A venous air embolism can occur as a result of circumstances that include blunt head or chest trauma, thoracentesis, arterial catheterization, neurosurgery, cardiac surgery, and Caisson disease. The formation of a venous air embolism requires an air source, interaction between the air source and the vessel, and a pressure gradient supporting air migration into the vessel. Air enters through the impaired venous structure and travels to the right side of the heart and the pulmonary arteries, and depending on the amount of air, may occasionally be fatal. This report is the description of the case of a 3-year-old child who developed a fatal venous and cerebral embolism during neurosurgery for the treatment of skull fractures with epidural and subdural bleeding due to blunt head and chest trauma resulting from a television falling on her. The pathophysiology of death and notes regarding the medico-legal autopsy procedure in such cases are discussed. Meticulous autopsy techniques must be used to determine the presence of an air embolism in cases of blunt trauma, especially in patients with blunt trauma to the head who die during neurosurgery, and possible future malpractice claims should be kept in mind.

The aim of this study was to evaluate the deaths of Syrian refugees caused by mushroom poisoning in the light of patient data, living conditions and autopsy findings. Methods: An evaluation was made of 6 Syrian refugees who died at Malatya Turgut Ozal Medical Centre as a result of mushroom poisoning in 2014. Diagnosis of mushroom poisoning was made from the anamnesis, laboratory test results and clinical evaluation of the patients. The autopsy procedures for all the cases were performed at the Malatya Local Authority Forensic Medicine Institution. All the cases were evaluated in respect of age, gender, height, weight, symptoms of poisoning, duration of hospitalization, month of poisoning, laboratory parameters, autopsy findings and histopathological findings. Results: The 6 cases included in the study comprised 4 males and 2 females with a mean age of 27±18.7 years. Some of the cases were related. It was determined that all the cases were poisoned after eating wild mushrooms that they had collected. In all the cases, the liver function tests were impaired, with values determined of mean ALT 5456.83±2556.47 U/L, AST 2517.66±2351.56 U/L, INR 5.04±2.04 and ammoniac 904.16±308.6 µg/dl. In the autopsy, widespread foci of bleeding were determined in the internal organs, a jaundiced appearance and fluid accumulation in the body cavities (pleural effusion and acid). Thrombosis in the vena porta hepatica was determined in 1 case. In the histopathological examination, massive liver necrosis was seen in all the cases. Conclusion: Mushroom poisoning as a definitive cause of death must be determined with a detailed history, autopsy findings and histopathology together. Furthermore, refugees should be warned that there could be similar species of mushrooms growing in different natural environments and that they could be poisonous.

ÖZET Amaç: Türkiye'de Psikiyatri alanında yapılan uzmanlık tezleri niteliksel açıdan değerlendirilerek tezlere yönelik bakış açısı, tezlerin yayın olmasında etkili faktörler ve tez-akademik kariyer ilişkisinin incelenmesi planlanmıştır. Yöntem:Yüksek Öğretim Kurulu Başkanlığı Ulusal Tez Merkezi'ne (ULAKBİM) ait internet adresinde 'psikiyatri, ruh sağlığı ve hastalıkları' terimleri kullanılarak tam metnine ulaşılabilen, izinli tezler çalışmaya dâhil edilmiştir. Tez yayınları tez yazarı, tezin adı ve danışmanın adı kullanılarak SCI, SCI-E endeksleri ve Google, Google Scholar, PubMed arama motorlarında taranmıştır.Bulgular: Değerlendirilen 910 tezin 748'i üniversitelerde tamamlanmıştır. Tezlerin yayın olma oranı %37,7 iken PubMed'de yayın olma oranı %19,2, SCI ve SCI-E endekslerde % 28,5, Google Scholar'da %31,9'dur. Tezlerin yayın olmasıyla araştırma tipi, danışman unvanı ve akademik kariyer yapma arasında istatistiki olarak anlamlı ilişki bulunmuştur. Tez yayınlarında birinci isim olan uzmanlık adaylarının daha sıklıkla akademik kariyer yaptığı ve üniversitelerde uzmanlık eğitimlerini tamamladıkları anlaşılmıştır. Akademik kariyer yapanların uzmanlık sonrasında tez konularında yayına devam etmelerinde de istatistiksel anlamlılık saptanmıştır.Sonuç: Bu araştırmada tezlerin yayın olmasında tezin araştırma biçimi, tez danışmanı ünvanı, akademik kariyer yapma faktörlerinin ön planda olduğu gösterilmiş ve uzmanlık tezlerinin yayın olmasının önemi vurgulanarak ileriye dönük yapılacak tez çalışmalarına ışık tutulmaya çalışılmıştır.Anahtar Sözcükler: Psikiyatri, uzmanlık tezi, yayın, eğitim, araştırma SUMMARY Retrospective Analysis of Psychiatry Specialization Theses Made Between 1981-2018 in TurkeyObjective: In this study, we aimed to qualitatively evaluate the views to the Psychiatry specilization theses, variables affecting publishing of these, and the relationship with the academic career of authors of these theses in Turkey. Method:Theses were searched from the website of Higher Education Board Presidency National Dissertations Center using the terms "psychiatry, mental health and diseases". Only the theses with full texts were included in the study. The publications associated with these theses were searched using SCI and SCI-E, Google, Google Scholar and PubMed by using the names of authors and their advisors. Results:We were able to find 910 theses. 748 of the 910 were completed in universities. The overall publication rate of the theses was 37.7%. 19.2% were indexed in PubMed, 28.5% in SCI and SCI-E and 31.9% in Google Scholar. Publication of a thesis was significantly associated with the field of research, the title of the advisor and whether the owner of the thesis had later become a faculty member. Residents who were trained at universities were more likely to publish as a first author.Being first author was associated with later academic career. In addition, those who continued their career as an academic continued to publish on a similar subject more than those who did not. Conclusions:In this study, the typ...

Television, which emerged in parallel with the scientific developments in the last century, is the most common and effective mass media component, and became an indispensible part of the daily life of the modern societies. Because of its widespread use, television, especially as the result of falling on someone in the house, can cause injuries even death.In this study, 8-month and 1-year old male infants who died after the fall of television and forensic autopsy were evaluated. In the first case, the television fell on the 8-month-old male infant as the result of the incident of two siblings of the subject (ages: 2 and 3) were playing with television stand, while the mother was folding the clothes next to him. In the second case, television and television stand fell on the unaccompanied subject while he was playing with them. In both cases, forensic autopsy revealed skull fractures, brain hemorrhage and lung damage.It is important to raise the awareness of the families, and to take the simple and adequate precautions in the home environment in order to protect the children as the future of the society from the domestic accidents.

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