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BACKGROUND: Electrical energy has gained wide acceptance since the middle of 20th century. Rapid progress of industrialization and widespread utilization of electrical appliances lead to many electrical accidents and deaths. Aim of our... more
BACKGROUND: Electrical energy has gained wide acceptance since the middle of 20th century. Rapid progress of industrialization and widespread utilization of electrical appliances lead to many electrical accidents and deaths. Aim of our study was to analyze such injuries with a forensic perspective and to draw conclusions. METHODS: Sixty-three death cases (59 males, 4 females; mean age 32.5+/-12.7; range 5 to 62 years) due to electrical current injury that underwent forensic autopsy between the years of 1996-2003 in Bursa city of Turkey were included into the study. Demographic features, origin of death, scene of the injury, localization of entry and exit lesions were examined. RESULTS: The cases were most common in between 30-39 years of age and 93.7% were male. Sixty-three point five percent of the deaths were occupational accidents. Deaths occured usually in summer. Although homicidal and suicidal cases were rare in the literature, all of our cases were accidental in origin. CONCL...
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Behcet's syndrome (BS) is a chronic disease characterized by the presence oral and genital ulcers, skin, eye, gastrointestinal, vascular, and central nervous system involvement; the etiology of the disease is not fully understood.... more
Behcet's syndrome (BS) is a chronic disease characterized by the presence oral and genital ulcers, skin, eye, gastrointestinal, vascular, and central nervous system involvement; the etiology of the disease is not fully understood. While it is known to be frequent in Mediterranean countries, the highest prevalence is in Turkey. In BS, various types of vascular involvement are identifiable. BS generally leads to venous thrombosis with more frequent involvement at lower extremities, and majority of cases are men. While thrombophlebitis is often observed, thromboembolic diseases are rarely found, because the venous thrombi adhere to the walls of the veins tightly. Our case is a 19-year-old male who developed massive hemoptysis in his sister's house where he was visiting for vacation and was brought to the hospital by emergency service. Despite aggressive cardiopulmonary resuscitation the patient deceased. His was classified as suspicious and the patient transferred to our service for autopsy. Upon reviewing the hospital documents we found that he was followed up for BS for about two years, and was treated with anticoagulants for pulmonary embolism in the last 5 months after being admitted in a chest clinic for hemoptysis. During external examination in bloody foams were detected in the mouth and nose. During the internal examination we found a pulmonary artery aneurism of 6 cm in diameter with a thrombus inside, a 20 cm long thrombus that was blocking almost the whole lumen of the popliteal vein and a macroscopic infarct and blood aspiration areas in the left lung. We discuss the autopsy findings of this case along with the literature in this field.
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Research Interests: Pathology, Macrophages, Forensic Pathology, Adolescent, Medicine, and 11 moreSpleen, Humans, Child, Liver, Female, Male, Infant, Lung, Age Factors, Child preschool, and Cause of death
... 8. Azmak D, Altun G, Bilgi S, Yilmaz A. Firearm fatalities in Edirne, 1984-1997. Forensic Sci Int 1998;95:231-9. 9. Mercy JA, Rosenberg ML, Powell KE, Broome CV, Roper WL. ... Am J Prev Med 2003;24:1-8. 14. Odhiambo WA, Guthua SW,... more
... 8. Azmak D, Altun G, Bilgi S, Yilmaz A. Firearm fatalities in Edirne, 1984-1997. Forensic Sci Int 1998;95:231-9. 9. Mercy JA, Rosenberg ML, Powell KE, Broome CV, Roper WL. ... Am J Prev Med 2003;24:1-8. 14. Odhiambo WA, Guthua SW, Chindia ML, Macigo FG. ...
Research Interests: Medicine and Gynecology
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Research Interests: Immunohistochemistry, Medicine, Humans, Optic Nerve, Male, and 15 moreMethanol, Astrocyte, Central Nervous System, Astrocytes, CD, Aged, Middle Aged, Adult, Formic Acid, Basal ganglia, Glial Fibrillary Acidic Protein, Optic Disk, Metabolic Acidosis, Control Group, and Pharmacology and pharmaceutical sciences
Primary tumors of the heart are rare; the most common cardiac tumor is atrial myxoma. Sudden death may occur in patients with atrial myxoma, tumor embolization, or obstruction of blood flow at the mitral or tricuspid valve. This report... more
Primary tumors of the heart are rare; the most common cardiac tumor is atrial myxoma. Sudden death may occur in patients with atrial myxoma, tumor embolization, or obstruction of blood flow at the mitral or tricuspid valve. This report describes an unusual cause of sudden death and the autopsy findings for a 73-year-old man with left atrial myxoma.
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Objective: The human body loses flexibility and durability from the pathophysiological changes of aging; therefore, trauma and the risk of injury increase in geriatric individuals. Elderly patients who have been admitted to health centers... more
Objective: The human body loses flexibility and durability from the pathophysiological changes of aging; therefore, trauma and the risk of injury increase in geriatric individuals. Elderly patients who have been admitted to health centers with trauma and injury require a serious treatment approach.Materials and Methods: A total of 15851 victims who were admitted to Bursa Branch of the Council of Forensic Medicine of the Ministry of Justice between 01/01/2011 and 31/12/2011 were retrospectively evaluated, and 207 of them, who were trauma patients aged 65 years and over, were included in this study. All cases were evaluated according to the cause of the injury, localization of the trauma, bone fractures and type of medical treatment. Results: Two hundred nineteen of the total 15851 forensic patients were 65 years and older. Of these 219 cases, 207 (94.5%) had been exposed to trauma. Of these 207 cases, 138 (66.7%) were male, and 69 (33.3%) were female. The most common types of trauma ...
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Aortic dissection is the most common catastrophic event affecting the aorta, which is characterized by complex clinical manifestations, and high missed and delayed diagnosis rate. Acute aortic dissection has the importance of medical... more
Aortic dissection is the most common catastrophic event affecting the aorta, which is characterized by complex clinical manifestations, and high missed and delayed diagnosis rate. Acute aortic dissection has the importance of medical emergency and is associated with a high mortality. The presented case was, 55 year-old-man who was found as dead in the shed. At autopsy on internal inspection; heart examination revealed dissection 1 cm above aortic valve surrounding full thickness and intact adventitia, also hematoma making pressure on the descending branch of left coronary artery after 1 cm from proximal resulting from dissection and full- thickness dissection in the origin of the right coronary artery and intact adventitia were observed. We aimed to discuss this interesting aortic dissection case in the aspects of medico legal literature.
The evaluation of the medial clavicular epiphysis via CT plays an important role in the determination of age, particularly the 19th and 22nd ages. Several authors have recommended the use of the Schmeling and Kellinghaus methods in... more
The evaluation of the medial clavicular epiphysis via CT plays an important role in the determination of age, particularly the 19th and 22nd ages. Several authors have recommended the use of the Schmeling and Kellinghaus methods in conjunction in the evaluation of the medial clavicular epiphysis. The aim of this retrospective study was to evaluate thin section CT scan images of the medial clavicular epiphysis according to the Schmeling and Kellinghaus method, and to discuss the obtained data in the light of the literature. The thoracic CT scan images (0.6mm section thickness) of 601 patients (202 female and 399 male) aged between 10 and 35years obtained by 16-detector CT were evaluated by two examiners. The stage 2 was seen between 13 and 23years of age; stage 3 was seen between 16 and 27years of age. However, 100% of the female cases with stage 3c were ⩾18years of age, and 100% of the male cases with stage 3c were ⩾19years of age. Stage 4 was first observed at 20years of age in both sexes, and stage 5 was first observed at 25years of age in both sexes. We believe that stage 3c may be used, particularly in the determination 18-year age limit for both sexes. The outcomes of our study are consistent with those of our previous study and other studies in the literature, which is important for the confirmation of the reliability of the method.
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Ölüm nedenleri ile ilgili kayıtlar, o ülkelerde yaşayan insanların sağlık durumlarını yansıtan en önemli verilerdendir. Bu çalışmada; Uludağ Üniversitesi Tıp Fakültesi Hastanesi’nde doldurulan T.C. Başbakanlık Devlet İstatistik Enstitüsü... more
Ölüm nedenleri ile ilgili kayıtlar, o ülkelerde yaşayan insanların sağlık durumlarını yansıtan en önemli verilerdendir. Bu çalışmada; Uludağ Üniversitesi Tıp Fakültesi Hastanesi’nde doldurulan T.C. Başbakanlık Devlet İstatistik Enstitüsü Başkanlığı defin ruhsatlarında bildirilen ölüm nedenlerinin Uluslararası Hastalık Sınıflaması-10 (ICD-10) ile uyumunun değerlendirilmesi amaçlanmıştır. 2003-2005 yılları arasında doldurulan defin ruhsatlarındaki toplam 4043 ölüm vakasındaki bilgiler kayıt edildi. Kayıt edilen bilgiler yaş, cins, bildirilen ölüm nedeni veya nedenleri, ölüm tarihi ve bildiren klinik şeklinde sıralandı. Daha sonra bildirilen ölüm nedenlerinin karşılığı olan kodlar ICD-10 kitapçığından tespit edilerek yazıldı. Olgular yazılan ölüm nedenlerinin doğruluğuna göre 3 gruba ayrıldı. Toplam 4043 olgunun 524’ünde (%13) gerçek ölüm nedeni yerine ICD-10’da karşılığı bulunamayan nedenler ya da kardiyo-pulmoner arrest gibi terminal dönem bulguları yazıldığı, büyük kısmında (n = 351...
The evaluation of the ossification of the medial clavicular epiphysis being part of an assigned expert approach according to standard plays an important role within civil and criminal proceedings in assessing whether a person has reached... more
The evaluation of the ossification of the medial clavicular epiphysis being part of an assigned expert approach according to standard plays an important role within civil and criminal proceedings in assessing whether a person has reached her/his 19th or 22nd year of age. Evaluation of the medial clavicular epiphysis with thin-section CT is one of the methods recommended by the Study Group on Forensic Age Diagnostics of the German Association of Forensic Medicine. In this retrospective study, we evaluated the thin-section CT (section thickness of 0.6 and 1 mm) images of 254 patients (146 male, 108 female) with an age range of 13-28 years according to the Kellinghaus substage system. The mean values of female patients were observed to be about 10 months lower for stage 2a than the mean values of the male patients, about 13 months lower for stage 2b, and about 18 months lower for stage 2c. The earliest appearance for stage 3c was at 19 years in both sexes. Our data from this study were consistent with both our previous studies and the data of other studies. We think that stage 3c is important in determining whether a person has reached the age of 18 or not and, therefore, that the Kellinghaus substage system is a requirement in the assessment of forensic age.
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A case of sexual asphyxial death by hanging is presented. A 41-year-old man was found dead hanging by a towrope. A mirror was placed in front of a table, reflecting him in full height. A photograph of a celebrity mannequin was found... more
A case of sexual asphyxial death by hanging is presented. A 41-year-old man was found dead hanging by a towrope. A mirror was placed in front of a table, reflecting him in full height. A photograph of a celebrity mannequin was found against him. The towrope was arranged for the compression of the neck, and controlled voluntarily by a shower
Research Interests: Case Report and Spectrum
Reported case was 63 years old forester died suddenly in the village. Autopsy examination revealed massive coagulated haemorrhage filling the right hemithorax, neither free fluid nor blood were observed in the abdominal cavity. Abdominal... more
Reported case was 63 years old forester died suddenly in the village. Autopsy examination revealed massive coagulated haemorrhage filling the right hemithorax, neither free fluid nor blood were observed in the abdominal cavity. Abdominal aortic aneurysm 20x15x15 cm in size was examined. We aimed to report the rare case of abdominal aortic aneurysm presented with transdiafragmatic rupture and bleeding in the right hemithorax.
Research Interests: Surgery, Treatment, Turkey, Adolescent, Medicine, and 6 moreHumans, Variation, Male, Medical Physiology, Autopsy, and Hyoid bone
Single ventricle heart is defined as a rare cardiac abnormality with a single ventricle chamber involving diverse functional and physiological defects. Our case is of a ten month-old baby boy who died shortly after admission to the... more
Single ventricle heart is defined as a rare cardiac abnormality with a single ventricle chamber involving diverse functional and physiological defects. Our case is of a ten month-old baby boy who died shortly after admission to the hospital due to vomiting and diarrhoea. Autopsy findings revealed cyanosis of finger nails and ears. Internal examination revealed; large heart, weighing 60 grams, single ventricle, without a septum and upper membranous part. Single ventricle is a rare pathology, hence, this paper aims to discuss this case from a medico-legal point of view.
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We describe a medico-legal autopsy case of a three-day newborn girl. This was the fifth pregnancy of the mother who was 34 years at that time. Her parents were non-consanguineous. There was no family history of congenital abnormalities.... more
We describe a medico-legal autopsy case of a three-day newborn girl. This was the fifth pregnancy of the mother who was 34 years at that time. Her parents were non-consanguineous. There was no family history of congenital abnormalities. Her mother did not smoke or drink and did not recall toxic exposure during the pregnancy. The birth weight and physical examination was normal. The child died postnatal on the third day, with haemoptysis at home. To clarify the exact cause of death, the child was sent to the Council of Forensic Medicine. At the autopsy, in the internal observation, the bilateral first ribs were wide, the sternal extremity of the left second rib was bifid, the eighth ribs were bilaterally connected to the sternum via costal cartilages. Microscopic pathological findings were not found. Analyses of the deceased's blood and urine were negative for drugs. In this case, genetic study was not done. Based on all information available, the cause of death was not definitely determined (Fig. 1, Ref. 9).
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Bu çalışmada künt dalak travmaları ve intraabdominal hemorajilerde uygulanan tanı ve tedavi protokolünün, Adli Tıp görüşünde herhangi bir değişikliğe neden olup olmayacağını belirlemek amacıyla, Uludağ Üniversitesi Tıp Fakültesi Çocuk... more
Bu çalışmada künt dalak travmaları ve intraabdominal hemorajilerde uygulanan tanı ve tedavi protokolünün, Adli Tıp görüşünde herhangi bir değişikliğe neden olup olmayacağını belirlemek amacıyla, Uludağ Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalında 1988-1993 yılları arasında takip edilip, adli arşivde dosyası bulunan künt abdominal travmalı 58 olgu değerlendirilmiştir. Künt abdominal travma sonucu intraabdominal hemorajisi mevcut olan 33(%57) olgunun, 16'sıncla (%48) dalak yaralanması tespit edilmiştir. Dalak yaralanması tespit edilen 12 olgu (%75) konservatif tedavi görmüş, 4 olgu (%25) öpere edilmiştir. Tedavi protokolünde; CT, US, peritoneal lavaj, hemoglobin ve hematokrit değerleri esas alınmıştır. Künt dalak travmaları ile ilgili literatür gözden geçirilerek, tanı ve tedavide uygulanan yöntemler belirlenip, Adli Tıp açısından değerlendirilmiştir.Anahtar Kelimeler: İntra-abdominal Hemoraji, Konservatif Tedavi, Künt Abdominal Travma, Splenik Travma, Çocuklar.
Acute poisonings are frequent causes of admission to emergency departments and these cases may have hazardous outcomes. In the present study, medical records of 1818 poisoned patients admitted to Uludag University Medical... more
Acute poisonings are frequent causes of admission to emergency departments and these cases may have hazardous outcomes. In the present study, medical records of 1818 poisoned patients admitted to Uludag University Medical School's Emergency Department between January 1996 and December 2001 were investigated. The age, sex, outcomes of the patients, and type of poisoning are described. . The mean age for females (63% of the patients) was 27 years, whilst the mean age of male patients was 31 years. The major types of poisonings were ingestions of medications (59.6%), mushrooms (3.3%), corrosives (2.5%), organophosphates (3.2%), and methyl alcohol (0.4%). Carbon monoxide accounted for 6.9% of intoxications. Approximately 65% of the patients survived, while the methyl alcohol and corrosive ingestions led to the highest fatality averages (100% and 14.8%, respectively). The demographic and diagnostic features of acute poisoning cases treated in our hospital are similar to those reported in the literature. Adults and women are in a high-risk group for acute poisonings and medicine poisoning, which is the most common type of poisoning.
Research Interests: Adolescent, Insecticides, Humans, Female, Clinical, and 15 morePoisoning, Male, Methanol, Clinical Toxicology, Mushroom Poisoning, Caustics, Middle Aged, Adult, Retrospective Studies, Age Factors, Carbon Monoxide Poisoning, Acute Disease, Acute poisoning, Foodborne diseases, and Pharmacology and pharmaceutical sciences
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Electrical energy has gained wide acceptance since the middle of 20th century. Rapid progress of industrialization and widespread utilization of electrical appliances lead to many electrical accidents and deaths. Aim of our study was to... more
Electrical energy has gained wide acceptance since the middle of 20th century. Rapid progress of industrialization and widespread utilization of electrical appliances lead to many electrical accidents and deaths. Aim of our study was to analyze such injuries with a forensic perspective and to draw conclusions. Sixty-three death cases (59 males, 4 females; mean age 32.5+/-12.7; range 5 to 62 years) due to electrical current injury that underwent forensic autopsy between the years of 1996-2003 in Bursa city of Turkey were included into the study. Demographic features, origin of death, scene of the injury, localization of entry and exit lesions were examined. The cases were most common in between 30-39 years of age and 93.7% were male. Sixty-three point five percent of the deaths were occupational accidents. Deaths occurred usually in summer. Although homicidal and suicidal cases were rare in the literature, all of our cases were accidental in origin. The physician who performs autopsy should be thoroughly informed about the place of death due to electrocution. It is necessary to solve infra-structural problems, increase security measures and provide training about prevention of electrical injuries.
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Vertebral artery aneurysm rupture is a rare cause of sudden death. The presented case was 31-year-old woman who was found dead in her bedroom. Family members stated that she had history of one year duration childhood epilepsy treatment.... more
Vertebral artery aneurysm rupture is a rare cause of sudden death. The presented case was 31-year-old woman who was found dead in her bedroom. Family members stated that she had history of one year duration childhood epilepsy treatment. Autopsy investigation revealed 5 mm in diameter aneurysm, ruptured in 1 mm area, localized on the trunk of the right vertebral artery. We described an autopsy case of sudden unexpected death due to ruptured vertebral artery aneurysm.