Invasive fungal infections are a leading cause of morbidity and mortality in immunocompromised patients, especially in cases requiring a prolonged stay in the intensive care unit. A total of 99 yeast strains were isolated from 42 postmortem cases. In this study, virulence factors and antifungal susceptibility of these species were evaluated. The isolates were identified as Candida albicans (54), C. tropicalis (15), C. glabrata (12), C. parapsilosis (6), C. lipolytica (3), C. utilis (3), C. krusei (2), C. kefyr (1), and Cryptococcus neoformans (3). The most commonly isolated species was C. albicans, and no resistant species were determined. Despite the equal number of specimens, no secretion of significant virulence factors was associated with the postmortem specimen in the Candida species. Postmortem fungal investigations in forensic autopsies are useful in explaining cause of death in such cases, also may lead to protocols for the treatment of fungal infections and contribute to fungal pathogenesis and epidemiological data.
Aim:This study aimed to analyze the judicial reports prepared in emergency services and to emphasize the importance of forensic medicine education for the physicians working at these services and the reflection of the situation to the judicial authorities.
Materials and Methods:Reports prepared by Forensic Medicine Department of Gaziantep University Medical Faculty were accepted as the gold standard and the judicial reports of the same patients prepared in emergency services were compared retrospectively.Results: Most reports were found to be prepared as temporary reports. The concepts of general condition, consciousness, life-threatening clinical status and simple medical interventions were frequently mentioned, while other concepts were not mentioned. The success rate of identifying cases with and without life-threatening clinical status in emergency services was 83.49% and 85.52%, respectively. The success rate of identifying cases that could and could not be treated with simple medical intervention was 84.20% and 58.62%, respectively.
Conclusion:It has been determined that the problems in both mentioning basic concepts and accurate report writing cannot be solved in the judicial reports organized in emergency departments. In order to protect themselves, physicians have a tendency to report the consequences more severe than they actually are. However, it should be kept in mind that this tendency may not protect the physician, but also may cause additional legal problems.
Öz Darp sonucu maksillofasiyal travma meydana gelen ve adli rapor düzenlenmesi için Gaziantep Üniversitesi Adli Tıp Anabilim Dalına başvuran olgu, vaka sunumu olarak değerlendirilmiştir. 49 yaşında erkek hasta, darp neticesinde yüz bölgesinden yaralanmış, götürüldüğü sağlık kuruluşunda mandibulada fraktürü saptanması üzerine opere edilmiş, takip eden süreçte hastada bazı sekeller kalmıştır. Hastanın son durum muayenesinde yaklaşık 15kg kilo kaybı, ağız açıklığında azalma, maloklüzyon ve class II anterior openbite tespit edilmiştir. Darp-cebir ve kaza olgularında travmaya sıklıkla maruz kalan yüz bölgesinde gündelik işlevlerimizi ziyadesiyle ilgilendiren organlar bulunmaktadır. Halihazırda kullanılmakta olan "Türk Ceza Kanununa Göre Yaralanmalar" kılavuzunda maksillofasiyal travmalarda duyu-organ zayıflaması veya yitirilmesi açısından kullanılabilecek kıstaslar bulunmaması nedeniyle; bu hususta adli tıbbi yaklaşımın nasıl olması gerektiği konusunu tartışmaya açmak amacı ile bu olgu sunulmuştur.
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