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Öğe Akciğer Tüberkülozuna Bağlı Hemoptizi Sonucu Ani Ölüm+(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2004) Celbiş, Osman; Aydın, N. Engin; Usta, Ufuk; Selçuk, M. AliAni ölüm nedeniyle adli hekimliğin inceleme alanına giren olgularda kardiyovasküler patolojiler birinci sıradadır. Buna karşılık gelişmekte olan ülkelerde enfeksiyon hastalıkları önemini korumaktadır. 21 yaşında bir erkekte ani ölüm sonrası yapılan adli otopside akciğer tüberkülozuna bağlı kanamanın ölüm nedeni olduğu tespit edildi. Olgu, ölüm öncesi tanımlanmamış bir hastalığın gösterilebilmesi yönüyle ani ölüm olgularının adli otopsi ile aydınlatılmasının önemini vurgulayan bir örnektir. Bu tür olguların tanınması yeni hastaların önlenebilmesini sağlayacaktır.Öğe Autopsy in sudden cardiac deaths(2018) Yener, Zeynep; Celbiş, OsmanSudden cardiac death is described as death that occur within the 1st hour of the onset of the symptoms or death within the 24 hours of the onset of symptoms in unwitnessesed deaths. Studies conducted in our country reveal that cardiovascular origined deaths are the most frequent, with a rate of 20% of all deaths. Although sudden deaths in young people are rare, it is important to perform a detailed autopsy and other required procedures. The etiology of the sudden death is hard to determine for the forensic doctors and in 5-1% of all cases no certain cause is determined despite the macroscopic, toxicologic and histopathologic evaluations. European Society of Cardiovascular Pathology also recommends performing molecular autopsy when the certain cardiac cause cannot be determined morphological. This review aims to offer genetical consulting to the family members of the sudden cardiac death cases and clarify the etiology of death via genetical evaluation if the macroscopic, toxicologic and histopathologic examinations fail to explain thecause of the sudden cardiac death especially in children and young adults. The most important problems in our country are the lack of multidisiplinary approach and standardized management methods. In our country molecular autopsy is only considered in rare and selected cases, but if these genetical evaluations were made more applicable and accessible via interdepartmental agreements and the application of new genetical diagnosis methods, it would be possible to develop standardized methods for the case selection of molecular autopsies in the future.Öğe Bipolar Bozukluk Tanılı Hastaların İzleminde El Yazısı DeğişikliklerininKullanımı(2022) Ayaz, Nusret; Celbiş, Osman; Zayman, Esra Porgalı; Karlıdağ, Rıfat; Öner, Bedirhan SezerAmaç: Bipolar bozukluk tanılı hastalarda motor beceri eksikliği ve bilişsel işlev bozukluğu vardır. Bu eksikliklerin hastalığın nörogelişimsel süreci ile ilgili olduğunu düşündürmektedir. Bu çalışmanın amacı, mani ve remisyon dönemlerinde bipolar bozukluk tanılı hastaların el yazısında değişiklik olup olmadığını incelemektir. Yöntem: Olgulardan biri tedavi öncesi ve diğeri taburcu olduktan hemen sonra olmak üzere iki el yazısı ve imza örneği alındı. İlk örnek, hastaların ilaç tedavisi öncesi manik atak ile hastaneye kaldırıldığı dönemde alınmış, ikinci örnek ise taburculuk kararı alındığında, hastanın remisyon döneminde alınmıştır. Manik dönem ve remisyon dönemdeki el yazısı değişimleri incelendi. Bulgular: İki dönem arasındaki el yazısı incelendiğinde mani döneminde yazının boyutunda, kalem baskısında, kelimelerin uzunluğunda, kelimeler arasındaki boşluklarda ve eksik ve yanlış noktalama işaretlerinde artış olduğu belirlendi. Manik döneme ait spesifik tanı için veya antipsikotik dozu konusunda herhangi bir el yazısı ölçümünde farklılık yoktu, ancak antipsikotik kullananlarda tremor sayısı yüksek bulundu (p<0,05). Değişiklik gösteren parametrelerin çoğu Young Mani Ölçeği (YMRS) puanlarıyla ilişkili bulundu. Sonuç: Bu çalışmanın sonucunda, mani dönemindeki bipolar hastaların el yazısında ciddi değişiklikler tespit edildi. Bu değişimler, hastaların taburculuk kararları verilirken ve bipolar bir hastadaki manik atağa geçiş zamanını tahmin etmek için kullanılabilir. Ayrıca manik hastalarda el yazısı parametrelerini etkileyen en önemli özelliğin alım YMRS skorları olduğu bulunmuşturÖğe Cardiovascular effects of JWH 018 from synthetic cannabinoids(Medicine Science | International Medical Journal, 2016) Parlakpınar, Hakan; Celbiş, Osman; Özhan, Onural; Petekkaya, Semih; Şamdancı, Emine; Ermiş, Necip; Koparır, Pelin; Soylu, Özcan; Acet, Hacı AhmetThe content of synthetic cannabinoids (SC) which are known in Europe as ‘Spice’, in the U.S.A. as K2’, and in Turkey as ‘Bonsai’ or ‘Jamaica’ is not standardized. Also SC are known to contain approximately 400 chemical compounds which vary from country to country. SC mimics the effect of ?9 - tetrahydrocannabinol (THC) which is the major effective content of Cannabis or Marijuana by cannabinoid-1 (CB1) and cannabinoid-2 (CB2) receptors in the body cell. Although the new SCs are synthesized and the number of new derivatives is increased in every day; JWH-018 among these derivatives exerts full agonist effect on both CB1 and CB2 receptors also it has a short-term effect as 2 hours. For this reason, JWH-018 is the most commonly used as SC. There are a few data in the literature regarding to the pharmacokinetic and pharmacodynamic effects of SC. Furthermore, most of the existing data are based on in vitro experiments. In the JWH-018 report, at Critical Review Report Agenda item 4.5 Expert Committee on Drug Dependence of World Health Organization (WHO), Thirty-sixth Meeting Geneva, 16-20 June 2014, is declared that despite a marked elevation of the heart rate is one of the clinical signs very often seen after intoxication with SC, there is no available study data regarding effects of SCs on cardiovascular, respiratory, gastrointestinal, genitourinary systems, liver and kidney tissues . The aim of this review is to highlight cardiovascular effects of JW-018 which is considered to be the prototype for synthetic cannabinoids to prepare the ground for new work to be done.Öğe A case of sudden death due to lighter refill gas ınhalation(Turgut Özal Tıp Merkezi Dergisi, 2016) Petekkaya, Semih; Ayaz, Nusret; Doğan, Mustafa; Oruç, Mücahit; Öner, Bedirhan Sezer; Göktürk, Cihan; Çelebi, Ahmet; Budak, Adalet Eda; Soylu, Özcan; Celbiş, OsmanAbstract A component of lighters refill tubes, butane is a colourless and flammable substance with gasoline-like or natural gas odour. The abuse of easily accessible lighter gas butane is increasing among children and adolescants and this abuse causes euphoric effects. Inhalants are the most commonly used drug after alcohol and tobacco among adolescents. In the literature, it is reported that butane inhalation directly affects central nervous system, respiratory and cardiovasculer systems. To prevent this increasing trend, we believe that society, especially youth, should be educated through precautionary educational activities, sales of lighter refill tubes should be monitored and be made agerestricted, and lighter refill tubes should have warning signs that everyone would understand and attract attention. We present a case of the sudden death of a seventeen-year-old male due to inhaling butane containing lighter refill gas with friends along with the autopsy findings and the results of toxicology and histopathology investigations. Keywords: Butane; Lighter Refill Gas; Sudden Death; Autopsy.Öğe Cinsel saldırıya uğramış çocuğun muayenesi(OSMAN C., BORA Ö., Atihan K. (2011).Cinsel saldırıya uğramış çocuğun muayenesi, Türk Pediatri Arşivi, İnönü Üniversitesi, Malatya., 2011) Celbiş, Osman; Özdemir, Bora; Kaya, AtihanÖz: Çocuğa cinsel saldırı, insana yönelik suçlar içinde en ağırlarından birisi olarak değerlendirilmektedir. Cinsel saldırı mağduru çocuğun sağlık kuruluşuna başvurusunda öncelik çocuğun beden ve ruh sağlığını korumak olmalıdır. Mümkün olan en kısa sürede muayenesi yapılmalı ve adli raporu düzenlenmelidir. Unutulmamalıdır ki adli rapor cinsel saldırı suçundan mağdur olmuş kişiye yargılama aşamasında en büyük katkıyı sağlayacaktır. Sonuç olarak olayın şiddetini, yaşattığı örselenmeyi belirtecek olan en önemli belgedir. Bu açıdan adli rapor, cinsel suç olgularında durumu açıklayan bulguların tümünü içermelidir. Bu yazıda cinsel saldırıya uğramış olan çocukların muayenesinde, muayene ortamı, muayene yapacak ekibin niteliği, hekimin muayeneden önce, muayene sırasında ve sonrasında yapması gereken işlemler belirtilmiştir. Başlık (İngilizce): Examination of the sexually assaulted child Öz (İngilizce): Sexual assault on the child has been accepted as one of greatest crimes in the World. In case of a sexually attacked child appliying to the health center the prior management must be protecting the physical and psychological health of the child. Clinical and other examinations have to be performed immediately and the medicolegal report should also be prepared as soon as possible. It cannot be forgotten that the medicolegal report substantially supports the subject being sexually assaulted. Finally it is the proof that reflects the intensity of the event and it’s wickedness. From this perspective, the medicolegal report has to cover all findings related to events. In this paper, the rules of the sexually assaulted child examination, the appropriate environment, for the examination the qualification of examiners and the obligatory procedures performed by physicians before during and after the examination are stated.Öğe Counterfeit Probiotic Drugs(2022) Oruç, Mücahit; Duman, Yücel; Altın, İsmail; Celbiş, OsmanAim: Counterfeit drugs are a threat to human health worldwide. It can be seen that insufficient research has been conducted on the subject of counterfeit drugs related to potentially addictive drugs seized by the authorities. The aim of this study was to investigate whether or not there are drugs for sale in the Turkish market, which are counterfeit drugs under the heading of probiotics which are defined as micro-organisms with a positive effect on health when taken in certain quantities. Material and Method: A total of 17 different probiotic products in capsule, drops or sachet form, which were permitted for sale, were obtained from randomly selected chemist’s shops in the province of Malatya. Results: There was nothing missing or counterfeit on the packaging of the 17 products examined. When the contents were investigated, no deficiencies or excess micro-organism production was determined in the first 12 products. In product #13, there was no production of one of the mentioned micro-organisms. In products # 14,15, 16, and 17, more than one micro-organism stated in the prospectus could not be obtained. Conclusion: As the checking of products sold in chemist’s but controlled by the Ministry of Food, Agriculture and Livestock is not easy, there is a need for tighter supervision. This can be provided by sending the samples taken during audits to the correct laboratories, making detailed examinations, and evaluation the amount of active substance.Öğe Demographic and clinical features of Covid-19 cases in Serik, Turkey(2020) Altıntaş, Mustafa; Akdeniz, Gülsüm; Gürbüz, Bilgehan; Kara, Yusuf Ali; Celbiş, OsmanAbstract: There is a need for new research on the Covid-19 outbreak that affects the whole world. This study is presented as the first in a series of cases exist in Turkey. Our aim was to investigate the demographic and clinical features of Covid-19 patients and contribute to the development of new strategies. The medical records of 56 patients diagnosed with Covid-19 in Serik State Hospital, a pandemic hospital in Turkey, have been retrospectively evaluated up until May 31, 2020. The demographic and clinical characteristics as well as radiological and laboratory data of the patients were followed up until June 5, 2020 and compared with the data published in the literature. Thirty of the patients were male and twenty-six were female. Mean age was 41.3, average height was 163.5 cm and mean weight was 70.4 kg. Mean body mass index was 25.8. Twenty five patients had a chronic disease and twenty two patients were smokers. The most common clinical symptoms were fever (62.5%), cough (41.1%) and shortness of breath (21.4%). There were no active complaints in twenty four of the patients. Radiologically, nineteen patients had multifocal ground-glass opacity. The most prevalent laboratory findings were lymphopenia (30.3%), CRP elevation (62.5%) and AST elevation (42.8%). The findings of twenty three patients were normal. Forty seven patients were Rh positive, and nine patients were Rh negative. The Covid-19 epidemic continues with its global effects and affect people at various degrees. There are no clear clinical results and treatment options yet. Therefore, larger studies are needed.Öğe Doğumla Sonuçlanan Baba-Kız Ensesti: Olgu Sunumu(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2012) Özdemir, Bora; Celbiş, Osman; İris, Müfit; Üzün, İbrahimAmacımız ensest ilişki sonucu oluşan gebelik ve doğumların, mağdur ergen anne ve yeni doğan çocuk üzerinde yıkıcı etkilerine dikkat çekmek ve sağlık çalışanlarının duyarlılığını arttırmaktır. Babası tarafından tecavüze uğrayıp gebe kalarak çocuk dünyaya getiren 17 yaşında ensest mağduru kız çocuk olgusu sunuldu. Aile hekimleri, pediatri uzmanları ve öğretmenler, ensesti ilk fark edecek olan kişiler olmalıdır.Öğe Evaluation of home accidents of forensic nature among children(2020) Ayaz, Nusret; Turgut, Kasım; Turtay, Muhammet Gökhan; Güven, Taner; Oruç, Mücahit; Celbiş, OsmanTo examine the clinical and demographic characteristics of forensic home accidents and fatal injuries. Hospital and forensic records were examined and patients aged ?16 years, referred to our hospital after a home accident, were included in the study. The age, gender, type of injury, injured body area, month of accident, outcome, and department of admission were recorded for each patient. Then, the forensic records were examined and the cases were divided into two groups as those with and without fatal injuries.The characteristics of the two groups were compared using the chi-square test, and the statistical differences were determined.In a three-year period, a total of 453 home accidents considered to be forensic cases were identified. The mortality rate was calculated as 1.8%, and according to the forensic reports, 33.3% of the cases had fatal injuries.While blunt traumas were most common with a rate of 54.1%, burn injuries were found to be most fatal (p<0.001). The majority of injuries were seen in the head and neck, and the risk of fatal injuries was higher in multiple trauma cases in which two or more body systems were affected (p<0.001).Pediatric home accidents are most seen in the age range of 3-6 years, and the risk of fatal injuries is higher in patients with burns and injuries affecting more than one system.Öğe Evaluation of Thoracic Region Complications Associated with Cardiopulmonary Resuscitation Applied to Cases of Fall From Height(2023) Altın, İsmail; Dündar, Ahmet Sedat; Gümüşboğa, Erkal; Oruç, Mucahit; Celbiş, Osman; Şamdancı, EmineAim: The most common causes of blunt trauma are traffic accidents and falls from height. Thoracic region complications may be seen in cardiopulmonary resuscitation (CPR). The aim of this study was to examine thoracic complications developing in cases applied with CPR following a fall from height with no direct chest trauma. Materials and Methods: The thoracic complications of CPR were examined in cases with CPR applied after a fall from height following the exclusion of cases where death occurred and an autopsy was performed. Results: Evaluation was made of 109 cases who met the study criteria, comprising 82 males and 27 females. Fractures of the sternum and costa were seen at a higher rate than reported in studies in literature. No statistically significant difference was determined between the genders in respect of fracture rates. As age increased, there was found to be a statistically significant increase in fractures. Conclusion: This is the first study to have examined CPR complications following a fall from height. Just as there are direct effects of trauma on the body in general, there are also known to be some indirect effects. The results of this study showed an in increase in thoracic region complications developing after CPR applied to cases who developed cardiac arrest following a fall from height.Öğe An examination of forensic autopsy cases with pulmonary embolism(2020) Dündar, Ahmet Sedat; Oruç, Mücahit; Altın, İsmail; Öner, Bedirhan Sezer; Petekkaya, Semih; Şamdancı, Emine Türkmen; Celbiş, OsmanAbstract: Aim: This study was conducted for the purpose of adapting the Public Attitudes Toward Epilepsy Scale (PATE) for the Turkish context and determining its validity and reliability. Material and Methods: This is a methodological research and conducted in a family health centre located in the eastern Turkey between February 2018 and September 2018. In this study, 268 individuals, who were older than 18 years and registered in a Family Health Centre, were reached. Results: The result of the KMO test was determined to be 0.783 and that of Bartlett’s test 1002.772, and both were observed to be significant at a level of p , 0.001. Conclusion: Our study determined that the Turkish version of the PATE has validity and reliability and can be used in Turkish society.Öğe Gastrointestinal yoldan cıva alımı ve kan düzeyi ölçüm metodunun önemi: olgu sunumu(2016) Oruc, Mucahit; Doğan, Mustafa; Celbiş, Osman; Özdemir, BoraÖz: Cıva doğada oda sıcaklığında sıvı halde bulunan tek metal elementidir. Doğal dağılımla sürekli serbest hale geçtiği için tüm canlılarda iz halinde bulunur. Cıva maruziyeti solunum yolu, gastrointestinal emilim ve deri teması yoluyla oluşabilir. Kişilerin çalışma sektörlerine ve yaşadıkları ortam koşullarına göre zehirlenme şekilleri görülür. Cıva maruziyeti, kaşıntılı döküntüler ve yanma hissi gibi dermatolojik etkiler; aritmi, hipertansiyon gibi kardiyolojik etkileri ve konvülziyondan kişilik değişikliklerine kadar değişen nöropsikiyatrik bulgular gösterebilir. Cıva maruziyeti günümüzde çocuk yaş grubunda görülebilmektedir. Çocuklar cıvaya genellikle kaza sonucu maruz kalırlar. Yapılan takip ve tedavi açısından analiz yöntemleri, çoğu toksik maddelerde olduğu gibi önem arz etmektedir. Bu analizlerin yapılması ve tedavi hakkında karar verecek olan doktora iletilmesi esnasında belirli aksaklıklar oluşabilir. Toksikolojik analizlerin bütün hastanelerde yapılması zor gibi görülmektedir. Bu gibi vakaların gerekli analizlerinin yapıldığı bölge hastanelerinde akredite edilmiş laboratuvarların sağlanmasının tıbbi bir gereklilik olduğu ve bu tür vakalarında zaman kaybetmeksizin belirlenen merkezlere sevkinin sağlanması gerektiği kanaatindeyiz.Öğe The importance of curettage in cases of sexual violence(2017) Celbiş, Osman; Börk, Turgay; Karaer, Abdullah; Ozel Ozcanlı, Özlem; Porgali Zayman, EsraAbstract: Sexual assault is among the gravest crime against the physical and moral integrity of an individual. When sexual assault results in pregnancy it causes further psychological and social damage. This study aims to examine the reasons for delayed reporting in cases of sexual assault that result in pregnancy, and the importance of abortion in such cases. Seven cases referred by the judicial authorities to Inonu University’s Turgut Ozal Medical Center for uterine evacuation are included in the study. The cases were examined in terms of age, whether the parents were still alive, place of residence, assaulter characteristics, mental levels of victims, psychiatric examination results, and gestational week upon referral to the hospital. The mean age of the cases was 17.42±2.76 years. Six of the cases were referred from Malatya and one was referred from a neighboring province. Four of the cases were past their 10th gestational week. Abortions were performed in six of the cases. One of the women, in the 19th week of pregnancy, decided not to have the abortion upon consultation with her family. The women in the cases were, on average, 76 days pregnant upon referral to the center. Their medical histories indicated that five of the cases hid their pregnancy because they were concerned about their family’s reaction. None of the cases knew that they were able to end the pregnancy until week 20. Pregnancy is one of the unwanted and preventable consequences of sexual assault. The family’s attitude toward the victim plays an important role in earlier detection of the cases. In addition to legislation concerning ending pregnancies, victims and families should be informed about this topic to prevent further trauma for the victim and the to be born childÖğe Incest Relationship between a Sister and Mentally Retarded Brother which Resulted in Pregnancy and Birth: A Case Report(2016) Doğan, Mustafa; Oruç, Mücahit; Celbiş, Osman; Özdemir, Bora; Petekkaya, SemihAbstract: Incest is an illegal sexual relationship which is encountered in all societies and more often seen in childhood with psychologically destructive effects. Most cases of incest remain hidden when there is no tangible evidence such as a witness or a subsequent pregnancy or become more chronic until the child reaches a mental level where they can understand the wrongness of the event. The study presented between an anatomically virgin girl who experienced sexual relations resulting pregnancy and birth, with her older brother who didn't have adequate sexual relationship information and thought he was playing games, re-enacting what seen on films and television. The girl 12 year-old at the time of incest, didn't realize that she was pregnant so the pregnancy couldn't be terminated and she gave birth to a baby. Applied tests, the accused brother were determined with mild mental retardation, but he had been educated to high school level. The girl was determined to have developed a severe mental disorder because of the event. In this case of incest which resulted in a birth, the girl was found to be victim, the sister and the infant's mother and the boy with mental retardation was the perpetrator. Our aim was to draw attention to destructive effects within the family of incest. In addition, incest cases are rarely seen, it should be pointed out that besides the girl as victim, the mentally-retarded brother and the newborn infant were also victims.Öğe Karbondioksit ve Karbonmonoksite Maruz Bırakılan Sıçanlarda Biyokimyasal ve Moleküler Genetik Parametrelerin Değişimi(2016) Celbiş, Osman; Çifçi, Osman; Doğan, Mustafa; Oruç, MucahitKarbondioksit ve Karbonmonoksite Maruz Bırakılan Sıçanlarda Biyokimyasal ve Moleküler Genetik Parametrelerin Değişimi Karbonmonoksit (CO) zehirlenmesi beyin, kalp, böbrek, iskelet kası, deri, periferal sinir gibi hemen hemen bütün organları etkiler. Ülkemiz dâhil gelişmiş ve gelişmekte olan ülkelerde, özellikle kış aylarında, karbonmonoksit zehirlenmelerine bağlı ölümler sıkça görüldüğü bildirilmektedir. Klinik olarak tanı ve tedavi takibinde karboksihemoglobin (CO-Hb) düzeyi kullanılmakla birlikte, oluşan toksisite durumunun her insanda farklılık göstermesi ve ağırlık derecesinin her zaman için COHb düzeyi ile kolere olmaması nedeniyle farklı mekanizmaların da toksisitede yer aldığı düşünülmektedir. Bu durumun açıklanması için yapılan çalışmalarda nöro-endokrin dokularda nöroprotektif rolü olduğu yönünde çalışmalar yapılan ve nöroglobin olarak isimlendirilen, nöronal dokuya özgü bir globin türevi 2000?li yılların başında tanımlanmıştır. Beyinde hasar nedniyle oluşan durumlarda, arsenik gibi nörotoksik ajanlara bağlı oluşan durumlarda nöroglobin sentezi ile ilgili çalışmalar yapılmıştır. Ancak; nöroglobin ile ilgili çalışmalarda oluşan hipoksik durumların nedenleri arasındaki farklılık olup olmadığı, Karbonmonoksit veya karbondioksite maruziyet neticesinde oluşabilecek durumların ve kann biyokimyasındaki değişikliğin sentez üzerinde etkisi hususunda literatür bilgisine rastlanmamıştır. Konu bu açıdan özgün bir değer taşımaktadır. Çalışmada ağırlıkları 300 gr (±50 gr) olan 36 adet Wistar-Albino cinsi erkek sıçan kullanıldı. Sıçanlar eşit olarak 3 gruba (n=12) ayrıldı. Hazırlanmış ve kontrolleri tamamlanmış deney ortamında; bir gruba 15 dk süreli CO2, diğer ruba 15 dk süreyle CO gazları verildi. Deney sonunda gruplardan kan gazı tetkiki, nöroglobin mRNA tetkiki ve oksidan/antioksidan kimyasal parametrelerin tetkiki açısından kan ve beyin dokulaı usuüne uygun olarak alındı. Çalışmada çıkan sonuçların karşılaştırılmsında CO ve CO2? ye maruz kalan gruplarda nöroglobin mRNA seviyesinde, kan ve beyin dokuya ait kimyasal parametrelerde ve kan gazı parametrelerinde değişimler olduğu görüldü. Çalışmamızın Adli Tıp Biliminde genotoksisite ve adli toksikoloji açısından yapılacak olan daha kapsamlı çalışmalara ışık tutacak ve literatüre farklı bir bakış açısı katacak bir çalışma olduğu kanaatindeyiz.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 Malatya Adli Tıp Grup Başkanlığı’nda 1999-2002 Yılları Arasında Ölü Muayene Ve Otopsileri Yapılan İntihar Olguları(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2005) Celbiş, Osman; Özdemir, Boraİntihar olguları kaza ya da cinayet ile karışabileceği öngörüsü ile daima adli nitelikli sayılmaktadır ve diğer ölüm orjinlerini de dışlamak için otopsi yapılması gerekmektedir. Malatya ili ve yakın çevresinde intihar sonucu meydana gelen ölümlerin özelliklerinin incelenmesi amacı ile 1999-2002 yılları içinde Malatya Adli Tıp Grup Başkanlığı tarafından ölü muayenesi ve otopsi yapılan intihar olgularının retrospektif olarak değerlendirilmesi amaçlandı. Bu süre içerisinde 630 kişiye ölü muayenesi ve/veya otopsi yapılmış olup, olguların içinde 25’i erkek, 19’u kadın toplam 44 olgunun (%7) intihar orijinli olduğu tespit edilmiştir. Bunlardan 37 kişiye (84.1%) otopsi yapılmıştır. İntihar olgularının %54.5’i ası, %29.5’i zehirlenme, %18.2’si ateşli silah yaralanması, %4.5’i yüksekten düşme, %2.3’ü kesici delici alet kullanılması yöntemi ile meydana gelmiştir. İntihar olgularının %97.7’sinde adli tıp uzmanı tarafından otopsi yapılmıştır. Aylara göre en fazla intihar olgusunun %18,2 oran ile Şubat ayında meydana geldiği, Mart ayında ise hiç intihar orijinli otopsi yapılmadığı görülmektedir. Her ne kadar Malatya ve yakın çevresinde intihar ölümleri gelişmiş bölgelere göre daha az oranda bulunmakta ise de göz ardı edilmemelidir ve genel koruyucu önlemler her zaman uygulanmalıdır.Öğe Mercury intake by gastrointenstinal track and importance of blood level measurement method: a case report(Turgut Özal Tıp Merkezi Dergisi, 2016) Oruç, Mücahit; Doğan, Mustafa; Celbiş, Osman; Özdemir, BoraAbstract Mercury is found in nature in liquid form at room temperature. Because it always freely moves in nature with natural distribution, it is found in trace amounts in all living organisms. Mercury exposure can occur by inhalation, gastrointenstinal absorption, or dermal contact. Forms of poisoning change according to occupations and living conditions. After exposure, the mercury-exposed patient can show cardiac symptoms like itchy rashes, burning sensation, arrhythmia, and hypertension along with neuropsychiatric symptoms ranging from personality changes to seizures. Mercury esposure can be seen in children. Children are exposed to mercury accidentally. As it is the case in many toxic substances, methods of analysis are of utmost importance in treatment and follow-ups of such cases. There may be distruptions while conducting these analyses and passing the results of these analyses to the practitioners that will decide on the treatment. It seems difficult to enable toxicological analyses in all hospitals. We believe that there must be regional hospitals with accredited laboratories capable of carrying out such analyses in similar cases of poisoning and that these cases should be promptly referred to these designated centres. Keywords: Mercury; Intoxication; Minimata Disease.Öğe Nekrotizan fasyitise bağlı kol amputasyonu(Adli Bilimler Dergisi, 2006) Celbiş, Osman; Aydın, Nasuhi Engin; Harma, Ahmet; Polat, Önder ÖzümÖz: Nekrotizan Fasyitis (NF), genellikle travma ve immün yetmezlikle ilişkili ani ölümle sonuçlanabilen bir yumuşak doku enfeksiyonudur. NF'in bakteriyolojik sebepleri 3 ana gruptur. Tip 1 ; sinerjistik aerobik ve anaerobik, Tip 2 ; stafilokok ve streptokokkal, Tip 3 ; gazlı gangrenler olarak sınıflanmıştır. NF, hızlı seyrine bağlı olarak ani ölümlere, organ kaybına ve zaman zaman hekim hataları iddiaları nedeniyle adli tıbbın ilgi alanına girer. Biz hastanemize tekrarlayan idrar yolu enfeksiyonu (İYE) dışında risk faktörü olmayan 72 yaşında bir kadının kolunun amputasyonuna neden olan tip 1 NF olgusunu rapor ettik. Başlık (İngilizce): Arm amputation due to necrotizing fasciitis Öz (İngilizce): Necrotizing fasciitis (NF) is a soft tissue infection which may be fatal that generally follows trauma and is related to immune deficiency. Bacteriological causes of NF is grouped as following; Type I ; synergistic aerobic and anaerobic, Type 2; staphylococcal and streptococcal, Type 3 ; gas gangrene. NF has a legal aspect due to its rapid course that may be fatal and occasionally alleged to malpractice claims. We report a 72-year-old woman with previous recurrent urinary infections whose left arm was amputated due to type I NF .
