terms of quality and ownership. Only a few sites provided comprehensive medical and complete information on premature ejaculation. The online information available is often of uncertain calibre; therefore, men are being exposed to information about premature ejaculation with a highly variable degree quality. This fact should be considered both by health professionals and website owners, and better online resources should be provided for these patients.Öğe Fluid replacement via the rectum for treatment of hypovolaemic shock in an animal model(B M J PUBLISHING GROUP, 2006) Girisgin, A. S.; Acar, F.; Cander, B.; Gul, M.; Kocak, S.; Bodur, S.Background: The importance of early and effective fluid resuscitation in hypovolaemic shock treatment is indisputable. Aim: To examine the effects of fluid replacement via the rectum in an animal model of hypovolaemic shock as a possible life-saving method in situations where veins cannot be accessed quickly. Methods: Rabbits were randomly divided into two groups: a control group of 7 animals and a second group of 10, the fluid replacement via the rectum (FRVR) group. The femoral artery of each subject was catheterised and 15 ml blood was withdrawn over 1 min at 5-min intervals. After reaching a mean arterial pressure ( MAP) of 30 mm Hg, additional blood was withdrawn until the MAP dropped to,25 mm Hg, at which time blood withdrawal ceased. At this point, control animals were given no treatment and were monitored for 30 min. The FRVR group, however, was given 0.9% sodium chloride solution ( amount equal to three times the amount of blood withdrawn) via the rectum over a 15-min period. The MAPs of both groups were then measured, every 5 min after the start of resuscitation, for 30 min. Results: In the FRVR group, the MAP began to rise significantly after 15 min of receiving fluid per rectum ( p = 0.035) and continued to be significantly greater than the control group at 20, 25 and 30 min ( p = 0.035, 0.002 and 0.001, respectively). Conclusion: FRVR is a viable alternative for fluid resuscitation in this animal model of hypovolaemic shock. This easy and non-invasive method of fluid replacement may be useful when standard intravenous access is unobtainable, and should be compared with other access routes using varying types and amounts of fluids in future animal studies.Öğe Nonoperatively treated penetrating thoracic and abdominal wound caused by a low-velocity shot(SPRINGER, 2008) Gul, M.; Ozer, S.; Girisgin, S.; Cander, B.This paper describes the successful nonoperative treatment of a 31-year-old male patient with thoracic and abdominal gunshot wounds. Once stabilized in the emergency department (ED), he was transferred to our general surgical department. On the first day after his admission, diagnostic peritoneal lavage (DPL) was performed, revealing a small amount of hemorrhagic fluid. The fluid inside the pericardium was examined by controlled echocardiography in the cardiology clinic, and a conservative approach was suggested. The patient began to tolerate oral feeding quite soon; he was discharged from the general surgical department in a good state of wellbeing on day 13 after admission. This case report supports the idea that nonoperative treatment with repeated physical examination can be an alternative to laparatomy for abdominal gunshot injuries. Further clinical and experimental trials should be performed to test how safe this alternative is.Öğe PREMATURE EJECULATION: IS IT REALLY EFFECTS PARTNERS SOCIAL LIFE(WILEY-BLACKWELL, 2014) Gul, M.; Sari, E.; Goktas, S.[Abstract not Available]Öğe QUALITY OF LIFE, ANXIETY AND SELF-ESTEEM IN PATIENTS WITH PREMATURE EJECULATION(WILEY-BLACKWELL, 2014) Sari, E.; Gul, M.; Goktas, S.[Abstract not Available]Öğe THE RELATIONSHIP BETWEEN SOCIAL PHOBIA AND SEXUAL SATISFACTION IN PATIENTS WITH PROSTATE CANCER(WILEY-BLACKWELL, 2014) Gul, M.; Sari, E.; Goktas, S.[Abstract not Available]Öğe The role of pentraxin-3 in patients with severe sepsis and septic shock(SPRINGER HEIDELBERG, 2011) Buyukunaldi, P.; Gul, M.; Cander, B.; Ergin, M.; Cicekler, H.; Erayman, O.; Durduran, Y.[Abstract not Available]
