Objectives:To define the dimensions of the frontal sinus in groups standardized for age and gender and to discuss the reasons and the effects of the variations.Methods:Frontal sinus measurements were obtained from paranasal CT scans of 180 males and 180 females in the Radiology Department of Dursun Odabas Medical Center of Yuzuncu Yil University, Van, which is located in Eastern Turkey, between February and March 2016. The width and height of sinuses were measured on a coronal plane, and the anteroposterior length was measured on an axial plane. Volumes were calculated using the Hospital Information Management Systems and Image Archiving and Management System program. The Statistical Package of the Social Science version 13 was used for statistical analyses.Results:We determined differences in the frontal sinus measurements of different age groups in a Turkish adult population. Frontal sinus dimensions were usually higher in females and lower in males after 40-49 years of age than their younger counterparts, but the measurements were lower in females and higher in males in 70≤ years of age group than 60-69 years of age. Left frontal sinus was dominant in young age groups but right frontal sinus was dominant in groups 40-49 years of age or older.Conclusion:We observed crossing of the measurements between the different age groups, which we could not find clear explanations. The results of such studies may affect forensic identification from frontal sinus measurements.
GirişDünya Sağlık Örgütü (WHO) tarafından eksiklik, "psikolojik, fizyolojik veya anatomik bir yapı veya fonksiyonun kaybı ya da anormalliği"; maluliyet ise, "bu eksiklik ile ilişkili olarak ortaya çıkan bir sakatlık, herhangi bir kısıtlama ya da bir şekilde bir insan için normal sayılan ölçüler dâhilinde bir faaliyet gerçekleştirme yeteneği olmaması hali" olarak tanımlanmıştır (1). Akkurt, vücudun veya ÖZET Amaç: Bu çalışmada, Van ilinde maluliyet muayenesi için başvuran 548 olguya ait raporların geriye dönük değerlendirilmesinin yapılarak, Van ilindeki maluliyet olguların profillerinin belirlenmesi ve daha önce ülkemizde yapılan çalışmalarda rastlamadığımız üzere maluliyet oranları ile yaş ve cinsiyetin arasında istatistiksel bir ilişki olup olmadığının araştırılması amaçlanmıştır. Gereç ve Yöntemler:Çalışmamızda 01.01.2014 tarihinden, 31.12.2015 tarihine kadar olan 2 yıllık dönemde müracaat etmiş 548 kişiye ait maluliyet raporları geriye dönük olarak incelenmiş; bu olgular olay türü, yaş, cinsiyet, yaralanmanın meydana geldiği ay ve yıl, yaralanmanın meydana geldiği bölge, maluliyete esas teşkil eden veya maluliyete mahal olmayacak vücut bölgeleri, her vücut bölgesine göre maluliyet oranlarının dağılımı ve genel maluliyet oranları yönünden değerlendirilmiştir.Bulgular: Olguların %69,9'u erkek, %30,1'i ise kadındı. Olguların %91,6'sını trafik kazaları sonucu yaralanmaların oluşturduğu saptanmış, %19,5'inde yaralanmaları sekel bırakmadan iyileştiğinden maluliyet tayinine mahal olmadığına karar verilmişti.Sonuç: Çalışmamızda, kadın olguların ortalama maluliyet puanları ile erkek olguların ortalama maluliyet puanları arasında istatistiksel olarak anlamlı bir fark saptanmamış olmasına karşın; yaş gruplarına göre maluliyet oranı ortalama puanlarının 40 yaş üstündeki artışı istatistiksel olarak anlamlı bulunmuş olup, bu durum, yaşlanma ile birlikte ortaya çıkan osteoporoz, artroz gelişimi, kalp ve akciğer hastalıkları v.b. gibi durumların travma sonucu ortaya çıkan hasarın şiddetlenmesinde ve iyileşme sürecinin gelişiminin engellenmesinde rol aldıkları şeklinde değerlendirilmiştir.Anahtar Kelimeler: Maluliyet, maluliyet oranı, sosyal sigortalar, cinsiyet, yaş grupları ABSTRACT Objective: In this study, medico-legal reports about 548 cases admitted for disability assessment in Van were retrospectively evaluated. It was aimed to determine the profiles of disabilty cases in Van, and the investigation of statistical correlation between disability rates and age/sex which had not take part in the studies in the Turkish literature. Materials and Methods:In this study, medico-legal reports about 548 cases who were admitted for two years period from 01.01.2014 to 31.12.2015 were retrospectively reviewed. These cases were evaluated according to event type, age, sex, injury date, distincs, injured body regions resulted in disabilty or not, distrubution of disability rates for every region and general disability rates.Results: 69.9% of cases were males and 30.1% were females. The injuries occured due to traffic accidents in 91.6...
Objective: The aims of this article are to report largest series of lightning-related deaths in Turkey, to review the literature about this subject, to define similarities and differences, between autopsy findings of the presented series and literature information. Methods: In this article, autopsy reports and crime scene investigation data of 11 lightningrelated fatalities that occurred in Van and Hakkari Provinces (Turkey) from January 1 st, 2011 to December 31 st , 2015 were retrospectively reviewed. Results: Eleven (2.53%) of 1,699 deaths which evaluated by medico-legal autopsy in Van and Hakkari Province in five years period, died due to lightning strikes. Of these cases, 10 (90.1%) were males and 1 (9.9%) was female (p<0.05). All cases between 11 and 33 age range. All cases was injured outdoors. Conclusion: We think that, the number of deaths due to lightning strike, that has seen relatively rare in Turkey, may be reduced with additional personal precautions such as to avoid from staying under trees or the vicinity of a high tower, to avoid from touching with metal object, to avoid from to lie on the ground, to avoid from to lie on the ground, to avoid from leaning against a wall, to crouch outdoors or enter indoor such as a building or car.
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