1Odabafl› AB, Demirel B, Akar T, Dinç AH, Ünal BM. ‹kili ölüm: ‹ki olgu bildirisi. Adli T›p Bülteni, 2005; 10 (1): 24-28 ÖZET:Kiflinin cinayeti iflledikten sonra intihar etmesi ve/veya iki kiflinin birlikte intihar›, ikili ölüm olarak tan›mlanmaktad›r. S›kl›kla aile içinde, failin erkek, kurban›n kad›n oldu¤u ve ateflli silah kullan›m› ile gerçekleflen bu olaylara ülkemizde ve dün-yada nadir olarak rastlan›lmaktad›r. 1999-2003 y›llar› aras›nda Ankara'da meydana gelen biri ateflli silah, di¤eri kesici-delici alet ile cinayet, ard›ndan as› ile intihar fleklinde gerçeklefltiril-mifl iki adet ikili ölüm olgusu ülkemizde bildirilen di¤er olgular ve literatür eflli¤inde tart›fl›lm›flt›r.Anahtar kelimeler: ‹kili ölüm, as›, cinayet-intihar SUMMARY:The suicide of a person after committing homicide, and/or two people committing suicide together is termed as dyadic death. Such events are usually domestic, occur by the use of firearms-with the murderer being male, the victim female-and encountered rarely in Turkey and around the world as well. Two cases of dyadic deaths that took place in Ankara between 1999 and 2003 are presented. One of them is committed with a firearm and the other with an incisive-perforating instrument and both ending with suicide by hanging. The cases are discussed with reference to other cases previously reported in Turkey and the literature.
Purpose: Successful resuscitation and early defibrillation are critical in survival after in- or out-of-hospital cardiopulmonary arrest. This study aimed to determine the knowledge, skills, and attitudes of the pediatric healthcare professionals about the defibrillator use and to offer solutions if there was room for improvement. Procedures: This was a multicenter survey study. Findings: The study included 716 healthcare professionals with an average age of 30.1 ± 5.8 years; 50% (n=358) were pediatric residents and 41.3% (n=296) had less than three years of professional experience. Self-declared level of knowledge about defibrillation/cardioversion was low-to-medium for 66.5% (n=476); 60.8% (n=435) had never practiced these procedures and 22.2% (n=159) had never received any training about defibrillator use. There was a significant relationship between professional experience and the proportion of participants who correctly responded to the first-shock dose for defibrillation but not for cardioversion. Conclusion: Professional experience is crucial in the correct defibrillator use. However, the defibrillation/cardioversion procedures are prone to errors since they are not commonly applied in day to day practice. An ideal approach to improve the experience of personnel could be to use practical training with case-based simulations and to educate the personnel about the features of the defibrillators available in their clinics.
Objective The frequency of coinfections in pediatric Coronavirus disease 2019 (COVID-19) cases and their impact on the clinical course are not fully understood. We aimed to investigate the viral and bacterial respiratory pathogens in children admitted to the pediatric emergency department (PED), their clinical course, and the presence of coinfections during the early months of the COVID-19 pandemic. Methods Clinical, laboratory and radiological findings, viral and bacterial pathogens detected by multiplex polymerase chain reaction (PCR) tests in nasopharyngeal swabs, clinical course, and treatments of all children who were tested for severe acute respiratory coronavirus 2 (SARS-CoV-2) at the PED between March 16 and May 15, 2020, were recorded. SARS-CoV-2 PCR-positive and negative groups were compared. Results Out of 570 patients tested for SARS-CoV-2 during the study period, 43 were found positive (7.5%). Non-SARS-CoV-2 viral pathogens were more common in the SARS-CoV-2 PCR-negative group than the SARS-CoV-2 PCR-positive group (13.2%, n = 68 versus 4.7%, n = 2), but this result was not statistically significant. Leukocyte, neutrophil, lymphocyte, and platelet counts were lower in SARS-CoV-2 PCR-positive group. Bacterial panel positivity was significantly higher in the SARS-CoV-2 PCR-positive group compared with the SARS-CoV-2 PCR-negative group (52%, n = 12 versus 28%, n = 91; p < 0.05). The presence of coinfection did not alter the course of therapy in SARS-CoV-2 PCR-positive cases. Conclusion While viral coinfections were rare, bacterial panel positivity was common in children with COVID-19, but this had not influenced management decisions. The limitations of the tests should be kept in mind while interpreting the results.
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