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您的检索式：作者名="Ayse Guler"
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| 1 | Glasgow coma scale and APACHE-II scores affect the liver transplantation outcomes in patients with acute liver failure显示文摘BACKGROUND:The timing and selection of patients for liver transplantation in acute liver failure are great challenges.This study aimed to investigate the effect of Glasgow coma scale(GCS)and APACHE-II scores on liver transplantation outcomes in patients with acute liver failure.METHOD:A total of 25 patients with acute liver failure were retrospectively analyzed according to age,etiology,time to transplantation,coma scores,complications and mortality.RESULTS:Eighteen patients received transplants from live donors and 7 had cadaveric whole liver transplants.The mean duration of follow-up after liver transplantation was 39.86±40.23 months.Seven patients died within the perioperative period and the 1-,3-,5-year survival rates of the patients were72%,72%and 60%,respectively.The parameters evaluated for the perioperative deaths versus alive were as follows:the mean age of the patients was 33.71 vs 28 years,MELD score was 40 vs32.66,GCS was 5.57 vs 10.16,APACHE-II score was 23 vs 18.11,serum sodium level was 138.57 vs 138.44 mmol/L,mean waiting time before the operation was 12 vs 5.16 days.Low GCS,high APACHE-II score and longer waiting time before the operation(P<0.01)were found as statistically significant factors for perioperative mortality.CONCLUSION:Lower GCS and higher APACHE-II scores are related to poor outcomes in patients with acute liver failure after liver transplantation. | Necdet Guler Omer Unalp Ayse Guler Onur Yaprak Murat Dayangac Murat Sozbilen Murat Akyildiz Yaman Tokat | 2013 | Hepatobiliary & Pancreatic Diseases International2013，12，6： | 9 |
| 2 | Listening to music during arteriovenous fistula surgery alleviates anxiety: A randomized single-blind clinical trial显示文摘BACKGROUND Both end-stage renal disease and being wait-listed for a kidney transplant are anxiety-causing situations.Wait-listed patients usually require arteriovenous fistula surgery for dialysis access.This procedure is performed under local anesthesia.We investigated the effects of music on the anxiety,perceived pain and satisfaction levels of patients who underwent fistula surgery.AIM To investigate the effect of music therapy on anxiety levels and perceived pain of patients undergoing fistula surgery.METHODS Patients who were on a waiting list for kidney transplants and scheduled for fistula surgery were randomized to control and music groups.The music group patients listened to music throughout the fistula surgery.The State-Trait Anxiety Inventory was performed to assess anxiety,additionally visual analog scale was used to evaluate perceived pain,willingness to repeat the procedure and patient satisfaction.Demographic features,comorbidities,surgical history,basic surgical data(location of fistula creation,duration of surgery,incision length)and intraoperative hemodynamic parameters were recorded by an investigator blinded to the study group.An additional trait anxiety assessment was performed following the surgery.RESULTS There was a total of 55 patients included in the study.However,14 patients did not fulfill the criteria due to requirement of sedation during surgery or uncompleted questionnaires.The remaining 41 patients were included in the analysis.There were 26 males and 15 females.The control and music groups consisted of 20 and 21 patients,respectively.With regard to basic surgical and demographic data,there was no difference between the groups.Overall patient satisfaction was significantly higher and intra-operative heart rate and blood pressure were significantly lower in the music group(P<0.05).Postoperative state anxiety levels were significantly lower in the music group.CONCLUSION Music therapy can be a complimentary treatment for patients undergoing fistula surgery.It can reduce anxiety and perceived pain,improve intraoperative hemodynamic parameters and enhance treatment satisfaction,thus may contribute to better compliance of the patients. | Sanem Guler Cimen Ebru Oguz Ayse Gokcen Gundogmus Sertac Cimen Fatih Sandikci Mehmet Deniz Ayli | 2020 | World Journal of Transplantation2020，10，4： | 1 |
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