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Öğe The prognastic efficiencies of modified early warning score and mainz emergency evaluation score for emergency department patients(Nıgerıan journal of clınıcal practıce, 2018) Akgun, F. S.; Ertan, C.; Yucel, N.Background: Recently, there is an increasing interest for scoring systems to evaluate the critically ill patients by means of the severeness of their disease and their availibility for discharge in the emergency departments and intensive care units. Our aim in this study is to evaluate the efficiency of the mEWS and MEES scoring systems in assessing the severeness of the disease and predicting the mid term prognosis of the patients hospitalized following their emergency care in our emergency room. Material and Method: Patients, who attended to Inonu University Department of Emergency Medicine and hospitalized following their emergency care were included to our study. The effects of age, sex, triage categories, mEWS and MEES scores on the site of hospitalization and mortality was evaluated. Statistical analyses were performed by SPSS for Windows version 16.0. The data was summarized as means, standart deviation and percents. Univariate and multiavriate analyses were performed for risk factor calculations. Results: The mean age of the patients was 5819 and 584 (56%) were male. Triage group 1 patients accounted for 21 of all (2%), while 646 (61%) were in group 2 and 384 (37%) were in triage group 3. Of all patients, 341 (32%) were hospitalized to ICU. While discharged patients accounted for 89% (935 patients) of the study group, 116 patients (11%) died at the hospital. The GCS, AVPU and mEWS values were statistically significant by means of patient mortality (P < 0.0001), but the delta MEES value was not (P < 0.127). Conclusion: The results of our stuy suggests that mEWS evaluation is an effective and reliable tool for predicting outcome and hospitalization areas of ED patients. Our results also displayed that the easily available GCS and AVPU scales are reliable guides in patient management. MEES values, on the other hand, are not convenient for ED use.Öğe Publıcatıons relatıng to the reactıons of medıcal students to human cadavers and ethıcs(2018) Karatas, MehmetObjectives: Faculty of Medicine students are practicing on a human cadaver in the course of education especially in Anatomy lessons. There are some physical, emotional, and ethical problems that students have experienced with participation in these lessons. In some publications we have reviewed issues regarding these, we aimed to reveal whether ethical issues are being addressed. Methods: We conducted literature searches by writing the clues "Publications relating to the Faculty of Medicine student's reactions to cadavers lessons and ethics" on search engines on the internet. By examining the articles obtained, we investigated whether students are experiencing problems, especially on ethics. Results: 28 articles (90.3%) were original research, 2 (6.4%) were reviews and 1 (3.2%) was a book. Only 6 out of these studies (19.3%) have addressed ethical issues. In our research, quite a few publications (19.3%) have been found that dealt with ethical problems in cadaver lessons. Human body dissection during an anatomy course for the first-year medical students raises questions about invasion of privacy, cadaver sources, dying, and death. Conclusion: Detailed reviews of the situations that causes ethical problems in the studies to be done in this direction are thought to be beneficial to the medical faculties students education.
