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 Görüntüleme 14
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GAZİ ÜNİVERSİTESİ TIP FAKÜLTESİ ADLİ TIP ANABİLİM DALINCA 1997-2004 DÖNEMİNDE RAPORLANAN OLGULARIN HAYATİ TEHLİKE ÖZELİNDE DEĞERLENDİRİLMESİ
2006
Dergi:  
Gazi Medical Journal
Yazar:  
Özet:

Giriş: Hayati tehlikesi bulunmayan olguların geçici adli raporlarında hayati tehlike varlığı belirtilmesi, olayın sanığının çoğu zaman hürriyetinin kısıtlan- ması gibi ağır hukuki sonuçlara yol açmakta, sonradan verilen kesin raporda hayati tehlikesinin olmadığının belirtilmesi ise hekimlere duyulan güveni sar- sabilmektedir. Amaç: Gazi Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı’na başvuran adli vakaların, evvelce düzenlenen geçici adli raporlarında belirtilen hayati teh- like kavramı ile tarafımızca verilen kesin raporlarında belirtilen hayati tehlike kavramı arasındaki tutarlılığı araştırmaktır. Gereç ve Yöntem: Gazi Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı’nca 1997-2004 yılları arasında kesin rapor tanzim edilen 540 olgunun, 449’unun (%83.1) geçici adli raporlarına Gazi Üniversitesi Tıp Fakültesi Hastanesi arşi- vinden ulaşılmış olup olgular retrospektif olarak yaş, cinsiyet, olay türü, yara- lanma bölgesi, geçici adli raporda ve kesin raporda hayati tehlike mevcudiyeti yönlerinden taranarak analiz edilmiştir. Bulgular: Başvuran adli olguların %62.0’ı (335) erkek, %38.0’ı (205) kadındır. Trafik kazaları %71.9 ile (388) adli vakaların başında gelmektedir. En sık yara- lanan bölge, %57.2 ile (309) baş-boyun bölgesidir. Adli Tıp Uzmanı olmayan hekimlerce düzenlenen, geçici adli raporlarında hayati tehlike varlığı belirtilen olguların %46.6’sının (82) kesin raporlarında hayati tehlikelerinin olmadığı saptanmıştır. Bu fark istatistiksel olarak anlamlı bulunmuştur (p<0.05). Sonuç: Geçici adli raporlarda ve kesin raporlarda belirtilen hayati tehlike kav- ramı arasındaki farklılıkların, Adli Tıp Uzmanı olmayan hekimlerin verecekleri raporları objektif kriterlere dayandırmaları tutumunu kazanmalarıyla ortadan kalkabileceğini düşünmekteyiz. Anahtar Kelimeler: Hayati Tehlike, Geçici Adli Rapor, Kesin Rapor   VITAL RISK SPECIFIC EVALUATION OF CASES REPORTED BY GAZI UNIVERSITY MEDICAL FACULTY DEPARTMENT OF FO- RENSIC MEDICINE BETWEEN 1997 AND 2004 Introduction: In cases in which there is no vital risk, reporting a vital risk in temporary forensic reports leads to severe judicial consequences, such as limi- ting the freedom of the suspect; and reporting no vital risk in definitive reports given later can decrease confidence in the physician. Purpose: The aim of this study is to research the consistency between the vi- tal risks in temporary reports given by physicians and definitive reports given by the Forensic Medicine Department of Gazi University Medical Faculty of forensic cases dealt with by the Forensic Medicine Department of Gazi Univer- sity Medical Faculty; and to determine the difficulty faced by physicians who are not forensic medicine specialists in distinguishing exposure to vital risk in forensic cases. Methods: The temporary reports of 449 of 540 subjects (83.1%) for whom definitive reports were given by Gazi University Medical Faculty Department of Forensic Medicine between 1997 and 2004 were obtained from the Gazi University Medical Faculty Hospital archives. The reports were evaluated ret- rospectively with respect to age, gender, type of event, injury location, and vital risk presence in temporary and definitive reports, and they were analysed. Results: 62.0% (335) of the forensic cases involved males, and 38.5% (205) females. Traffic accidents ranked first, with 71.9% (388). The most common injury location was the head and neck. There was a statistically significant dif- ference between vital risk reported in temporary and definitive reports; 46.6% (82) of the cases with a temporary report of vital risk had no vital risk in the definitive report (p<0.05). Conclusion: We think that differences between the vital risk revealed in tem- porary forensic reports given by physicians who are not forensic medicine spe- cialists and definitive reports given by forensic medicine specialists could be eliminated with an increase in the use of objective criteria when giving forensic reports by the latter group. Key Words: Vital Risk, Temporary Forensic Report, Definitive Report.

Anahtar Kelimeler:

GAZI UNIVERSITY TIP FACULTY ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION OF THE ADMINISTRATION
2006
Yazar:  
Özet:

Introduction: The indication of the existence of vital danger in the temporary judicial reports of incidents without life danger, the accused of the incident often leads to severe legal consequences such as the limitation of freedom, and the indication that there is no vital danger in the subsequent detailed report is confident to the doctors. The purpose: The judicial cases that apply to the Department of Legal Medicine of the University of Gazi is to investigate the consistency between the vital danger-like concept specified in the previously organized judicial reports and the vital danger concept specified in the exact reports given by us. Tools and methods: by the Department of Legal Medicine of the University of Gazi Medical School of the 1997-2004 years, the exact report of 540 incidents, 449 (% 83) was identified. 1) the temporary judicial reports of the University of Gazi Medical School Hospital have been reached and the facts have been analyzed retrospectively by scanning the aspects of life-threatening existence in the age, gender, type of event, wound-range area, the temporary judicial report and the exact report. Results: 62.0% of the applicant’s cases (335) are male and 38.0% (205) female. Traffic accidents occur at the beginning of 71.9% (388) cases. The most common wound-lanan area is the 57.2% (309) head-bound area. According to the report, 46.6 percent of the incidents indicated in the presence of life hazard in the temporary judicial reports, which were organized by non-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the-the- This difference has been statistically significant (p<0.05). The conclusion: We believe that the differences between the vital hazard framework indicated in the provisional judicial reports and accurate reports can be eliminated by the attitude of non-Justice physicians to build their reports on objective criteria. Keywords: Life Danger, Provisional Judicial Report, Exact Report VITAL RISK SPECIFIC EVALUATION OF CASES REPORTED BY GAZI UNIVERSITY MEDICAL FACULTY DEPARTMENT OF FO-RENSIC MEDICINE BETWEEN 1997 AND 2004 Introduction: In cases in which there is no vital risk, reporting a vital risk in temporary forensic reports leads to severe judicial consequences, such as limit- ting the freedom of the suspect; and reporting no vital risk in definitive reports given later can decrease confidence in the physician. Purpose: The aim of this study is to research the consistency between the vi-tal risks in temporary reports given by physicians and definitive reports given by the Forensic Medicine Department of Gazi University Medical Faculty of forensic cases dealt with by the Forensic Medicine Department of Gazi University Medical Faculty; and to determine the difficulty faced by physicians who are not forensic medicine specialists in distinguishing exposure to vital risk in forensic cases. Methods: The temporary reports of 449 of 540 subjects (83.1%) for whom definitive reports were given by Gazi University Medical Faculty Department of Forensic Medicine between 1997 and 2004 were obtained from the Gazi University Medical Faculty Hospital archives. The reports were evaluated ret-rospectively with regard to age, gender, type of event, injury location, and vital risk presence in temporary and definitive reports, and they were analyzed. Results: 62.0% (335) of the forensic cases involved males, and 38.5% (205) females. Traffic accidents ranked first, with 71.9% (388). The most common injury location was the head and neck. There was a statistically significant diff-ference between vital risk in temporary and definitive reports; 46.6% (82) of the cases with a temporary report of vital risk had no vital risk in the definitive report (p<0.05). Conclusion: We think that differences between the vital risk revealed in tem- porary forensic reports given by physicians who are not forensic medicine spe- cialists and definitive reports given by forensic medicine specialists could be eliminated with an increase in the use of objective criteria when giving forensic reports by the latter group. Keywords: Vital Risk, Temporary Forensic Report, Definitive Report.

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Gazi Medical Journal

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Gazi Medical Journal