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Öğe Evaluation of Incest Cases: 4-Years Retrospective Study(Routledge Journals, Taylor & Francis Ltd, 2020) Celbis, Osman; Altin, Ismail; Ayaz, Nusret; Bork, Turgay; Karatoprak, SerdarIncest is specific type of sexual abuse. The aim of this study was to evaluate the sociodemographic data and examination findings of cases referred to our hospital as forensic court cases of incest, and to measure the effect on mental health disorders of the nature of the sexual abuse. Retrospective examination was made of the records of 40 cases of incest victims. Evaluation was made of the age, gender, incident suffered, the perpetrator, form of abuse, examination findings, and mental status. The cases comprised 36 girls and 4 boys. Without penetration sexual abuse was determined in 25 cases and with penetration sexual abuse in 15 cases. At least one mental health disorder was determined in 20 of the cases of simple sexual abuse and in 11 of the major sexual abuse type cases. The most frequently seen mental health disorder was post-traumatic stress disorder (PTSD) in 21 cases. Mental health disorders were determined in 77.5% of the incest cases in this study, at a greater rate 80% in cases of without penetration sexual abuse than in cases of with penetration sexual abuse 74.33%. Therefore, all cases of incest must be followed up carefully without differentiation of without or with penetration abuse.Öğe Evaluation of traffic accidents for which autopsies were conducted in an Eastern Turkish City: a five-year study(Turgut Özal Tıp Merkezi Dergisi, 2016) Bork, Turgay; Tokdemir, Mehmet; Türkoğlu, AbdurrahimAbstract Objective: Traffic accidents are one of the leading causes of premature death worldwide. The current study aimed to present data on patients who died as a result of traffic accidents and offer suggestions on issues that affect traffic safety. Materials and Methods: In our study, data pertaining to 422 road accident cases whose postmortem examinations and autopsies were conducted in Elazıg within a period of five years were evaluated with regard to age, gender, the day, and season on which the accident took place, the location of the accident, the role of the deceased in traffic (pedestrian, driver, or passenger), whether an autopsy was done, the state of safety measures, the presence of alcohol and opiates-stimulants, the place of death, duration of hospitalization, and cause of death. Results: Three hundred twenty-two of the 422 subjects in our study (76.3%) were male and 100 (23.7%) female, with a mean age of 43.5 (23.9) years. One hundred seventy-seven of the cases (41.9%) were pedestrians, and accidents most frequently occurred during the summer season, with 161 (38.2%) cases. It was determined that an autopsy was performed on 388 (91.9%) of the cases, that 16.9% of the drivers had consumed alcohol, 260 (61.6%) of the cases died in the hospital, and head injuries were the most common cause of death. Conclusion: It was concluded that in order to prevent traffic accidents, traffic control and checks should become more frequent during holiday periods, such as the summer season and necessary measures should be taken for pedestrian safety, and that encouraging the use of vehicle safety systems should largely reduce injuries and deaths from traffic accidents. Keywords: Traffic Accidents; Autopsy; Forensic Medicine.Öğe Lack of education or abuse?(2019) Celbiş, Osman; Sener, Serpil; Bork, Turgay; Ayaz, Nusret; Dündar, Ahmet Sedat; Altın, İsmailAbstract: Child abuse is a significant public health problem nowadays. The case is here presented of an unemployed stepfather, with significant risk factors for child abuse, who caused physical abuse to a child with hot water as a result of incorrect toilet training. In this case, the mother tried to hide the event and as a result of the history taken from the child and findings of lesions in the physical examination, it was learned that these had been made by the stepfather because of urine incontinence. In similar situations to this case, healthcare personnel establishing close communication with the child must pay attention in respect of child abuse, and must inform the authorities in all suspicious cases.Öğe Sudden death in relation to inhaling lighter fluid in adolescents(Romanian Legal Med Soc, 2017) Bork, Turgay; Celbis, Osman; Petekkaya, Semih; Oner, Bedirhan Sezer; Samdanci, EmineBackground. Sudden death as a consequence of lighter fluid abuse, though rare, happens during the adolescence period. The purpose of this study is to discuss the findings related to the deaths of young adults who died due to inhalation of lighter fluid. Material and Methods. 4 cases who died due to lighter fluid inhalation are included in the study. The autopsy as well as toxicological and pathological procedures of the cases are conducted in Malatya Council of Forensic Sciences. The age, sex, height, weight, clinical findings before death, place of death, autopsy and histopathology findings are assessed in comparison to the toxicological results. Findings. All the cases in the study are male. The ages are 15.75 +/- 1.25, heights are 167.75 +/- 12.68 cm and weights are 58.50 +/- 8.69 kg. In blood analyses, n-butane and isobutane are found in all of them while 3 of them has propane. Besides, 2 of the cases had Tetrahidrocannabinol in their blood and urine. Three of the deaths happened in the hospital while 1 of them was in the crime scene. In the autopsy of the cases, macroscopically, intensive point bleedings are detected while alveolar fresh bleeding centers are found in the histopathology. Conclusion. Autopsy and histopathologic findings are non-specific and the decision shall be given by assessing toxicological findings, crime scene examination and witness statements. In suspicious adolescent death, the detection of propane, isobutane and n-butane in toxicological examination is the only finding that makes us think of the presence of lighter fluid inhalation.