Researcher:
Yeter, Havva Gökçe

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Undergraduate Student

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Havva Gökçe

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Yeter

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Yeter, Havva Gökçe

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2014 - 20183

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Researcher Of Publications: search.filters.isAuthorOfPublication.2b1679ce-e1d5-43dc-9918-c529a38f0e18

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    Comparison of composite indices with global synovitis score on ultrasound for detecting remission
    (Springer London Ltd, 2018) Ölmez, Merve Özata; Günal, Esen Kasapoğlu; Üreyen, Sibel Bakırcı; Keskin, Havva; Çobanoğlu, Erim; Aydın, Sibel Zehra; N/A; Öztürk, Ayşe Bilge; Yeter, Havva Gökçe; Faculty Member; Undergraduate Student; School of Medicine; School of Medicine; 147629; N/A
    We aimed to compare composite indices with Ultrasound Global Synovitis Score (GLOESS) for remission in rheumatoid arthritis (RA). RA patients in remission according to the clinician were investigated with Disease Activity Score28 (DAS28), Clinical Disease Activity Index (CDAI), Simplified Disease Activity Index (SDAI), and RAPID-3 (Routine Assessment of Patient Index Data 3). Ultrasonography was performed using the GLOESS scores. Patients in CDAI-remission had lower GLOESS (median (IQR), 5(3-9.75) vs 7(4-11.75), p = 0.048) with a similar trend in SDAI (5(3-9.25) vs 7(4-11.25), p = 0.064). This was not observed with DAS28-CRP and RAPID3. Our results show that CDAI is superior to other indices to assess remission in RA.
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    A prospective study on comparison of composite indices with ultrasound for detecting remission and prediction of flare in 2 years
    (Bmj Publishing Group, 2017) Olmez, M. O.; Gunal, E. K.; Ureyen, S. B.; Keskin, H.; Aydin, S. Z.; Öztürk, Ayşe Bilge; Yeter, Havva Gökçe; Çobanoğlu, Erim; Faculty Member; Undergraduate Student; Undergraduate Student; School of Medicine; School of Medicine; School of Medicine; 147629; N/A; N/A
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    PublicationOpen Access
    Health transformation project and defensive medicine practice among neurosurgeons in Turkey
    (Public Library of Science, 2014) İzci, Yusuf; N/A; Solaroğlu, İhsan; Yeter, Havva Gökçe; Metin, Mustafa Mert; Keleş, Güven Evren; Faculty Member; Faculty Member; School of Medicine; 102059; N/A; N/A; N/A
    Background: The term ""Defensive'' medicine was coined in the early 19709s and has been an important topic of scientific investigation and professional debate ever since. Objective: The aim of this study was to investigate the characteristics of defensive medicine, its reasons, and the extent to which it is practiced in the Turkish health care system. This is the first national survey to study the practice of defensive medicine among neurosurgeons in Turkey. Methods: The present cross-sectional study on defensive medicine assessed neurosurgeons registered at the Turkish Neurosurgical Society, who are actively working in various centers and hospitals within the Turkish health care system. A 40-question survey was adapted from existing measures described in the literature and was completed by a total of 404 neurosurgeons, representing 36.7% of the neurosurgeons registered at the Turkish Neurosurgical Society. Results: Seventy-two percent of the participants in the current study reported practicing defensive medicine. This practice was mainly reported among inexperienced neurosurgeons (74.4%). Most were younger than 40 years of age (75.2%), working in state hospitals/universities (72.7%), and living in the Marmara region (38%). Respondents reported engaging in defensive medicine by avoiding high-risk surgery (62.6%), ordering additional imaging studies (60.9%) and laboratory tests (33.7%), and referring patients to consultants (31.2%). Most participants consider every patient as a potential threat in terms of a medical lawsuit (68.3%) and do not believe the courts can distinguish malpractice from complications (89.6%). Conclusion: Concerns and perceptions about medical liability lead neurosurgeons to practice defensive medicine. By avoiding high-risk surgery, ordering unnecessary diagnostic tests, and referring the patients to consultants, neurosurgeons try to minimize the risk of malpractice and protect themselves from legal risks, resulting in higher healthcare expenditure and longer treatment periods.