Browsing by Author "Gurmen, ES"

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    MEDICAL STUDENTS PERSPECTIVES ON THE ROLE OF SOCIAL MEDIA IN MEDICAL EDUCATION AND TRAINING
    Yorgancioglu, M; Gurmen, ES; Ates, FSO
    Objective: Social media (SM) is an integral part of life. Our study aims to investigate how SM impacts the educational experience of medical students and seek to acquire a better understanding of the scope of studies pertaining to the influence of social media on medical education. Materials and Methods: The participants were given a questionnaire developed by the researchers with a completion time of approximately 5 minutes. The questionnaire comprised inquiries that were designed to evaluate the extent to which students employed SM in their academic pursuits, drawing based on a review of relevant literature. Results: The social media platforms that were predominantly entered were Instagram and YouTube. Moreover, a majority of respondents (48.4%) expressed a preference for a hybrid educational framework that integrates conventional and digital practices. A substantial majority of respondents (70.3%) held the belief that SM does indeed have an impact on medical education. Conclusion: With the impact of developing technology, SM has become an important part of information and medical education. Although the conventional clinical teaching approach remains firmly established in medical education, there is a growing recognition towards the need to integrate technology to enrich the educational experience. In the coming years, educational institutions will prioritize enhancing online education experience and instructors' competencies, as well as facilitating students' disciplined and comfortable participation, so as to add a new dimension to education through the use of technology.
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    Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma
    Demir, B; Sasmaz, MI; Gurmen, ES; Bilge, A
    BACKGROUND: Significant portion of trauma-related deaths occur in the 1st h; therefore, rapid diagnosis and adequate resuscita-tion in trauma patients are essential preventing mortality. In this study, we aimed to evaluate the role of lactate-to-hematocrite ratio (LHR) score for predicting mortality in patients with severe thoracoabdominal trauma. METHODS: In this retrospective, cross-sectional study, we evaluated patients who applied to the emergency room between January 1, 2016, and December 31, 2019, due to multiple trauma. We measured the blood gas analysis values and LHR score of patients with severe thoracoabdominal trauma included in the study and investigated the effectiveness of the LHR score in predicting mortality. RESULTS: 106 patients with severe thoracoabdominal trauma were included in the study. The 30-day mortality rate of the patients was 42.5% (n=45). Considering the 30-day mortality rates, the initial hematocrit, lactate, base deficit, and LHR score were statistically different between patients who died and survived. When the cutoff value for the LHR score was taken as 0.187 on the ROC curve to distinguish mortality, the sensitivity was found to be 77.8%, specificity to be 90.2%. CONCLUSION: LHR score is an effective parameter with high sensitivity and specificity in predicting mortality in patients with severe thoracoabdominal trauma.
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    Dyspnea: perfus?on ?ndex and tr?age status
    Tulay, CM; Gurmen, ES
    Purpose: To determine the relationship between perfusion index and the emergency triage classification in patients admitted to the emergency department with dyspnea. Methods: Adult patients who presented with dyspnea and whose perfusion index values were measured with Masimo Radical-7 device at the time of admission, at the first hour and the second hour of admission were included in the study. The PI and oxygen saturation measured by finger probes were compared and the superiority of their effects on the emergency triage classification was compared. Results: For the 0.9 cut- off value of the arrival PI level according to the triage status; sensitivity 79.25%; specificity 78.12%; positive predictive value is 66.7 and negative predictive value is 87.2. A statistically significant correlation was found between the triage status and the 0.9 cut- off value of the admission PI level. We can say that the ODDS rate of red triage is 13.63 times (95% CI: 5.99-31.01) times higher in cases with a PI level of 0.9 and below. In the ROC analysis, the cut-off value of 1.1 and above the admission PI level was determined as the most appropriate point for discharge. Conclusion: The perfusion index can help to determine the triage classification in emergency departments for dyspnea.
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