Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien–Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk.
Each music tradition has its own characteristics in terms of melodic, rhythmic and timbral properties as well as semantic understandings. To analyse, discover and explore these culture-specific characteristics, we need music collections which are representative of the studied aspects of the music tradition. For Turkish makam music, there are various resources available such as audio recordings, music scores, lyrics and editorial metadata. However, most of these resources are not typically suited for computational analysis, are hard to access, do not have su cient quality or do not include adequate descriptive information. In this paper we present a corpus of Turkish makam music created within the scope of the CompMusic project. The corpus is intended for computational research and the primary considerations during the creation of the corpus reflect some criteria, namely, purpose, coverage, completeness, quality and re-usability. So far, we have gathered approximately 6000 audio recordings, 2200 music scores with lyrics and 27000 instances of editorial metadata related to Turkish makam music. The metadata include information about makams, recordings, scores, compositions , artists etc. as well as the interrelations between them. In this paper, we also present several test datasets of Turkish makam music. Test datasets contain manual annotations by experts and they provide ground truth for specific computational tasks to test, calibrate and improve the research tools. We hope that this research corpus and the test datasets will facilitate academic studies in several fields such as music information retrieval and computational musicology.
Abstract. In this study, it was aimed to investigate obesity awareness stage of 8th class students in secondary school who entered TEOG examination organized by Ministry of National Education in terms of different variables. The research was carried out with 268 male and 232 female students. Moreover, "Obesity Awareness Scale" developed by Allen (2011) and "and Turkish validity and reliability of which was performed by Kafkas&Özen (2014) as well as Personal Information Form" were used. In the analysis of the research data, Student t-test, one-way variance analysis, SPSS software program were used as well as descriptive statistics. A statistically significance was observed between the students and their parents' habit of doing sports with total grades taken from the scale, obesity awareness and nutrition dimensions (p<0.05). A significant difference in favour of female students was determined between body mass index and gender in terms of statistics (p<0.01). It was concluded that 268 male and 232 female students participated in this research had obesity awareness.
Informed consent is a term based on the idea that every individual has the right to know every medical intervention that is going to be performed on their own body and to learn the issues that she/he may encounter in case of refusal of intervention, and it also defines the protection of personal rights under the guarantee of law. Material and Methods: The website of Turkish Surgical Association and 25 different websites of surgical associations were evaluated according to general surgery association guide, which was published by the Turkish Surgical Association in 2011. Results: Four websites of those surveyed include informed consent sections and these were evaluated. A total of 44 informed consent forms were included in this study. Of these, 29 were in Turk Colon and Rectum Surgery Association, 8 were in Turkish Surgery Association, 5 were in Turk Hepatopancreaticobilier Surgery Association, and 4 were in Endocrine Surgery Association. These informed consent forms were evaluated with regard to the aforementioned criteria. The results and also the distribution according to the associations were summarized. A common feature of the informed consent forms was that all of them included the risks of the intervention/operation and complications to be carried out. On the contrary, none of them included approximate time of surgery, information about surgeons, issues that patients should care about before surgery, the section that permits the use of data for scientific purpose, and the time of signing the informed consent form. Conclusion: We believe that in this context the regulation of informed consent by sub-specialization associations under the flag of Turkish Surgical Association is a very important matter and will standardize informed consents; websites of the associations will be easier to access, and this will be as beneficial for physicians as the patients and also will protect the physicians in probable trials.
In this study, we aimed to compare the results of the survival analysis of the patients with breast cancer using Weibull, Gamma, Gompertz, Log-Logistic and Log-Normal parametric models. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The data obtained from 5457 patients with breast cancer from Ege University Cancer Research Centre between 1992 and 2007 was used in this study. The patients were divided into two groups with respect to their ages, they were divided into two groups as 49 and below and 50 and above. The Log rank test was applied to compare the survival curves of the two age groups obtained by Kaplan Meier method. A survival analysis was conducted by using Weibull, Gamma, Gompertz, Loglogistic and Lognormal distribution of parametric models. R Re es su ul lt ts s: : Survival curves of two groups were compared by using a log-rank test and no statistical significant difference was found between the two groups. In the analysis of the survival periods using parametric models, the age variable is taken as the covariate. To determine the best model among parametric models, Akaike Information Criteria (AIC) was exploited. The results of the study revealed that the survival model found by the Gompertz distribution was the most appropriate one. C Co on n-c cl lu us si io on n: : By using AIC, the models obtained via Weibull, Loglogistic, Lognormal, Gamma and Gompertz were compared and the most suitable model for the obtained data distribution was determined. Although the AIC values for the five distributions in question were very close to each other, the Gompertz distribution, which had the lowest AIC value, was determined as the most suitable model.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.