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Objectives: This study was conducted to evaluate two simple and quickly assessed parameters such as shock index (SI) and lactate to predict in-hospital mortality in multi-trauma patients admitted to the emergency department (ED). Material and Methods:The study included a total of 93 patients who presented to the ED with multitrauma. In our retrospective study, SI was calculated by taking blood pressure and pulse values from the files of the patients recorded at the time of admission to the ED, and lactate values obtained from blood gas were recorded. The results were compared with the in-hospital mortality rates after admission. SI (p<0.001) and lactate (p<0.001) values in patients discharged as exitus were significantly higher (p<0.05). The predictive diagnostic value of SI and lactate levels in terms of mortality in the patients included in the study was analyzed by using ROC curve analysis. Results: The area under the ROC curve for SI was 0.738. The SI cut-off value for patients' mortality findings was 1.14. The area under the ROC curve for the lactate value was 0.941. The lactate cut-off value for mortality findings was 4.5. Conclusion:In conclusion, SI and lactate values obtained at ED admission can be used to predict mortality in multitrauma patients.

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Aim: Discomfort with body shape is common among individuals with obesity and has effects on their sexual life. We aimed to investigate the effects of bariatric surgery on the body satisfaction and sexual life of women in this study. Material and Method: The study consisted of 63 female patients who were aged between 20 and 55. Pre-operative psychiatric evaluations of the candidates were conducted and Hamilton Anxiety Scale , Hamilton Depression Scale, Arizona Sexual Experiences Questionnaire and Body Shape Questionnaire were used. Psychiatric evaluations of the patients were re-evaluated in the first year after surgery. Results: The mean age was 35.4±8.6 years. While 87.3% of the participants had moderate-severe anxiety about the appearance of their bodies before the operation, 57.1% described problems in their sexual life. After the operation, 63.5% of the participants stated that they did not have any concerns about their body appearance, and 73% stated that they did not have any problems in their sexual life. The BSQ-34 scale score was found to be higher in those with an Arizona score of 11 and above before the operation (p=0.045; p