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Biomedical subjects

N Alkan

Publications and source records attributed to N Alkan.

5 recordsLinked to original sources

Ultrasonographic appearance of cervical pregnancy following successful treatment with methotrexate.

We report a case of cervical ectopic pregnancy successfully treated with systemic methotrexate. Conservative management with single-dose methotrexate was undertaken, but owing to the failure of human chorionic gonadotropin (hCG) levels to fall by 15% by day 7 and the persistence of fetal cardiac activity, two further doses of methotrexate were required. The patient's hCG levels were monitored, and repeat transvaginal ultrasonography was performed until complete resolution of the pregnancy by spontaneous miscarriage. We describe the ultrasonographic findings, which showed that the sac size increased despite treatment.

Abortifacient Agents, Nonsteroidal↗

[Determination of blood alcohol level of people who are involved in a judicial event of medical importance (case report)].

In some cases, determination of blood alcohol level is very important. The alcohol level at the time of an event, can affect the court decision and may lead to aggravate the penalty or on the contrary an acquittal. In this article, a criminal action, in one of Turkish High Criminal Court is examined. The case was about the death of a drunk person who had fallen down from the window of his girl friend's house which is on the third floor of an apartment. This person's parent applied to public prosecutor saying that their child did not fall down but was murdered by his girl friend. During this trial, in the victim's autopsy, no alcohol detected in blood in contrast with his girl friend's testimony. Because of this contradiction, a reasonable doubt has emerged that she was the murderer in this suspicious death. However, in the further stages of trial, the reasons of no alcohol detection in the autopsy is investigated. In the basis of this case, the importance and techniques of alcohol detection in blood is discussed with literature.

Accidental Falls↗

[Problems encountered during natural disasters: a questionnaire study].

Human being has been encountering huge natural mass disasters since the dawn of existence. In the earthquake both Marmara region on August 17 1999 and Duzce region on November 12 1999, according to official records, 18.287 people were dead and 46.857 were injured. The purpose of this study is to get information by bilateral interviews with those who witnessed this big earthquake in different districts and to contribute in forming a prepared "disaster administration" consciousness for the prospective disasters, under the basis of these information. This study was made by interviewing with 262 people, 82 of whom witnessed the earthquake in the city of Yalova, 90 in Izmit, Bolu and Golcuk and 90 in Istanbul, used a questionnaire form consisted of multi choice and commentary questions. It is of very importance to diffuse educational programmes to increase social consciousness and sensibility about earthquake. Some projects to meet the basic requirements like communication, rescue, accommodation, nutrition and urgent medical support must be developed and embodied. Measures enabling to determine the identities of those who lose their lives in the earthquake must be determined and organized with the collaboration of forensic medical units.

Adolescent↗

The attitudes of medical students to autopsy.

To assess the attitudes of medical students to autopsy, 6th year students in the Medical Schools located in Istanbul, Edirne and Bursa in Turkey were asked to participate in a questionnaire. In the questionnaire, the main questions were on the number of autopsies they had attended, the number of autopsies they had participated in, their reaction to the first autopsy, whether they felt the conditions were adequate or not and what would their objectives be upon deciding to perform an autopsy. In the evaluation, it was detected that most of the participants had attended an autopsy, only a minority had participated in autopsy and most of them felt uncomfortable and inadequate on performing autopsy. The results were discussed with respect to the literature.

Adult↗

Medico-legal death investigations and autopsies in Istanbul, Turkey.

There are two different organizations in forensic medicine in Turkey: the universities and the Council of Forensic Medicine (CFM). The CFM is an official body of the Ministry of Justice and serves as an expert witness on technical and medical subjects. The basic duty of the universities is education in the medical schools with the cooperation of the CFM. This study examines 3064 medico-legal death investigations and 2548 autopsies performed in the CFM, Ministry of Justice, Istanbul and in the eleven units of CFM in Istanbul during 1996. The age and sex distributions, the incidence and causes of deaths were reviewed.

Journal Article↗