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Browsing by Department "Adli Tıp Bölümü"

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    Publication
    Performance of emergency medicine residents in the interpretation of radiographs in patients with trauma
    (BMJ Publishing Group, 2008-08-01) Aydın, S. A.; Bulut, Mehtap; Topal, N. B.; Akgöz, S.; Köksal, O.; Orcan, S.; Turan, M.; Aydın, T.; Gültekin, E.; Oncu, M. R.; Durmuş, O.; Eren, B.; Özgüç, H.; Aydın, S. A.; Bulut, Mehtap; Topal, N. B.; Akgöz, S.; Köksal, O.; Orcan, S.; Turan, M.; Aydın, T.; Gültekin, E.; Oncu, M. R.; Durmuş, O.; Eren, B.; Özgüç, H.; Tıp Fakültesi; Tıp Fakültesi; Tıp Fakültesi; Tıp Fakültesi; Adli Tıp Bölümü; Radyoloji Ana Bilim Dalı; Radyoloji Ana Bilim Dalı; Acil Tıp Ana Bilim Dalı; AAK-8096-2021; AAK-8332-2020; AAX-5571-2021; HHN-5686-2022; A-1247-2018; IAY-1006-2023; ECS-3439-2022; EKV-4953-2022; DKR-9813-2022; EBZ-5000-2022; CFT-2856-2022; CSK-2457-2022
    Background: Radiographs are vital diagnostic tools that complement physical examination in trauma patients. A study was undertaken to assess the performance of residents in emergency medicine in the interpretation of trauma radiographs.Methods: 348 radiographs of 100 trauma patients admitted between 1 March and 1 May 2007 were evaluated prospectively. These consisted of 93 cervical spine (C-spine) radiographs, 98 chest radiographs, 94 radiographs of the pelvis and 63 computed tomographic (CT) scans. All radiological material was evaluated separately by five emergency medicine residents and a radiology resident who had completed the first 3 years of training. The same radiographs were then evaluated by a radiologist whose opinion was considered to be the gold standard. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated.Results: The mean (SE) age of the patients was 29 (2) years (range 2-79). There were no statistically significant differences in terms of pathology detection between the emergency medicine residents and the radiologist. The agreement between the emergency medicine residents and the radiology resident was excellent for radiographs of the pelvis and the lung (kappa (kappa) = 0.928 and 0.863, respectively; p<0.001) and good for C-spine radiographs and CT scans (kappa = 0.789 and 0.773, respectively; p<0.001).Conclusions: Accurate interpretation of radiographs by emergency medicine residents who perform the initial radiological and therapeutic interventions on trauma patients is of vital importance. The performance of our residents was found to be satisfactory in this regard.
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    Publication
    Unusual autopsy finding: Simon's bleeding
    (Slovene Medical, 2013-09) Eren, Bülent; Akgöz, Semra; Eren, Filiz; Gündoǧmuş, Ümit Naci; Türkmen, Nursel; Çetin, Selçuk; Tıp Fakültesi; Adli Tıp Bölümü; 8715251700; 55891084500
    Objective: To determine whether or not hanging had taken place before or after the death of the victim is quite important in the identification of criminal cases pretended to be suicidal attempts. Material and Methods: Evidence for Simon's bleeding was searched in cases included in the study group after retracting soft tissue and organs away from the field of interest for full exposure of the region of lumbar spinal veretebrae without macroscopic grading of the severity of bleeding, and determining the lumbar level of bleeding. The cases autopsied in Bursa Morgue Department between 2009 and 2011 were retrospectively investigated and evaluated. Results: A total of 848 cases (664 males, and 184 females, male/female ratio, 3.6 :1) were included in the study. A total of 270 (31.8 %) cases had Simon's bleeding. A significant difference in the frequency of Simon's bleeding exists among various causes of death. A 28.5 % (n = 77) of the cases with Simon's bleeding were in the group with hanged death cases (p < 0.001). Conclusion: Splinter bleedings identified originally by Simon on the ventral, and later dorsal aspects of the spinal disci in cases of hanging were also observed later in deaths not related to hanging, however it was concluded that these types of bleeding could not be detected in cases of postmortem hanging. When we evaluated all groups, the results we obtained do not support the assertion that the incidence of Simon's bleeding decreases with aging. Instead, when compared with all other groups, the incidence of Simon's bleeding was also higher in cases of hanging with the highest mean age.