Yazar "Hösükler, Erdem" seçeneğine göre listele
Listeleniyor 1 - 11 / 11
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Analysis of injuries and deaths by trauma scores due to occupational accidents(Turkish Assoc Trauma Emergency Surgery, 2022) Hösükler, Erdem; Turan, Tolga; Erkol, Zehra ZerrinBACKGROUND: This study was aimed to evaluate the injury characteristics, causes, results, and hospital charges in cases of occu-pational accidents that were reported to judicial authorities using trauma scores.METHODS: The study was performed after obtaining permission from the judicial authorities and approval from the local ethics committee. All occupational accident cases that were reported to the judicial authorities in Bolu Province between 2015 and 2019 were included in the study. The groups were compared with the Chi-Square test, Mann-Whitney U Test, and the Kruskal-Wallis Test. P<0.05 was considered statistically significant.RESULTS: This study included 3599 cases. The majority of the cases (74.70%) were male, with a mean age of 34.90 +/- 10.50 years. Occupational accidents occurred most frequently between 8 and 16 h (n=1982; 55.10%), on Friday (n=595, 16.53%), in April (n=356; 9.89%), and in spring (n=971; 26.98%). Occupational accident-related death occurred in 29 cases (0.8%). The most common injury due to occupational accidents occurred in the food industry (n=1256, 34.90%). Blunt object injury (n=1112, 30.90%) was the most com-mon type of occupational accident; and the upper extremity (n=2049, 54.93%) was the most common injury localization. The mean Abbreviated Injury Scale of the cases was 0.94 +/- 0.74, the mean Injury Severity Score (ISS) was 1.79 +/- 4.47, and the mean New-Injury Severity Score (NISS) was 2.11 +/- 5.28. The means of ISS and NISS were statistically significantly higher for males, life-threatening injuries, work accidents in the Construction and Agriculture-Forestry sectors, fall from height, traffic accidents, and caught-in-machinery. The total hospital charge was 1,351,339.10 TL and its average was 380.30 +/- 2418.90 TL. The mean of treatment costs was significantly higher in the agriculture-forestry and construction sectors.CONCLUSION: The evaluation of all occupational accidents that are submitted to the jurisdiction on a provincial basis may provide more useful information in the prevention of work accidents. The use of trauma scores in the evaluation of occupational accidents is a useful argument for understanding the sectors and injury types that cause severe trauma. Furthermore, trauma scores may be an important predictor of hospital costs.Öğe Complex suicides: 21 cases and a review of the literature(2022) Hösükler, Erdem; Hösükler, Bilgin; Çoban, İsmail; Koç, SermetBackground: The use of more than one potentially lethal method together and sequentially to complete suicide is called complex suicide. Complex suicides are divided into two groups: planned and unplanned. This study aimed to discuss with literature 21 complex suicide cases identified after a 2-year retrospective study. Results: This study included 21 complex suicide cases. Eleven were classified as planned complex suicides, and 10 were labeled as unplanned complex suicides. The average age of all cases was 42.5 +/- 17.7 (min: 19, max: 76) years. Suicide notes were present in six (28.5%) cases. Fifteen victims (71.4%) suffered from psychiatric diseases. Twelve victims ingested a toxic dose of medication, nine cases jumped from a height, eight cases used stabbing, six cases used hanging, two cases ingested a corrosive substance, two cases drowned, two cases inhaled a toxic gas, one case ingested cyanide, one case ingested insecticide, and one case used suffocation with a plastic bag. In two cases, three methods of suicide were used together. In the current study, corrosive substance intake + cyanide intoxication and corrosive substance intake + jumping from a height were defined for the first time and have not been previously described in the literature. Conclusions: Complex suicides are highly likely to be potentially mistaken for murder. The cause of death in these cases can be determined with a comprehensive autopsy along with a detailed examination of the scene, statements of relatives, and eyewitnesses.Öğe Evaluation of eye and serum findings in different waters in rabbits by drowning and submersion modeling(Tubitak Scientific & Technological Research Council Turkey, 2024) Yılmaz, Aziz; Hösükler, Erdem; Kaymaz, Abdülgani; Üçgül, Ahmet Yücel; Erkol, Zehra ZerrinBackground/aim: This study investigated serum, vitreous, and anterior chamber fluid electrolyte changes, corneal thickness (CT), corneal volume (CV), anterior chamber volume (ACV), and anterior chamber depth (ACD) as an auxiliary diagnostic method in the identification of drowning in fresh or salt water. Materials and methods: The study used 35 healthy, adult, male, white New Zealand rabbits, seperated into five groups (control, saltwater drowning (SWD), saltwater immersion (SWI), freshwater drowning (FWD), freshwater immersion (FWI)). CT, CV, ACV, and ACD measurements were made with Pentacam topography at 0, 2, and 4 h in all groups. Magnesium (mg), sodium (Na), and chlorine (Cl) were measured in the blood at 0 and 2 h, and in blood, vitreous fluid, and humor aqueous at 4 h. Results: It was determined that CT, CV, ACV, and ACD are not of great value in drowning diagnosis and are affected by the fresh or salt water rather than drowning. Vitreous Na, Cl, and Mg levels are ineffective in determining drowning after one h. Anterior chamber fluid may provide valuable information in the differentiation freshwater - saltwater drownings at the 4th h in corpses retrieved from water. Conclusion: Anterior chamber fluid Na and Cl levels, especially in corpses removed from salt water, can be an easily used test that can help diagnose drowning.Öğe Evaluation of genital condyloma accuminata seen during pediatric age as for sexual abuse: Case report(2018) Petekkaya, Semih; Erkol, Zerrin; Hösükler, Erdem; Samurcu, Hakan; Gündoğdu, VeyisAnogenital wart is the most frequently seen during sexually transmitted disease in sexually active adults caused by Human Papillomavirus. The transmission with sexual contact has been defined for anogenital warts which emerge during childhood, however other routes of infection are also considered. We presented a case of a female child who had two genital warts. There is no history or suspicion of sexual abuse and the girl was infected by her mother. In the cases of condyloma accuminata seen in childhood, taking history and physical examination for sexual abuse of the child should be done by the clinician in a detailed way. Opinions should be achieved from forensic experts about the case and the legal authorities should be notified of the suspicion.Öğe Evaluation of juvenile and adolescent sexual abuse victim: A retrospective study(Aves, 2022) Hösükler, Erdem; Yılmaz, Aziz; Erkol, Zehra ZerrinObjective: This study aimed to evaluate the sociodemographic characteristics and the mental, anogenital, and physical examination findings of child and adolescent sexual abuse victims and to discuss them in the light of the literature. Materials and Methods: This study included a total of 134 children and adolescent cases between the ages of 0 and 18 who were victims of sexual abuse, from among the reports prepared in the Forensic Medicine Clinic of Bolu Abant Izzet Baysal Training and Research Hospital between 2015 and 2019. Results: This study included 134 cases: 113 (84.3%) were female and 21 (15.7%) were male. The mean age was 13 +/- 3.4 years (min: 3, max: 17). The average age of the defendants was 25.6 +/- 13 years (min: 12, max: 75), and all the defendants were male. The defendants were strangers in 60 cases (4.8%). Sexual abuse mostly occurred as vaginal penetration in 46 cases (34.3%). Sixty-nine (51.5%) cases were exposed to abuse more than once. Depression due to sexual abuse developed in 14 (10.4%) of the cases. Conclusion: Considering that many child abuse victims have normal examination findings, it should not be forgotten that the interview and psychiatric examination with the child are as valuable as the genital examination.Öğe Evaluation of medical malpractice claims in thoracic surgery(Turkish Association of Trauma and Emergency Surgery, 2022) Hösükler, Erdem; Üzün, İbrahim; Hösükler, BilginBACKGROUND: Medical malpractice occurs in cases, where a patient experiences damage as a result of the doctor’s deviation from the standard practice or care. As in all medical specialties, thoracic surgeons may face medical malpractice claims. METHODS: Among the files reviewed by the First Board of Specialization of the Council of Forensic Medicine between January 01, 2010, and December 21, 2015, cases with malpractice allegations against thoracic surgeons were analyzed retrospectively. RESULTS: Fifty-nine of the cases were male (72.8%), and 22 were female (27.2%). The mean age was 51.13±18.97 years, and the most common age range was >60 years (n=35, 43.2%). Medical malpractice was confirmed in 11 (13.6%) of the cases. A diagnostic error was the most common cause of error (n=7, 63.6%), and the most common cause of a diagnostic error was failure to diagnose a condition on time (n=4, 36.4%). The most frequent diagnosis was “injuries due to trauma” (n=54, 66.7%), followed by lung cancer (n=9, 11.1%). It was found that 80.2% (n=65) of the doctors intervened with the patient as a consultant. Complications developed in 48 (59.3%) of the cases. The most common complication was pneumonia (n=7, 14.6%). CONCLUSION: This was the first study in Turkey that included cases of medical malpractice claims that involved thoracic surgeons. We think that examining cases with medical malpractice claims will help physicians not only better understand the characteristics of malpractice claims but also develop strategies to prevent malpractice claims. © 2022 Turkish Association of Trauma and Emergency Surgery.Öğe Fungal growth on a corpse: a case report(Romanian Legal Med Soc, 2018) Hösükler, Erdem; Erkol, Zerrin; Petekkaya, Semih; Gündoğdu, Veyis; Samurcu, HakanFungi exist in many environments, in air, bathrooms of houses, on wet floors, grounds, showers, dirty, and wet laundry, air conditioners, and humidifiers, garbage bins, dish racks, carpets, in dark, and humid environments as cellars, and attics. Forensic mycology is a branch of science which describes species of fungi. In the past, forensic mycology was mostly restricted to the examination of poisonous, and psychotropic species, in recent years it starts to play a role in the determination of the time of death, burial place, and time of leaving the body where it was found, and cause of death (hallucination, and poisoning). Forensic mycology is considered as an auxiliary method in the determination of the time of death just like forensic entomology. In our study, by presenting a case whose dead body was covered with fungal plaques during postmortem period, we aim to review literature concerning fungal growth on corpses.Öğe Malpractice allegations in adult and pediatric emergency departments resulting in death(Galenos Publishing House, 2022) Gürbüz, Emre; Üzün, İbrahim; Hösükler, Erdem; Hösükler, BilginAim: This study aimed to increase the awareness of physicians working in adult and pediatric emergency departments (ED) about malpractice allegations. Materials and Methods: A retrospective analysis was conducted of cases with malpractice allegations occurring in ED from the lawsuit files decided by the First Specialization Board of the Istanbul Forensic Medicine Institute between 01/01/2012-31/12/2014. Results: Evaluation was made of 556 cases, comprising 357 (64.2%) males and 199 (35.8%) females, with a mean age of 38.92 +/- 24.8 years (minimum: 0, maximum: 87), with the highest number of cases in the 40-59 years age group (n=157, 28.2%). Two-thirds (n=377, 67.8%) of the cases with alleged medical malpractice occurred in a public hospital. The board decided that 24.4% (n=136) of the cases were medical malpractice. Of 556 cases, 1.102 physicians were accused and 151 physicians (13.7%) were found to be at fault by the board. More than half of the physicians accused of medical malpractice (51.7%) were general practitioners. The most common cause of malpractice in 136 files was diagnostic error (n=79, 58.1%). The most common actions of malpractice were failure to diagnose on time, and misdiagnosis (n=29, 21.3%). The most frequent diagnosis was trauma (n=156, 28.1%). Conclusion: Most of the malpractice allegations against the physicians working in the ED were unfounded and dismissed by the board. order to avoid diagnostic errors, it can be recommended that novice general practitioners should not be employed alone in ED without the support of more experienced colleagues.Öğe Medical malpractice in Turkey: Pediatric cases resulting in death(Turkish Archives of Pediatrics-AVES, 2021) Hösükler, Erdem; Üzün, İbrahim; Melez, İpek Esen; Hösükler, Bilgin; Elevli, MuratABSTRACT Background: Malpractice in medicine refers to the failure of a physician to meet a standard of diagnosis and treatment, damages/injuries caused by reprehensible ignorance, or negligence of a doctor. Methods: Allegedly malpractice cases of pediatricians and the cases in which causal link between malpractice and death was confirmed by the decision of the First Board of Specialization of the Council of Forensic Medicine between the dates of Januray 1, 2012 and December 31, 2014 were analyzed retrospectively. Results: The study revealed that in the majority of 286 cases, the infants were 0-28 days old (n = 115; 40.2%) and were hospitalized due to respiratory problems (n = 111; 38.8%). The allegations of malpractice cases were most frequently seen in private hospitals (n = 120; 42%). Malpractice was found in 17.5% of the cases (n = 50), in which the majority of cased were proved to be diagnostic errors (n = 24; 48%). The most common diagnostic error was the misdiagnosis of “healthy child” in medical malpractice cases (n = 11, 22%). Conclusions: In conclusion, it is considered to be important for the pediatricians to maintain proper communication with the relatives of the patients while monitoring their health condition, and pediatricians are expected to be more careful—especially in the diagnostic phase—in the cases involving 0-1 age group as children are most likely to be diagnosed as healthy in this age group.Öğe Mucus plugging problem in patients treated in the intensive care unit: A case report(2020) Kandemir, Ferhan; Aslan, Mehmet Cengil; Erkol, Zehra Zerrin; Hösükler, ErdemIn this paper, we will present a case who died in ICU during treatment for suicidal organophosphate intoxication. It is aimed to draw attention to the importance of regular tracheal aspiration and bronchoscopy, especially in intubated patients during treatment in ICU. In the medical documents of the case, it was learned that a 67-year-old male case was brought to a private hospital with a history of suicidal Jestis 2.5 EC, Alban EC4 (organophosphate) intake. The case died after being treated in the ICU for a total of 15 days following organophosphate intake. At autopsy, during an internal examination, approximately 5x2x1,5 cm in size, with brown-black color, organized, hardened paste consistency mucus plug was observed which was localized in the bifurcation of the trachea. It is considered to be useful to evaluate the indication of bronchoscopy in cases with better general conditions and hope for recovery.Öğe A retrospective study on sexual assault - abuse cases(Duzce University, Faculty of Medicine, 2022) Gündoğdu, Veyis; Erkol, Zehra Zerrin; Hösükler, Erdem; Samurcu, Hakan; Büken, BoraObjective: In this study; it is aimed to analyze the sexual attack-abuse cases that occurred in Bolu province and were judged by the High Criminal Court. Methods: A total of 148 cases of sexual assault -abuse decided by the Bolu High Criminal Court between 2007 and 2016 were analyzed retrospectively. Results: This study included 148 cases: 131 (88.5%) cases were female and 17 (11.5%) were male. The mean age was 18.6 +/- 11.6 (min:4, max:83). The highest number of cases was in the 13-15 age group (n=52, 35.2%). Sexual abuse most frequently occurred through vaginal penetration (n=72: 48.6%). The most common psychiatric diagnosis was acute stress disorder (n:12, 10.8%) and post-traumatic stress disorder (n:12, 10.8%). Physical violence was found to be statistically effective (p = 0.008) in the occurrence of mental disorders after the event. The victim recognized 81.8% of the attacker. Conclusions: We think that more effective sexual attack-abuse prevention strategies can be developed at the national level by determining the risk factors of sexual assault-abuse in our country through wider research to be conducted across the
