Objective: Precautions taken before an earthquake are of vital importance. When buildings collapse, the weight of the ceiling crushes objects such as furniture, leaving a space or void within the rubble. This area is called the “triangle of life.” The larger and stronger the object, the more it will maintain its volume; the more the object maintains its volume, the larger the void will be, and the less likely it is that the person who uses this void will be injured. Methods: Durable, solid furniture such as beds and tables that can be tipped over during an earthquake in appropriate areas in the building can form a living triangle. Creating and using the triangle of life is the method of protection in an earthquake that produces the highest probability of survival. Results: Two earthquakes with magnitudes of 7.8 and 7.5 occurred in Kahramanmaraş, Turkey, on February 6, 2023. This report presents the case of a 43-y-old female victim of these earthquakes who used the triangle of life to survive; she was removed from the rubble 164 h after the earthquake. Conclusions: The case provides evidence that predetermining areas in which the triangle of life can be formed and storing supplies necessary for survival can decrease morbidity and mortality in an earthquake.
6 October 2025 in Disaster Medicine and Public Health Preparedness
Objective: Earthquakes cause significant mortality and morbidity, particularly through crush injuries and their complications. This study aimed to evaluate whether systemic immune inflammation index (SII) and Pan-immune inflammatory values (PIV) obtained from complete blood count parameters can predict intensive care needs, dialysis requirements, and mortality in patients with crush injuries following earthquake. Methods: We retrospectively analyzed data from 76 patients with crush injuries admitted to a university hospital following the earthquake. Blood samples were collected upon admission. SII and PIV were calculated and compared with conventional laboratory markers for their ability to predict clinical outcomes. Results: Intensive care unit (ICU) admission was required in 40.8% of patients, and 21.1% required dialysis. In ROC analysis, an SII value above 1372 predicted ICU admission with 67.7% sensitivity and 66.7% specificity ( P < .001), while an SII value above 1735 predicted dialysis requirement with 75.0% sensitivity and 73.3% specificity ( P < .001). Similarly, a PIV value above 1345 predicted ICU admission with 74.2% sensitivity and 73.3% specificity ( P < .001), and a value above 1906 predicted dialysis requirement with 81.3% sensitivity and 78.3% specificity ( P < .001). Conclusions: Complete blood count-derived inflammatory markers may serve as accessible, early indicators to complement clinical assessment for resource allocation following earthquake-related crush injuries, particularly in resource-limited disaster settings. These tools may aid in patient triage and care planning when comprehensive laboratory testing is limited.
28 August 2026 in International Cancer Conference Journal
Objective: This study aimed to compare serum thyroid- stimulating hormone (TSH) levels across body mass index (BMI) categories in euthyroid adults and to investigate the associations between TSH and detailed body composition parameters, including visceral fat rating, metabolic age, fluid percentage, and muscle mass. Material and Methods: This retrospective cross-sectional study included 119 euthyroid adults who attended the internal medicine outpatient clinic of a university hospital in 2024. BMI was calculated using measured height and weight and categorized as underweight (
1 January 2018 in Tıp Fakültesi Klinikleri Dergisi
Ramadan fasting involves daily periods of abstinence from food and fluid intake, leading to various metabolic and physiological adaptations. Understanding these effects is important for evaluating how fasting influences health-related biomarkers and body composition. To investigate the effects of Ramadan fasting on health, this study examined changes in haematological, biochemical, and anthropometric parameters before and after the fasting period. This study was designed as a pre–post observational study. Outpatient clinic assessments were conducted one week before and one week after Ramadan fasting. Forty individuals underwent anthropometric measurements using a TANITA bioelectrical impedance analyser, and haematological andbiochemical blood tests. Pre- and post-Ramadan values were compared using the Wilcoxon Signed-Rank Test because the data were not normally distributed. Statistical significance was set at p