Browsing by Author "Gul, M."

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An Effective Treatment Option for Pain Caused by Urolithiasis: a Randomised-Controlled Trial of Local Active Warming With Heat-Patch
(Blackwell Publishing Ltd, 2021) Mutlu, H.; Ertas, K.; Kokulu, K.; Sert, E.T.; Diri, M.A.; Gul, M.
Background: There is growing interest in physical medicine treatment options for renal colic. In this study, we aimed to determine whether or not heat-patch treatment with no drug was effective in relieving renal colic. Methods: For this purpose, patients who were diagnosed with renal colic in the emergency department were randomised to have either heat-patch or sham treatment. The Visual Analogue Scale (VAS) scores of renal colic, body temperature (Btemp), and sub-patch skin temperature (Stemp) values were measured at 0, 15, 30, 45, and 60 minutes. In addition, the salvage treatment needs of the groups were compared. Results: The average age of the study group was 30.5 ± 8.3 years and that of the sham group was 31.0 ± 8.2 years (P =.75). According to the baseline VAS score of the patients, 15, 30, 45, and 60 minutes VAS scores significantly decreased in the heat-patch group (P <.001). The Btemp values did not differ significantly between the heat-patch and sham groups. In addition, no statistically significant difference was found between the two groups in terms of Stemp values at 0 and 15 minutes (P =.39 and P =.10, respectively). However, there was a significant difference in the heat-patch group in terms of Stemp values at 30, 45, and 60 minutes compared with the sham group (P <.001). The salvage treatment rates for the heat-patch and sham groups were 11.5% and 31.4%, respectively (P =.01). Conclusion: As non-pharmaceutical treatment, the heat-patch has been shown to be a possible candidate for pain relief in patients with urolithiasis. Further research should concentrate on multicentre and large scale randomised studies. © 2020 John Wiley & Sons Ltd
Identifying Technical Efficiency of Dairy Cattle Management in Rural Areas Through a Non-Parametric Method: a Case Study for the East Mediterranean in Turkey
(2009) Dagistan, E.; Koc, B.; Gul, M.; Parlakay, O.; Goksel Akpinar, M.
There are many aspects regarding the success of dairy cattle management and productivity. In this study, amount and kinds of feed, costs of veterinary consultancy, herd size, labor and capital were utilized to estimate technical efficiency of dairy cattle management in small scale farms in the east Mediterranean region of Turkey. A non-parametric efficiency analysis was used for the data obtained through face-to-face interviews in 100 small scale farms. We used tobit regression analysis to determine the effectiveness of possible factors affecting production performances of the farms. The results suggested that the average technical efficiency is unsatisfactory since Constant Returns to Scale (CRS) and Variable Returns to Scale (VRS) values are relatively <1 (0.59 and 0.83, respectively). Only 13 and 46% of the farms were found to be efficient in terms of CRS and VRS, respectively. Data Envelopment Analysis (DEA) showed that the farms had excess input usage ranging from 10-22%. To increase efficiency scores in subsidiary profit farms in semi-arid east Mediterranean conditions, farmers should adopt new methodologies, which decrease the costs and excess input usage in such semi-pasture management systems. © Medwell Journals, 2009.
Necessity of Routine Histopathological Evaluation Subsequent To Bladder Neck Contracture Resection
(Polish Urological Association, 2016) Kaynar, M.; Gul, M.; Kucur, M.; Çelik, E.; Bugday, M.S.; Goktas, S.
Introduction Bladder neck contracture is a well-known complication following some urologic surgical procedures. Regardless of the surgical procedure, any specimen resected should be submitted for histopathological evaluation worldwide. However, the charges of histopathological evaluation may bring a heavy burden to the hospital and health care system. Also, waiting the period of the pathological evaluation process can be an anxious time for patients. Hence, we aimed to investigate the necessity of routine histopathological evaluation of bladder neck contracture bladder neck contraction specimens. Material and methods Patients undergoing bladder neck contraction resection, from 2010 to 2015 were identified. Patient demographics, type of surgery and histopathological diagnosis and cost of histopathological analyses of the specimens were recorded and analyzed. Results Findings of the histopathologic evaluations of 340 bladder neck specimens were reviewed. Out of these, 294 had underwent transurethral resection of the prostate, 38 open prostatectomy, and 8 radical prostatectomy. Evidence of malignant disease involving prostate cancer was present in only 2 specimens. Both of the specimens had a known preexisting history of malignant disease. The remaining 338 specimens showed chronic inflammation (n = 176), chronic active inflammation (n = 64), adenomatous hyperplasia (n = 78) or cystitis (n = 20). Conclusions Our results indicate that routine histopathological examination of bladder neck contraction specimens is clinically unnecessary. We recommend that the surgeon should decide the need for histological examination on individual basis, depending on known preoperative risk factors. © 2016, Polish Urological Association. All rights reserved.