BackgroundThis study aimed to investigate the prevalence of malnutrition and explore the somatic, psychological, functional, and social or lifestyle characteristics linked to malnutrition in elderly people at a hospital in Turkey.Material/MethodsThis study included 1030 patients older than 65 years of age who were seen at the internal medicine and geriatrics outpatient clinics of the study centers in Istanbul, Ankara, Duzce, Corum, Mardin, Malatya, and Diyarbakir provinces between January and December 2014. All patients underwent Mini Nutritional Assessment (MNA) and Geriatric Depression Scale (GDS) tests via one-on-one interview method. The demographic properties of the patients were also recorded during this interview.ResultsAmong 1030 patients included in this study, 196 (19%) had malnutrition and 300 (29.1%) had malnutrition risk. The malnutrition group and the other groups were significantly different with respect to mean GDS score, income status, educational status, the number of children, functional status (ADL, IADL), the number of patients with depression, and the number of comorbid disorders. According to the results of the logistic regression analysis, age (OR=95% CI: 1.007–1.056; p=0.012), BMI (OR=95% CI: 0.702–0.796; p<0.001), educational status (OR=95% CI: 0.359–0.897; p=0.015), comorbidity (OR=95% CI: 2.296–5.448; p<0.001), and depression score (OR=95% CI: 1.104–3.051; p=0.02) were independently associated with malnutrition.ConclusionsOur study demonstrates that age, depression, BMI, comorbidity, and the educational status were independently associated with malnutrition in an elderly population.

Purpose This is a descriptive analysis, of victims of Turkey's October 23, 2011 and November 21, 2011 Van earthquakes. The goal of this study is investigated the injury profile of the both earthquakes in relation to musculoskeletal trauma.Methods We retrospectively reviewed medical records of 3,965 patients admitted to in seven hospitals. A large share of these injuries were soft tissue injuries, followed by fractures, crush injuries, crush syndromes, nerve injuries, vascular injuries, compartment syndrome and joint dislocations. A total Conclusions The results of this study may provide the basis for future development of strategy to optimise attempts at rescue and plan treatment of survivors with musculoskeletal injuries after earthquakes.

Aim: To understand opinions of health professionals who work in emergency services about the application of basic concepts, such as triage, ethics, legal rules, to popularize problems they experience while they are providing health services after natural disasters, and to develop suggestions. Materials and Methods:In order to evaluate health service problems, a questionnaire tool was formulated regarding triage and ethics applications. The questionnaire was given to 133 emergency service workers with and without earthquake experiences. Data were analyzed using descriptive statistics with statistical significance set at p<0.001. The frequency distributions were taken into account and chi square test was performed to understand the differences between employees who had experienced earthquakes and those who had not. Results:In the survey, 57.7% of participants were male and 42.3% were female. The mean age of the participants' was 29.8 years; 16.8% of them worked in the university hospital, 77.4% in the state hospital, and 5.8% in private hospitals. Of the participants, 51.1% were doctors, 43.1% were nurses, and 5.8% were emergency medical technicians; 48.2% of participants had experienced an earthquake and 52.6% had not. In addition, 27% of the participants had to consult regarding triage; 37.2% on triage and legal rules; 31.4% on triage, laws, and ethics; and 4.4% on triage and ethical principles. Conclusion:The results show that triage and legal regulations play an essential role in resource allocation and medical service presentation, while ethical principles are less considered in medical services after natural disasters. Inclusion of ethical training in natural disaster medicine education and its enhancement through regular rehearsals are essential. (Eurasian J Emerg Med 2015; 14: 107-12)

AMAÇ23 Ekim 2011 tarihinde Van ilinde deprem meydana geldi. Bu deprem çok büyük yıkıcı bir felaketti ve kitlesel yaralanmalara neden oldu. Burada sunulan tanımlayıcı analizin, yanlız bu çalışma için değil, aynı zamanda daha sonra yaşanabilecek afetler için de bir kaynak olarak kullanılması amaçlanmıştır. GEREÇ VE YÖNTEMDeprem nedeniyle Van Bölge Eğitim ve Araştırma Hastanesine başvuran hastaların ilk 7 günlük kayıtları geriye dö-nük olarak incelendi. Sonuçlar mevcut literatür ile karşı-laştırıldı. BULGULARDepremzede 1582 hasta (806 erkek, 776 kadın; ort. yaş 36,9) acil servise başvurdu. Hastaların 301'i yatarak tedavi gördü. Hastaların 84'ü (%28) ortopedi ve travmatoloji, 40'ı (%13) genel cerrahi ve çocuk cerrahisi, 26'sı (%9) göğüs cerrahisi, 34'ü (%11) beyin cerrahisi, 56'sı (%19) iç hastalıkları, 39'u (%13) yoğun bakım, 22'si (%7) ise diğer servislere yatırıldı. Ölenlerin sayısı 60 idi. SONUÇDeprem felaketi sonrası mortalite ve morbidite oranı-nı azaltmak için erken ve etkili triyaja önem verilmelidir. Hastalar hastaneye nakledildikten sonra klinik özellikle-rine göre tedavi uygulanmalı ve birçok kliniğin birbiriyle uyumlu ve işbirliği içerisinde çalışmaları sağlanmalıdır.

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