CERRAHİ AĞRI DENEYİMİ OLMAYAN HASTALARIN AMELİYAT SONRASI AĞRI İNANÇLARI
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
<div class="page" title="Page 9"><div class="layoutArea"><div class="column"> <span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Bu </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">çalış</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ma </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">farklı </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">cerrahi kliniklerde ameliyat </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">amacı </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ile </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">yatışı yapılan hastaların, </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ameliyat </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ö</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ncesi ve </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">sonrası ağrı </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">inan</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">çlarını </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">belirlemek </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">amacı </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ile </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">yapılmıştır.</span> <span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Çalışmanın </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">verileri, 11 </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Şubat</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">- 31 Mart 2019 tarihleri </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">arasında </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Ankara </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Şehir Hastanesi’nin, </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Genel Cerrahi, Kalp Damar Cerrahisi, Ortopedi ve Travmatoloji ve </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Üroloji </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Kliniklerinde 377 hastadan </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">toplanmıştır. </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Verilerin </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">toplanmasında, </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Veri Toplama Formu, </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Vizüel </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Analog </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Skalası, Ağrı İnançları Ölçeği </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ve Mcgill </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Ağrı Ölçeği Kısa </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Formu </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">kullanılmıştır. </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Verilerin </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">değerlendirilmesinde, </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">SPSS (IBM SPSS Statistics 24) paket </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">programı kullanılmıştır.</span> <span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Çalışmaya katıla</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">n </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">hastaların </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ameliyat </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">sonrası </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">organik inan</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ç</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">lar alt boyut </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">puanları, </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ameliyat </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ö</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ncesi puanlara g</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ö</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">re istatistiksel olarak </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">anlamlı düzeyde </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">daha </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">yüksek saptanmıştır </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">(Z=-5.877; p=0.000). </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Hastaların </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ameliyattan </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">önce, ağrının </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">fizyolojik, fizyopatolojik ve psikolojik nedenlere </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">bağlı </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">olarak ortaya </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">çıktığı düşüncelerinin, </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ameliyattan sonra da </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">değişmediği </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ve bu </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">düşüncenin güçlendiği </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">tespit </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">edilmiştir. Hastaların </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ameliyat </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">sonrası Visüel </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Analog Skala </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">puanı (5,63±2,96) </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ameliyat </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ö</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ncesi </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Visüel </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Analog Skala </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">puanına (4,52±3,1</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">3) g</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ö</span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">re istatistiksel olarak </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">anlamlı düzeyde </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">(p=0,000) </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">yüksek olduğu görülmüştür. </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Ortopedi </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">kliniğinde </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">yatan </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">hastaların </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ameliyat </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">öncesi </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ve </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">sonrası Visüel </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Analog Skala </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">puanları, diğer </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">kliniklerde yatan hastalara </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">göre yüksek olduğu saptanmıştır. </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">McGill </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Ağrı Ölçeği Kısa </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">Formuna </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">göre hastaların %48.8’inin şiddetli ağrısı olduğu </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ve bu </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">ağrının </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">da </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">çoğunlukla </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">(%28.3) zonklama tipinde </span><span style="font-size: 12pt; font-family: TimesNewRomanPSMT;">olduğu beli
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.003 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.013 | 0.014 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it